Average Medicaid Office Visit Payments in Mystic, CT: $30.16
Avg. Paid
$30.16
Range
$0.00 – $83.42
Total Claims
20,454
Providers
29
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 Mystic, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Victoria A Bergeson
11 Main St Ste 202 |
$10.19 | 5,221 | 4,658 |
|
Jennifer Felicelli
23 Clara Dr |
$37.70 | 4,025 | 3,763 |
|
William J Wray
34 Water Street |
$25.02 | 1,975 | 1,588 |
|
Adam F Niedelman
100 Perkins Farm Dr Ste 301 |
$44.22 | 1,542 | 1,490 |
|
Gabrielle Eden Pierce
23 Clara Dr |
$43.86 | 1,415 | 1,320 |
|
Kristen Maria Stehle
55 W Mystic Ave # 69 |
$34.33 | 1,187 | 1,013 |
|
Adrienne Lynne Marold Parad
23 Clara Dr |
$71.57 | 837 | 718 |
|
Jessica Lawton
100 Perkins Farm Drive |
$17.40 | 677 | 653 |
|
Meghan B Brunnock
34 Water Street |
$24.43 | 559 | 440 |
|
Sungsil Cho
23 Clara Dr |
$69.15 | 551 | 503 |
|
James B Moss
100 Perkins Farm Dr Ste 301 |
$30.66 | 457 | 440 |
|
Edmund A P West
56 Whitehall Ave |
$18.36 | 456 | 341 |
|
Christopher Hillery
100 Perkins Farm Dr Ste 102 |
$18.64 | 378 | 369 |
|
Elena Bortan
100 Perkins Farm Drive |
$26.49 | 269 | 259 |
|
Sumeet Sanjeev Pawar
100 Perkins Farm Dr Ste 301 |
$34.30 | 220 | 214 |
|
Katherine Podraza
100 Perkins Farm Dr Ste 303 |
$47.36 | 159 | 154 |
|
Shaniya Rosenkrantz
100 Perkins Farm Dr |
$37.64 | 101 | 94 |
|
Anne Maria Timmerman
56 Whitehall Ave |
$38.49 | 88 | 85 |
|
David L Tinklepaugh
100 Perkins Farm Dr |
$20.43 | 70 | 68 |
|
Warren Lewis Fields
200 Sandy Hollow Rd |
$31.32 | 60 | 54 |
|
Maria L. Moro-De-Casillas
100 Perkins Farm Drive |
$15.98 | 46 | 43 |
|
James D. Duffy
100 Perkins Farm Drive |
$0.00 | 36 | 14 |
|
Brandi Lynn Iovino
41 E Main St |
$55.83 | 25 | 24 |
|
John Robert West
34 Water Street |
$19.00 | 24 | 14 |
|
Etny Raul Candelario
100 Perkins Farm Dr Ste 203 |
$83.42 | 22 | 20 |
|
Neal Weisbrod
100 Perkins Farm Dr Ste 303 |
$12.55 | 14 | 12 |
|
James David Scarles
200 Sandy Hollow Rd |
$23.37 | 14 | 12 |
|
Danielle Petrowski
23 Clara Dr |
$52.91 | 14 | 13 |
|
Samantha Doucette
100 Perkins Farm Dr |
$19.50 | 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 Mystic, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mystic, CT is $30.16 per claim, based on 20,454 claims from 29 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 Mystic, CT?
There are 29 Medicaid providers offering Office Visit related services in Mystic, CT according to public payment data.
What is the price range for Office Visit in Mystic, CT?
Medicaid reimbursement for Office Visit in Mystic, CT ranges from $0.00 to $83.42 per claim, with an average of $30.16. 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 Mystic, CT
Psychiatric Evaluation
Avg $47.87
53,392 claims
Speech Therapy
Avg $36.57
35,784 claims
Physical Therapy
Avg $32.15
21,599 claims
EKG / ECG (Electrocardiogram)
Avg $4.48
7,942 claims
Nursing Facility Care
Avg $4.71
7,029 claims
Dental Cleaning & Exam
Avg $26.66
6,408 claims
Ambulance Transport
Avg $54.64
5,859 claims
Echocardiogram
Avg $39.71
1,112 claims