Average Medicaid Office Visit Payments in Montpelier, VT: $48.78
Avg. Paid
$48.78
Range
$5.03 – $148.46
Total Claims
39,578
Providers
30
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 Montpelier, VT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James Scott Stone
73 Main St Apt 39 |
$52.03 | 8,872 | 7,718 |
|
Gabriel Tomas Archdeacon
174 River St |
$85.31 | 4,396 | 3,850 |
|
Monique Jeanette Karthaus
156 Main St |
$5.03 | 3,780 | 3,416 |
|
Robert W Duncan
9 Heaton St |
$9.77 | 2,645 | 2,277 |
|
Nicole Valcour
73 Main St Apt 27 |
$66.71 | 2,464 | 1,765 |
|
Maya Carlet
147 State St |
$17.03 | 2,444 | 2,312 |
|
Melissa Marotta Houser
250 Main St Ste 101 |
$84.96 | 2,241 | 1,287 |
|
Emily Byrne
156 Main St |
$23.09 | 1,602 | 1,434 |
|
Jeffrey W Lourie
250 Main St Ste 201 |
$47.71 | 1,304 | 999 |
|
Katie L Hall
156 Main St |
$22.93 | 1,121 | 1,025 |
|
Andrew Martin Stoll
3 Pitkin Ct |
$45.15 | 1,095 | 774 |
|
Sierra Miller
176 Main St Apt 3 |
$114.37 | 1,015 | 719 |
|
Kristin D Renner
174 River St |
$107.38 | 904 | 686 |
|
Bernard Brian Noe
174 Elm St |
$74.16 | 850 | 674 |
|
Rima Beth Carlson
156 Main St |
$25.93 | 757 | 659 |
|
Jeremiah M Eckhaus
156 Main St |
$21.81 | 650 | 615 |
|
Sarah H Bushweller
156 Main St |
$20.34 | 650 | 579 |
|
Catherine Whitaker
100 E State St Ste 102 |
$89.33 | 514 | 336 |
|
Emily R Levan
73 Main St |
$102.41 | 421 | 312 |
|
Lauren Abramowitz
156 Main St |
$11.56 | 405 | 367 |
|
Claudia E Lee
55 Clarendon Ave |
$11.18 | 306 | 251 |
|
Emily Greer Jones
156 Main St |
$25.02 | 303 | 290 |
|
Kathleen Jackman
156 Main St |
$28.07 | 300 | 278 |
|
Melanie Meyer
250 Main St |
$102.99 | 229 | 215 |
|
Jada Marie Khosla
147 State St |
$30.33 | 99 | 97 |
|
Flora E Jestice
159 State St Ste 102 |
$51.09 | 97 | 91 |
|
Lauren Elizabeth Mandych
250 Main St Ste 301 |
$126.27 | 58 | 50 |
|
Marcia A. Dion
156 Main St |
$15.13 | 29 | 24 |
|
Michael Taub
12 Parkside Dr |
$50.15 | 14 | 13 |
|
Lydia W Faesy
46 E State St |
$148.46 | 13 | 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 Montpelier, VT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Montpelier, VT is $48.78 per claim, based on 39,578 claims from 30 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 Montpelier, VT?
There are 30 Medicaid providers offering Office Visit related services in Montpelier, VT according to public payment data.
What is the price range for Office Visit in Montpelier, VT?
Medicaid reimbursement for Office Visit in Montpelier, VT ranges from $5.03 to $148.46 per claim, with an average of $48.78. 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 Montpelier, VT
Psychiatric Evaluation
Avg $65.73
79,598 claims
Case Management Services
Avg $36.41
26,148 claims
Substance Abuse Treatment
Avg $68.27
24,505 claims
Blood Work & Lab Tests
Avg $55.65
17,041 claims
Chiropractic Care
Avg $23.00
12,258 claims
Dental Cleaning & Exam
Avg $35.30
7,478 claims
Ambulance Transport
Avg $72.53
5,212 claims
Durable Medical Equipment (DME)
Avg $36.02
3,687 claims