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
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 Middlebury, CT
Durable Medical Equipment (DME)
Avg $19.66
218,293 claims
Vaccines & Immunizations
Avg $12.16
54,628 claims
Physical Therapy
Avg $27.02
44,232 claims
Psychiatric Evaluation
Avg $64.13
35,570 claims
Urinalysis & Urine Tests
Avg $0.24
29,645 claims
EKG / ECG (Electrocardiogram)
Avg $7.08
21,377 claims
Speech Therapy
Avg $45.92
16,739 claims
Blood Work & Lab Tests
Avg $2.96
11,122 claims