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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Middlebury, VT: $40.08

Avg. Paid

$40.08

Range

$1.19 – $105.60

Total Claims

70,234

Providers

58

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, VT

Provider Avg. Paid Claims Patients
Lauren Elizabeth Young

44 Collins Dr

$76.49 6,950 6,178
Monica Benjamin

44 Collins Dr

$17.63 5,890 5,405
Francisco Jaime Corbalan

1330 Exchange St

$16.00 5,006 4,715
Tawnya Kiernan

44 Collins Dr

$86.17 4,564 4,156
Jeffrey Peter Abell

82 Catamount Park

$14.66 3,491 2,730
Diana Leigh Tutelo

115 Porter Dr

$15.20 3,346 3,143
Michael David Seaton

1330 Exchange St

$22.43 3,337 3,048
Katina Lynn Martin

111 Maple St Ste 17

$73.19 3,172 2,635
Angela Marie Brisson

99 Court St Ste 1

$66.22 2,678 2,239
Lena Wasmus

1330 Exchange St Ste 201

$56.31 2,567 2,132
Mei Lee Frankish

115 Porter Dr

$19.98 2,462 1,710
Lisa Pippa Alexander

76 Court St

$25.72 2,105 1,989
Dragos Banu

115 Porter Dr

$45.49 2,022 1,892
Kristofer E Anderson

1330 Exchange St

$11.75 1,973 1,773
Meredith Walker Hanson

1330 Exchange St

$18.08 1,889 1,802
Myriam Salameh

115 Porter Dr

$14.94 1,859 1,704
Katie Casas Miller

1330 Exchange St Ste 201

$75.74 1,410 1,115
Jessica Alice Rouse

5 Park St Ste 3A

$32.69 1,319 925
Peter C Wilhelm

1330 Exchange St Ste 201

$85.81 1,180 991
Thomas E Beauregard

82 Catamount Park

$35.62 1,172 855
Kate Helen Mcintosh

44 Collins Dr

$70.86 1,129 1,034
Emily Gaukler

82 Catamount Park

$16.27 1,077 719
Scott D Smith

82 Catamount Park

$20.48 763 726
Dustin Dippen

99 Maple St Ste 14

$16.07 708 659
Katie Owens

115 Porter Dr

$14.78 644 260
Benjamin I Bearnot

1330 Exchange St Ste 201

$54.53 578 529
Laura Weylman

102A Court St Ste A

$30.13 569 278
Hylah W Patton

115 Porter Dr

$11.01 557 544
Deborah S. Huber

82 Catamount Park

$69.25 544 437
Linn Larson

1330 Exchange St

$67.92 518 459
Gail B Fayre

115 Porter Dr

$13.78 465 438
Marthe Melanie Bryant Connah

82 Catamount Park

$29.74 404 377
Robin E Frantz

82 Catamount Park

$27.30 403 369
Jean Andersson-Swayze

1330 Exchange St

$73.53 392 323
Eileen Doherty Fuller

1330 Exchange St Ste 201

$64.63 324 245
Hadley Christine Warner

115 Porter Dr

$12.94 311 294
Fred W Kniffin

115 Porter Drive

$12.92 262 248
Brian J Carlozzi

115 Porter Dr

$10.64 239 193
Benjamin Neal Rosenberg

1436 Exchange St

$25.64 208 192
Ania Mortier

102 A Court St

$37.80 204 156
Brian Joslin

1436 Exchange St

$12.58 191 161
Katherine Jane Koskinen Howard

116 Porter Dr

$25.37 183 164
Amy Andrews Gregory

1330 Exchange Street

$44.07 178 148
Kathryn Zoll

115 Porter Dr

$5.56 138 132
Molly Brown

116 Porter Dr

$18.16 133 116
Kristin Alana Schiller

115 Porter Dr

$1.19 96 92
Caitlin Bone

1330 Exchange St Ste 105

$2.76 93 93
Stacy Ann Macfarlane

115 Porter Dr

$58.73 93 85
Robert Mark Burke

135 S Pleasant St

$18.32 93 65
Laura Wilkinson

5 Park St Ste 3A

$60.22 86 66

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, VT?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Middlebury, VT is $40.08 per claim, based on 70,234 claims from 58 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, VT?

There are 58 Medicaid providers offering Office Visit related services in Middlebury, VT according to public payment data.

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

Medicaid reimbursement for Office Visit in Middlebury, VT ranges from $1.19 to $105.60 per claim, with an average of $40.08. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Middlebury, VT