Average Medicaid Office Visit Payments in Milton, VT: $36.13
Avg. Paid
$36.13
Range
$2.17 – $166.71
Total Claims
39,014
Providers
22
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 Milton, VT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joseph D Nasca
789B Ethan Allen Hwy |
$84.82 | 7,512 | 6,566 |
|
Kari Joan Mckinley
11 Haydenberry Dr Unit 103 |
$14.72 | 4,504 | 4,049 |
|
Kristen Van Woert Connolly
11 Haydenberry Dr Ste 41 |
$12.89 | 3,414 | 3,070 |
|
Madeline B Mann
11 Haydenberry Dr |
$14.85 | 3,367 | 3,051 |
|
Michael Edward Visker
927 Ethan Allen Hwy Unit 1 |
$96.01 | 3,290 | 2,962 |
|
Thomas G Bolduc
11 Haydenberry Dr Unit 103 |
$16.84 | 1,995 | 1,822 |
|
Melisa Gail Gibson
28 Centre Dr |
$31.64 | 1,943 | 1,788 |
|
David Swift
28 Centre Dr |
$21.84 | 1,582 | 1,491 |
|
Scott Jason Cohen
11 Haydenberry Dr Unit 103 |
$2.17 | 1,513 | 1,464 |
|
Whitney Jeanne Washburn Sevey
11 Haydenberry Dr Unit 103 |
$8.63 | 1,447 | 1,359 |
|
Kimberly A. Sikule
28 Centre Dr |
$19.73 | 1,447 | 1,345 |
|
Gordon Edward Powers
28 Centre Dr |
$17.11 | 1,420 | 1,304 |
|
Megan Pearl Malgeri
28 Centre Dr. |
$17.15 | 1,209 | 1,107 |
|
Kimberly A Hageman
28 Centre Dr |
$18.81 | 1,207 | 1,128 |
|
Judy Fingergut
28 Centre Dr |
$14.88 | 1,035 | 960 |
|
Laura Beth Chamberlain
28 Centre Dr |
$9.99 | 724 | 697 |
|
John G King
28 Centre Dr |
$18.98 | 588 | 549 |
|
Lindsey M. Shukla
28 Centre Dr |
$22.95 | 387 | 317 |
|
Elizabeth Landell
28 Centre Dr |
$21.44 | 381 | 351 |
|
Gayle P Myers
789 Ethan Allen Highway |
$51.95 | 24 | 12 |
|
Preston Alexander Graham
28 Centre Dr |
$166.71 | 13 | 13 |
|
Mary Claire Walsh
927 Ethan Allen Hwy |
$17.08 | 12 | 12 |
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 Milton, VT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Milton, VT is $36.13 per claim, based on 39,014 claims from 22 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 Milton, VT?
There are 22 Medicaid providers offering Office Visit related services in Milton, VT according to public payment data.
What is the price range for Office Visit in Milton, VT?
Medicaid reimbursement for Office Visit in Milton, VT ranges from $2.17 to $166.71 per claim, with an average of $36.13. 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 Milton, VT
Vaccines & Immunizations
Avg $16.14
16,173 claims
Psychiatric Evaluation
Avg $66.76
10,481 claims
Physical Therapy
Avg $45.01
7,755 claims
Hearing Test (Audiometry)
Avg $9.51
3,052 claims
Ambulance Transport
Avg $105.82
1,875 claims
Dental Cleaning & Exam
Avg $31.20
1,572 claims
Emergency Room Visit
Avg $60.93
564 claims
Substance Abuse Treatment
Avg $53.86
337 claims