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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Middlebury, CT: $42.41

Avg. Paid

$42.41

Range

$0.00 – $133.89

Total Claims

206,374

Providers

68

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 Middlebury, CT

Provider Avg. Paid Claims Patients
Ezzat Hafez

1655 Straits Tpke

$81.40 17,059 13,954
George V Antonopoulos

1625 Straits Turnpike

$37.09 10,122 7,186
Jill M Zabit

1625 Straits Tpke

$48.83 9,709 8,427
Kweku G Sam

1625 Straits Tpke

$88.78 8,955 8,173
Sagar Mohan Phatak

1579 Straits Tpke

$16.08 8,671 7,105
Leonardi Koliani

1625 Straits Tpke

$59.27 7,897 6,800
Riddhi Shah

1625 Straits Tpke

$47.09 7,863 6,866
Howard A Smith

1625 Straits Tpke

$0.00 7,742 6,965
Jonathan D Parkhurst

1625 Straits Tpke Ste 110

$53.40 7,080 6,283
York P Moy

1579 Straits Tpke

$22.39 6,822 5,797
Muneera Panjwani

1579 Straits Tpke

$25.23 6,546 4,473
Michael J Flanagan

1579 Straits Tpke

$14.82 5,703 4,597
Farah L Choudhry

1625 Straits Tpke

$87.84 5,623 5,185
Anthony Kim

1579 Straits Tpke

$21.06 5,563 4,970
Suphichaya Muangman

1625 Straits Tpke

$39.74 4,918 3,716
Joseph P Deluca

1625 Straits Tpke

$51.60 4,371 3,726
Joycelyn Dadural Maw

1626 Straits Turnpike

$66.56 4,047 3,676
Amanda Elisabeth Zubek

1625 Straits Tpke Ste 306

$31.55 3,824 3,654
Erin Shaw

1579 Straits Tpke

$29.98 3,766 3,515
Stephanie Lauren Gunnoud

1625 Straits Tpke

$40.94 3,750 3,168
Joseph Tripodi

687 Straits Tpke

$30.28 3,449 1,563
Sina Raissi

850 Straits Tpke

$30.59 3,385 2,501
Emma O'Neil

1579 Straits Tpke

$20.46 3,363 2,231
Michael Harma

1625 Straits Tpke

$52.26 3,254 2,790
Erik James Carlson

1579 Straits Tpke

$18.65 3,197 2,093
Matthew J Velsmid

1625 Straits Tpke

$32.02 3,195 2,113
Ines Maria Zemaitis

530 Middlebury Rd Ste 103A

$20.46 3,012 2,334
Maxwell David Flaugh

1579 Straits Tpke Ste E

$34.61 2,812 2,429
Jane D Cooper

1625 Straits Tpke

$47.83 2,682 2,296
Bohdan J Warycha

1579 Straits Tpke Lowr Level

$15.16 2,615 2,029
Michael Damon Savarese

10 N Benson Rd

$26.38 2,503 1,835
Pooia Fattahi

1625 Straits Tpke

$29.46 2,090 1,890
Alexander James Carrese

1579 Straits Tpke

$37.22 1,954 1,538
Megan Strobel

390 Middlebury Rd Ste 2

$48.79 1,905 1,482
Irina Magidina

687 Straits Tpke

$36.91 1,898 1,686
Mira Rho

850 Straits Tpke

$30.89 1,747 1,236
Jacqueline Marisol Murillo

456 Three Mile Hill Rd

$75.34 1,693 1,365
Pinky Gaba

1579 Straits Tpke Ste 2A

$24.20 1,471 1,295
Xiao Jun Weng

1579 Straits Tpke Ste 2A

$46.55 1,449 1,283
Jo-Anne A Cosgriff

590 Middlebury Rd

$39.76 1,445 1,207
Amanda Potts

1625 Straits Tpke Ste 307

$37.74 1,433 1,329
Peter G Levinson

1625 Straits Tpke

$46.18 1,409 1,187
Shirley Y Samy

1625 Straits Tpke

$50.15 1,396 1,286
Michael J Kaplan

1579 Straits Turnpike

$7.66 1,340 751
Hans Knopp

1579 Straits Tpke

$18.29 1,285 1,121
Mari Cherie Sperling

530 Middlebury Rd Ste 206B

$133.89 1,165 1,088
David Clough Knight

1625 Straits Tpke

$10.94 1,078 653
Brittany Mary Zarrella

1579 Straits Tpke Ste 2A

$21.31 1,044 913
Peter J Ellis

1625 Straits Tpke

$63.10 914 877
Juan Diego Holguin

1625 Straits Tpke

$49.34 891 810

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 Middlebury, CT?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Middlebury, CT is $42.41 per claim, based on 206,374 claims from 68 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 Middlebury, CT?

There are 68 Medicaid providers offering Office Visit related services in Middlebury, CT according to public payment data.

What is the price range for Office Visit in Middlebury, CT?

Medicaid reimbursement for Office Visit in Middlebury, CT ranges from $0.00 to $133.89 per claim, with an average of $42.41. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Middlebury, CT