Based on public Medicaid payment data.

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
Jonathan Li 520 Saybrook Rd Ste 100B	$53.94	13	13
Nathaniel David Robinson 536 Saybrook Rd	$3.30	13	12
Rachel Hoffman Whelen 420 Saybrook Road	$18.00	13	13
Priti B Vyas 400 Saybrook Rd Ste 206	$41.78	14	13
Jonathan S Aranow 520 Saybrook Rd Ste 210	$56.31	14	13
Matthew David Behringer 540 Saybrook Rd	$78.70	14	14
Christopher Lee Yergen 33 Pleasant St	$2.74	15	13
David Jeremy Hergan 410 Saybrook Rd	$10.31	18	12
Christian Todzia 176 Trolley Crossing Ln	$0.00	18	18
Gayelan Tietje-Ulrich 675 Main St	$16.22	18	18
Kertrisa R Mcwhite 540 Saybrook Rd Ste 100	$16.51	26	24
Meditelecare Of Connecticut Pllc 213 Court St Fl 6	$0.00	27	21
Tina Rita Bafumi 28 Crescent St	$65.69	27	26
Sally J Irons 540 Saybrook Rd	$28.60	28	26
Krupa Modi 420 Saybrook Rd	$5.64	28	26
Janet R Sadler 420 Saybrook Rd	$14.72	28	28
Peter A Shriver 400 Saybrook Road	$29.46	28	28
Xiang Liu 410 Saybrook Rd Ste 201	$50.57	29	26
Louis Wang 80 South Main Street	$27.05	31	31
Mary Nta 226 Ridgefield Dr	$58.49	31	31
Agata Katarzyna Harabasz 675 Main St	$50.46	33	31
Kristy G. Mascarenhas 400 Saybrook Road	$6.11	34	27
Jeffrey A Bash 410 Saybrook Rd	$0.39	36	20
Erika Leigh Skinnon 512 Saybrook Rd Ste 100	$19.88	44	41
Mary Ann Kelly 28 Crescent St	$42.62	46	39
Michael Tao 420 Saybrook Rd Ste A	$63.37	49	49
Megan Cosentino 28 Crescent St	$36.51	52	42
Kimberly M Hudson 420 Saybrook Rd	$33.02	53	51
Pursuecare Connecticut Pc 101 Centerpoint Dr Ste 105	$42.72	59	43
Dorothy Robison Collins 282 Main Street Ext	$40.49	78	78
Michael R Saxe 28 Crescent St	$25.46	81	77
Middlesex Orthopedic Surgeons Pc 410 Saybrook Rd	$0.00	82	43
Dawn-Marie O'Reilly 28 Crescent St	$12.33	85	77
Helen Donofrio 540 Saybrook Rd Ste 360	$33.45	86	74
Eric Joseph Thomas 11 S Main St	$0.46	94	56
Shaunna Fennelly Stclair 90 S Main St	$67.59	95	92
Clare Elizabeth Manzi 760 Saybrook Rd	$26.86	97	87
Lawrence Berson 410 Saybrook Rd	$10.72	97	61
Melissa Ashley Schoen 420 Saybrook Rd Ste A	$17.69	113	106
Homaira Rasool 410 Saybrook Rd	$71.62	113	102
Robert W Geist 512 Saybrook Rd	$13.60	117	94
Anne Machuga 400 Saybrook Rd Ste 205	$49.38	121	82
Stephanie Mei Luu 540 Saybrook Rd Ste 360	$33.17	122	93
Stephanie Farrell 300 Plaza Middlesex	$39.33	123	110
Amanda Marie Monfalcone 512 Saybrook Rd Ste 100	$21.93	123	76
Tiffany Simone Olayinka Olier 49 Crescent St	$69.87	125	112
Benay P Smith 351 Silver St	$97.18	128	108
Mary Hoctor Belniak 540 Saybrook Rd Ste 360	$41.15	129	114
Michael Kane 87 Bernie Orourke Dr	$60.33	131	92
Ronald Barry Robbins 842 Washington St	$29.48	131	80

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.

Average Medicaid Office Visit Payments in Middletown, CT: $37.60

Providers Offering Office Visit in Middletown, CT

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Middletown, CT

Blood Work & Lab Tests

Psychiatric Evaluation

Emergency Room Visit

Physical Therapy

Ambulance Transport

X-Ray

Non-Emergency Medical Transportation

Nursing Facility Care