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 |
|---|---|---|---|
|
Jayakara Shetty
1625 Straits Tpke |
$118.62 | 25 | 25 |
|
Bhavesh R. Patel
1579 Straits Tpke |
$0.00 | 27 | 25 |
|
Ana Quintana Villafuerte
10 N Benson Rd |
$18.82 | 39 | 28 |
|
Marilyn E Olsen
850 Straits Tpke |
$23.86 | 45 | 40 |
|
Carolyn Brown
1579 Straits Tpke |
$22.54 | 72 | 65 |
|
Charles Edward Raftery
1579 Straits Tpke |
$0.32 | 83 | 66 |
|
Gregory Michael Ricketts
1625 Straits Tpke Ste 200 |
$19.71 | 162 | 122 |
|
W Kenneth Miner
1579 Straits Turnpike |
$5.88 | 167 | 77 |
|
Tannia Alexandra Salazar
900 Straits Tpke Ste C106 |
$17.41 | 198 | 188 |
|
Kenneth G Kaplove
1579 Straits Tpke |
$16.36 | 217 | 198 |
|
Janet Lynn Anderson-Ray
687 Straits Tpke Ste 2A |
$29.58 | 229 | 211 |
|
Eytan Barnea
687 Straits Tpke |
$53.56 | 261 | 211 |
|
Ami S Marshall
530 Middlebury Rd Ste 103A |
$35.55 | 289 | 255 |
|
Lisa M Oliveira
1579 Straits Tpke |
$11.53 | 570 | 459 |
|
Zhongqiu John Zhang
1625 Straits Tpke |
$37.32 | 650 | 550 |
|
Katrina Lorraine Greaves
1625 Straits Tpke Ste 307 |
$26.05 | 671 | 488 |
|
Hasnija Hannah Huskic
1579 Straits Turnpike |
$4.32 | 678 | 387 |
|
Timothy Raymond Lebel
1579 Straits Tpke |
$19.93 | 886 | 567 |
|
Juan Diego Holguin
1625 Straits Tpke |
$49.34 | 891 | 810 |
|
Peter J Ellis
1625 Straits Tpke |
$63.10 | 914 | 877 |
|
Brittany Mary Zarrella
1579 Straits Tpke Ste 2A |
$21.31 | 1,044 | 913 |
|
David Clough Knight
1625 Straits Tpke |
$10.94 | 1,078 | 653 |
|
Mari Cherie Sperling
530 Middlebury Rd Ste 206B |
$133.89 | 1,165 | 1,088 |
|
Hans Knopp
1579 Straits Tpke |
$18.29 | 1,285 | 1,121 |
|
Michael J Kaplan
1579 Straits Turnpike |
$7.66 | 1,340 | 751 |
|
Shirley Y Samy
1625 Straits Tpke |
$50.15 | 1,396 | 1,286 |
|
Peter G Levinson
1625 Straits Tpke |
$46.18 | 1,409 | 1,187 |
|
Amanda Potts
1625 Straits Tpke Ste 307 |
$37.74 | 1,433 | 1,329 |
|
Jo-Anne A Cosgriff
590 Middlebury Rd |
$39.76 | 1,445 | 1,207 |
|
Xiao Jun Weng
1579 Straits Tpke Ste 2A |
$46.55 | 1,449 | 1,283 |
|
Pinky Gaba
1579 Straits Tpke Ste 2A |
$24.20 | 1,471 | 1,295 |
|
Jacqueline Marisol Murillo
456 Three Mile Hill Rd |
$75.34 | 1,693 | 1,365 |
|
Mira Rho
850 Straits Tpke |
$30.89 | 1,747 | 1,236 |
|
Irina Magidina
687 Straits Tpke |
$36.91 | 1,898 | 1,686 |
|
Megan Strobel
390 Middlebury Rd Ste 2 |
$48.79 | 1,905 | 1,482 |
|
Alexander James Carrese
1579 Straits Tpke |
$37.22 | 1,954 | 1,538 |
|
Pooia Fattahi
1625 Straits Tpke |
$29.46 | 2,090 | 1,890 |
|
Michael Damon Savarese
10 N Benson Rd |
$26.38 | 2,503 | 1,835 |
|
Bohdan J Warycha
1579 Straits Tpke Lowr Level |
$15.16 | 2,615 | 2,029 |
|
Jane D Cooper
1625 Straits Tpke |
$47.83 | 2,682 | 2,296 |
|
Maxwell David Flaugh
1579 Straits Tpke Ste E |
$34.61 | 2,812 | 2,429 |
|
Ines Maria Zemaitis
530 Middlebury Rd Ste 103A |
$20.46 | 3,012 | 2,334 |
|
Matthew J Velsmid
1625 Straits Tpke |
$32.02 | 3,195 | 2,113 |
|
Erik James Carlson
1579 Straits Tpke |
$18.65 | 3,197 | 2,093 |
|
Michael Harma
1625 Straits Tpke |
$52.26 | 3,254 | 2,790 |
|
Emma O'Neil
1579 Straits Tpke |
$20.46 | 3,363 | 2,231 |
|
Sina Raissi
850 Straits Tpke |
$30.59 | 3,385 | 2,501 |
|
Joseph Tripodi
687 Straits Tpke |
$30.28 | 3,449 | 1,563 |
|
Stephanie Lauren Gunnoud
1625 Straits Tpke |
$40.94 | 3,750 | 3,168 |
|
Erin Shaw
1579 Straits Tpke |
$29.98 | 3,766 | 3,515 |
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