Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Monroe, CT: $58.86

Avg. Paid

$58.86

Range

$4.70 – $127.42

Total Claims

127,367

Providers

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 Monroe, CT

Provider	Avg. Paid	Claims	Patients
Barbara Misiano 324 Elm St	$53.67	27	22
Diane Eannotti 10 Crossbow Ln	$14.23	36	36
Dorothy Vivian Esposito 324 Elm St	$85.43	60	60
Patricia M Dione 324 Elm St Ste 202B	$29.87	109	97
Nora Wyn O'Sullivan 401 Monroe Tpke	$37.89	132	121
Joshua Valinsky 731 Main St Ste 122	$13.99	213	166
Susan Elizabeth Paldino 324 Elm St Ste 202B	$21.23	241	119
Ann Catherine Dyke 31 Beech Tree Ln	$16.62	343	328
Maureen Diane Cook 731 Main St Ste 122	$29.93	622	550
Nanci D Jenkins 401 Monroe Tpke	$11.61	639	528
Edward W Lenard 731 Main St	$75.96	727	618
Micaela Earle Kwochka 17 Sunrise Ter	$29.18	735	666
Sonia Marie Dias-Jones 32 Castlewood Dr	$127.42	921	695
Jane Grace Donnelly 401 Monroe Tpke	$61.17	1,008	836
Amanda Nederlof 401 Monroe Tpke	$57.01	1,496	1,224
Suzanna Smaldone 401 Monroe Tpke	$49.79	2,235	2,120
Naga Chirunomula 765 Main St	$94.83	2,266	2,085
Mary Paramanathan 450 Monroe Tpke	$67.74	2,307	2,182
Stuart C. Belkin 401 Monroe Tpke	$37.29	2,753	2,194
Marilyn P Smith 401 Monroe Tpke	$87.03	2,960	2,664
Gretchen Carlin 401 Monroe Tpke Ste 16	$85.14	3,646	3,155
Joseph Antonico 388 Main St	$22.64	3,842	3,412
Sekhar Chirunomula 765 Main St	$91.67	4,107	3,785
Chelsea Gallagher 26 Edgewood Rd	$45.18	4,317	2,683
John P Tsalapatanis 401 Monroe Tpke	$92.86	4,874	4,182
Nicole Prestiano Maksymiw 324 Elm St Ste 203A	$23.42	5,438	4,992
Nicholas Tzakas 450 Monroe Tpke	$83.62	6,476	5,963
Francois Hayato Coutu 401 Monroe Tpke Ste 16	$4.70	12,366	11,176
Jason M. Citarella 450 Monroe Tpke	$70.51	13,536	11,755
Maria L. Ferreira 450 Monroe Tpke	$68.94	15,242	13,491
Toccara L Mularski 324 Elm St	$62.43	33,693	27,905

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 Monroe, CT?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Monroe, CT is $58.86 per claim, based on 127,367 claims from 31 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 Monroe, CT?

There are 31 Medicaid providers offering Office Visit related services in Monroe, CT according to public payment data.

What is the price range for Office Visit in Monroe, CT?

Medicaid reimbursement for Office Visit in Monroe, CT ranges from $4.70 to $127.42 per claim, with an average of $58.86. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Monroe, CT: $58.86

Providers Offering Office Visit in Monroe, CT

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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