Average Medicaid Office Visit Payments in Madison, CT: $61.24
Avg. Paid
$61.24
Range
$0.00 – $232.00
Total Claims
124,163
Providers
46
Typical Payment Range
Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.
Based on per-provider averages across all Medicaid claims in this category.
A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Office Visit in Madison, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Diane Guardiani
175 Copse Rd |
$58.49 | 12 | 12 |
|
Debra Ann Santos
282 Durham Rd |
$36.43 | 19 | 15 |
|
Bonnie Lynn Hiatt
27 Indigo Trl |
$35.12 | 27 | 25 |
|
Lillian Siegel
411 Durham Rd |
$48.20 | 40 | 39 |
|
Gina V Lang
1291 Boston Post Rd Ste 105 |
$232.00 | 42 | 42 |
|
Meredith Carnelli
1291 Boston Post Rd |
$65.29 | 104 | 101 |
|
Henry Puciato
146 Samson Rock Dr |
$50.46 | 173 | 164 |
|
Cynthia Hamlin
1291 Boston Post Rd Ste 105 |
$56.49 | 178 | 161 |
|
Steven Harris Schoenberger
1291 Boston Post Rd |
$15.64 | 294 | 270 |
|
Dia B Flanagan
105 Wall St |
$87.19 | 323 | 304 |
|
Serle Mindell Epstein
6 Woodland Rd |
$52.31 | 335 | 263 |
|
Sarah Orlando
1347 Boston Post Rd |
$49.06 | 473 | 392 |
|
Eric D. Baum
230 Boston Post Rd |
$38.80 | 505 | 387 |
|
Jeremy Ethan Moss
1343 Boston Post Rd Apt 101 |
$0.00 | 507 | 496 |
|
Madison Alaia Fucci
1110 Durham Rd |
$72.58 | 533 | 485 |
|
Jennifer P Swenson
1291 Boston Post Rd Ste 105 |
$26.44 | 542 | 368 |
|
Taylor Griffeth
1291 Boston Post Rd |
$59.27 | 583 | 527 |
|
Amy G Golden
1110 Durham Rd |
$83.30 | 643 | 566 |
|
Kathryn M Mcdonnell
1291 Boston Post Rd |
$69.87 | 689 | 612 |
|
Melissa Anne Gionfriddo
1291 Boston Post Rd Ste 200 |
$53.66 | 723 | 605 |
|
Julie Colangelo Ward
230 Boston Post Rd |
$71.02 | 746 | 652 |
|
David E Karas
230 Boston Post Rd |
$37.59 | 796 | 588 |
|
Emily Miesse
1291 Boston Post Rd Ste 105 |
$30.26 | 930 | 703 |
|
Susanne L Scofield Hinton
1291 Boston Post Rd Ste 105 |
$42.35 | 1,083 | 811 |
|
Helen Ede
1291 Boston Post Rd Ste 200 |
$40.56 | 1,210 | 973 |
|
Jessica L Paulson
1347 Boston Post Rd |
$52.73 | 1,398 | 1,301 |
|
Elin L Christensen
1291 Boston Post Rd Ste 105 |
$33.37 | 1,526 | 1,029 |
|
Cristina M Brunet
11 Woodland Rd |
$46.05 | 1,546 | 1,487 |
|
Larissa Magness Fopeano
1291 Boston Post Rd Ste 105 |
$50.33 | 1,657 | 1,342 |
|
Kristin N Lichtenberg
1291 Boston Post Rd |
$75.02 | 1,781 | 1,677 |
|
Leah Gynell Wallace
1347 Boston Post Rd |
$54.10 | 1,889 | 1,681 |
|
David B Parmelee
1291 Boston Post Rd |
$64.48 | 2,094 | 1,802 |
|
Bruce G Freeman
1110 Durham Rd |
$92.81 | 2,524 | 2,348 |
|
Karen Y Goldberg
1110 Durham Rd |
$103.23 | 2,541 | 2,350 |
|
Kimberly Anne Palmieri
1110 Durham Rd |
$89.15 | 3,085 | 2,867 |
|
Javier Motta
146 Samson Rock Dr |
$81.02 | 3,767 | 3,256 |
|
Kaitlin C Quallen
1110 Durham Rd |
$78.26 | 4,031 | 3,624 |
|
Rounak Babula Rawal
230 Boston Post Road |
$71.48 | 4,396 | 3,635 |
|
Leslie E Sude
105 Wall St |
$38.63 | 4,868 | 4,606 |
|
Wendy Mackey
230 Boston Post Rd |
$49.80 | 5,281 | 4,471 |
|
Patrice M Wilhelm
6 Woodland Rd Unit 3B |
$40.79 | 7,052 | 3,300 |
|
Kathy Bryson
17 Wall St |
$84.77 | 7,944 | 5,209 |
|
Amanda Ciampini
17 Wall Street |
$96.95 | 9,307 | 4,337 |
|
Kristi Maynard
6 Woodland Rd Unit 3B |
$57.37 | 9,780 | 6,828 |
|
Lisa Marie Gagnon
230 Boston Post Rd |
$48.42 | 14,611 | 12,016 |
|
Melissa M Dziedzic
230 Boston Post Rd |
$50.87 | 21,575 | 18,823 |
What to Expect: Office Visit
A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99213 | Office visit established mod | $43.18 | 764,306,590 | 487,602 |
| 99214 | Office visit established mod-hi | $59.53 | 502,480,931 | 466,856 |
| 99212 | Office visit established low | $41.69 | 92,299,154 | 127,462 |
| 99203 | Office visit new moderate | $67.55 | 47,756,882 | 127,334 |
| 99211 | Office visit established minor | $39.24 | 44,127,221 | 47,748 |
| 99204 | Office visit new moderate-high | $92.03 | 32,379,031 | 111,937 |
| 99215 | Office visit established high | $93.58 | 29,619,773 | 74,725 |
| 99202 | Office visit new low | $58.57 | 9,372,712 | 35,486 |
| 99205 | Office visit new high | $136.10 | 3,665,382 | 19,737 |
| 99244 | Office consultation mod-high | $118.25 | 3,405,681 | 11,884 |
| 99243 | Office consultation moderate | $78.55 | 2,585,480 | 8,432 |
| 99245 | Office consultation high | $132.29 | 645,300 | 3,046 |
| 99242 | Office consultation low | $58.27 | 483,445 | 1,980 |
| 99241 | Office consultation brief | $66.15 | 295,664 | 712 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Office Visit cost in Madison, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Madison, CT is $61.24 per claim, based on 124,163 claims from 46 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Office Visit in Madison, CT?
There are 46 Medicaid providers offering Office Visit related services in Madison, CT according to public payment data.
What is the price range for Office Visit in Madison, CT?
Medicaid reimbursement for Office Visit in Madison, CT ranges from $0.00 to $232.00 per claim, with an average of $61.24. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Madison, CT
Psychiatric Evaluation
Avg $58.74
33,528 claims
Blood Work & Lab Tests
Avg $5.41
18,671 claims
Vaccines & Immunizations
Avg $7.68
17,472 claims
Physical Therapy
Avg $38.79
6,078 claims
Emergency Room Visit
Avg $39.36
5,922 claims
Nursing Facility Care
Avg $4.45
5,460 claims
X-Ray
Avg $4.32
5,008 claims
Ambulance Transport
Avg $75.26
4,345 claims