Average Medicaid Office Visit Payments in Middletown, CT: $37.60
Avg. Paid
$37.60
Range
$0.00 – $272.46
Total Claims
635,282
Providers
317
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 Middletown, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Middlesex Hospital
28 Crescent St |
$70.84 | 34,538 | 29,818 |
|
Pursuecare, Llc
101 Centerpoint Dr Ste 105 |
$60.21 | 25,110 | 15,008 |
|
John Chardavoyne
213 Court St Fl 9 |
$45.65 | 16,765 | 8,459 |
|
Japheth Ogamba Mongare
6212 Town Pl |
$0.51 | 14,240 | 10,679 |
|
Kristin Finigan
675 Main St |
$5.75 | 13,359 | 12,250 |
|
Raymond John Morris
80 S Main St Ste 201 |
$32.38 | 11,492 | 8,607 |
|
Matthew Huddleston
675 Main St |
$15.41 | 11,013 | 9,761 |
|
Community Health Center Inc.
635 Main St |
$0.01 | 9,823 | 8,269 |
|
Yesu Matta
675 Main Street |
$12.39 | 9,409 | 8,504 |
|
Jennifer L Husman
675 Main St |
$5.85 | 9,375 | 8,060 |
|
Tina M Taylor
400 Saybrook Rd Ste 206 |
$71.41 | 9,074 | 7,265 |
|
William Romero
675 Main Street |
$51.75 | 8,852 | 6,432 |
|
Charles H Melvin
635 Main St |
$18.83 | 8,346 | 6,745 |
|
Kristen U. Stephens
28 Crescent St |
$28.21 | 7,507 | 5,939 |
|
Sandra J. Rabis
79 Mill St |
$25.30 | 6,996 | 3,255 |
|
Michele D Kleiman
147 Saybrook Road |
$88.83 | 6,542 | 5,549 |
|
Margaret Lapointe
675 Main St |
$4.20 | 6,480 | 6,077 |
|
Carl Lecce
635 Main St |
$16.47 | 6,355 | 5,379 |
|
Mikveh Warshaw
675 Main Street |
$8.49 | 6,319 | 5,289 |
|
Karen Veith
635 Main St |
$0.01 | 6,278 | 4,806 |
|
Zachary S Steinbach
1250 Silver St |
$8.25 | 5,948 | 4,407 |
|
Stacey Durr
90 S Main St |
$51.76 | 5,736 | 5,069 |
|
Diane Cue
400 Saybrook Rd |
$98.59 | 5,696 | 5,243 |
|
Lindsay Marmaras
675 Main Street |
$5.49 | 5,421 | 4,661 |
|
Arpad Sandor Fejos
512 Saybrook Rd |
$8.26 | 5,338 | 2,586 |
|
Allison H Whitaker
540 Saybrook Rd |
$92.26 | 5,305 | 4,875 |
|
Laina Jean Cross
675 Main Street |
$6.09 | 5,218 | 4,616 |
|
Ericka Gardener
1250 Silver St |
$1.90 | 5,174 | 4,050 |
|
Suzanne Mayo Watson
675 Main Street |
$8.71 | 5,136 | 4,450 |
|
Susanna Hong
536 Saybrook Rd |
$17.10 | 4,920 | 3,301 |
|
Jena Mitchell
520 Saybrook Rd Ste 105 |
$20.41 | 4,858 | 3,476 |
|
Christopher Mcgirr
120 Rising Trail Dr |
$92.53 | 4,739 | 3,941 |
|
Karthikeyan Kandavelou
536 Saybrook Rd |
$18.67 | 4,715 | 3,026 |
|
Lori Weckesser
675 Main St |
$9.99 | 4,669 | 3,345 |
|
Correne L Boucher
400 Saybrook Rd |
$95.19 | 4,668 | 4,432 |
|
Amanda Cornell
420 Old Saybrook Road |
$38.82 | 4,550 | 3,999 |
|
Elizabeth Williams
675 Main St |
$13.77 | 4,466 | 3,797 |
|
Christopher Kopin
28 Crescent St |
$35.91 | 4,389 | 3,536 |
|
David Tillinghast
400 Saybrook Rd |
$98.87 | 4,364 | 4,078 |
|
Michael P. Farrell
536 Saybrook Rd |
$14.68 | 4,224 | 2,573 |
|
Polly Huynh
675 Main Street |
$12.60 | 4,173 | 3,470 |
|
Alanna Sade-Milberg
675 Main St |
$16.03 | 4,162 | 3,531 |
|
Suzette M Viola
675 Main St |
$34.29 | 4,139 | 2,985 |
|
Gilead Community Services, Inc.
230 Main Street Ext |
$72.43 | 3,885 | 3,008 |
|
Vanessa Latson
675 Main Street |
$11.07 | 3,862 | 3,029 |
|
Suelen Deoliveira
675 Main St |
$9.04 | 3,851 | 3,154 |
|
Brad A Jubelirer
540 Saybrook Rd |
$94.47 | 3,805 | 3,530 |
|
Robert J. Brice
28 Crescent St |
$35.73 | 3,718 | 3,283 |
|
Alfred K Hicks
512 Saybrook Rd |
$10.71 | 3,581 | 2,065 |
|
Robert J. Levy
536 Saybrook Rd |
$14.62 | 3,570 | 2,211 |
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 Middletown, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Middletown, CT is $37.60 per claim, based on 635,282 claims from 317 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 Middletown, CT?
There are 317 Medicaid providers offering Office Visit related services in Middletown, CT according to public payment data.
What is the price range for Office Visit in Middletown, CT?
Medicaid reimbursement for Office Visit in Middletown, CT ranges from $0.00 to $272.46 per claim, with an average of $37.60. 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 Middletown, CT
Blood Work & Lab Tests
Avg $3.05
690,000 claims
Psychiatric Evaluation
Avg $39.99
459,562 claims
Emergency Room Visit
Avg $218.69
254,571 claims
Physical Therapy
Avg $37.54
228,637 claims
Ambulance Transport
Avg $28.77
159,133 claims
X-Ray
Avg $18.25
157,475 claims
Non-Emergency Medical Transportation
Avg $1.37
149,564 claims
Nursing Facility Care
Avg $20.07
115,841 claims