Average Medicaid Office Visit Payments in Manchester Center, VT: $67.26
Avg. Paid
$67.26
Range
$0.01 – $118.63
Total Claims
30,189
Providers
18
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 Manchester Center, VT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Donna M Miller
1009 Depot St |
$91.47 | 7,666 | 6,399 |
|
Thomas A Sterling
34 Bonnet St |
$58.00 | 3,964 | 3,114 |
|
Richard Malik
5138 Main St |
$118.63 | 3,143 | 2,337 |
|
Lia B Braico
5957 Main St |
$69.94 | 3,075 | 2,660 |
|
Robert Giering
3505 Richville Rd |
$48.69 | 2,430 | 1,986 |
|
Glen Carlisle Mackenzie
1009 Depot St |
$86.05 | 1,918 | 1,419 |
|
Mary Katherine Howard
34 Bonnet St |
$2.00 | 1,694 | 1,555 |
|
Robert Schwartz
5957 Main St |
$21.11 | 1,575 | 1,443 |
|
Nicholas Charles Wild
5957 Vt-7A |
$29.30 | 1,356 | 1,209 |
|
Natacha I Jager
5957 Main St |
$19.60 | 1,109 | 1,016 |
|
Dakota Malik
5138 Main Sreet |
$117.20 | 881 | 641 |
|
Lesley Thompson Brodie
82 Elm Street |
$0.01 | 636 | 539 |
|
Mary Jaeger Stacy
5957 Main St |
$34.41 | 296 | 286 |
|
Pamela Lynn Adams Lackey
Route 7A North |
$20.39 | 120 | 109 |
|
William Goodwin
5053 Main St |
$41.89 | 109 | 46 |
|
Christie J Mackson
231 Bonnet St |
$70.00 | 100 | 57 |
|
Morgan Ray Bazyk
34 Bonnet St |
$24.38 | 91 | 58 |
|
Janel Marie Kittredge
34 Bonnet St |
$10.39 | 26 | 14 |
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 Manchester Center, VT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Manchester Center, VT is $67.26 per claim, based on 30,189 claims from 18 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 Manchester Center, VT?
There are 18 Medicaid providers offering Office Visit related services in Manchester Center, VT according to public payment data.
What is the price range for Office Visit in Manchester Center, VT?
Medicaid reimbursement for Office Visit in Manchester Center, VT ranges from $0.01 to $118.63 per claim, with an average of $67.26. 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 Manchester Center, VT
Psychiatric Evaluation
Avg $71.61
13,250 claims
Dental Cleaning & Exam
Avg $24.30
8,817 claims
Vaccines & Immunizations
Avg $20.84
4,251 claims
Eye Exam
Avg $43.03
3,187 claims
Dental Filling
Avg $45.52
2,355 claims
Ambulance Transport
Avg $150.36
2,212 claims
Hearing Test (Audiometry)
Avg $5.51
1,853 claims
Physical Therapy
Avg $34.38
1,772 claims