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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
Anemone Fresh

228 Maple St

$105.60 17 15
Benjamin Daniel Johnson

115 Porter Dr

$11.20 25 24
Louisa Veazie Pratt

115 Porter Dr

$7.75 27 27
Jodi Alana Brown

104 Porter Dr

$32.74 27 24
Peter Andrew Miller

76 Court St

$18.30 35 28
Trina Lorin Wilson

1436 Exchange St

$20.13 36 26
Rachel A Guy

102 Court St

$51.29 38 36
Robert Charles Jimerson

89 Main St

$15.77 54 38
Laura Wilkinson

5 Park St Ste 3A

$60.22 86 66
Stacy Ann Macfarlane

115 Porter Dr

$58.73 93 85
Robert Mark Burke

135 S Pleasant St

$18.32 93 65
Caitlin Bone

1330 Exchange St Ste 105

$2.76 93 93
Kristin Alana Schiller

115 Porter Dr

$1.19 96 92
Molly Brown

116 Porter Dr

$18.16 133 116
Kathryn Zoll

115 Porter Dr

$5.56 138 132
Amy Andrews Gregory

1330 Exchange Street

$44.07 178 148
Katherine Jane Koskinen Howard

116 Porter Dr

$25.37 183 164
Brian Joslin

1436 Exchange St

$12.58 191 161
Ania Mortier

102 A Court St

$37.80 204 156
Benjamin Neal Rosenberg

1436 Exchange St

$25.64 208 192
Brian J Carlozzi

115 Porter Dr

$10.64 239 193
Fred W Kniffin

115 Porter Drive

$12.92 262 248
Hadley Christine Warner

115 Porter Dr

$12.94 311 294
Eileen Doherty Fuller

1330 Exchange St Ste 201

$64.63 324 245
Jean Andersson-Swayze

1330 Exchange St

$73.53 392 323
Robin E Frantz

82 Catamount Park

$27.30 403 369
Marthe Melanie Bryant Connah

82 Catamount Park

$29.74 404 377
Gail B Fayre

115 Porter Dr

$13.78 465 438
Linn Larson

1330 Exchange St

$67.92 518 459
Deborah S. Huber

82 Catamount Park

$69.25 544 437
Hylah W Patton

115 Porter Dr

$11.01 557 544
Laura Weylman

102A Court St Ste A

$30.13 569 278
Benjamin I Bearnot

1330 Exchange St Ste 201

$54.53 578 529
Katie Owens

115 Porter Dr

$14.78 644 260
Dustin Dippen

99 Maple St Ste 14

$16.07 708 659
Scott D Smith

82 Catamount Park

$20.48 763 726
Emily Gaukler

82 Catamount Park

$16.27 1,077 719
Kate Helen Mcintosh

44 Collins Dr

$70.86 1,129 1,034
Thomas E Beauregard

82 Catamount Park

$35.62 1,172 855
Peter C Wilhelm

1330 Exchange St Ste 201

$85.81 1,180 991
Jessica Alice Rouse

5 Park St Ste 3A

$32.69 1,319 925
Katie Casas Miller

1330 Exchange St Ste 201

$75.74 1,410 1,115
Myriam Salameh

115 Porter Dr

$14.94 1,859 1,704
Meredith Walker Hanson

1330 Exchange St

$18.08 1,889 1,802
Kristofer E Anderson

1330 Exchange St

$11.75 1,973 1,773
Dragos Banu

115 Porter Dr

$45.49 2,022 1,892
Lisa Pippa Alexander

76 Court St

$25.72 2,105 1,989
Mei Lee Frankish

115 Porter Dr

$19.98 2,462 1,710
Lena Wasmus

1330 Exchange St Ste 201

$56.31 2,567 2,132
Angela Marie Brisson

99 Court St Ste 1

$66.22 2,678 2,239

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