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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
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

Other Procedures in Middlebury, CT