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
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, VT
Case Management Services
Avg $0.81
68,850 claims
Behavioral & Mental Health Therapy
Avg $76.26
68,135 claims
Dental Cleaning & Exam
Avg $38.46
44,858 claims
Vaccines & Immunizations
Avg $8.92
20,173 claims
Psychiatric Evaluation
Avg $35.80
11,810 claims
Substance Abuse Treatment
Avg $639.84
11,696 claims
Ambulance Transport
Avg $122.41
10,408 claims
Emergency Room Visit
Avg $45.72
9,098 claims