Average Medicaid Office Visit Payments in New Canaan, CT: $58.02
Avg. Paid
$58.02
Range
$0.00 – $86.13
Total Claims
24,565
Providers
25
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 New Canaan, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stephen M Gallousis
161 Cherry St |
$43.78 | 3,555 | 3,115 |
|
Susan Olsen
22 Pine St |
$53.43 | 3,536 | 2,617 |
|
Jason M Davis
183 Cherry St |
$82.81 | 2,818 | 2,617 |
|
Todd Robert Palker
183 Cherry Street |
$86.13 | 2,785 | 2,594 |
|
Alan Harold Morelli
183 Cherry Street |
$76.33 | 2,395 | 2,183 |
|
Kirsten B Hohmann
36 Grove St |
$2.78 | 1,664 | 1,383 |
|
Aesha S Patel
38 East Ave |
$60.48 | 1,452 | 1,131 |
|
Jennie Thomas Stanford
69 Grove St |
$52.12 | 1,103 | 905 |
|
Cynthia Renee Groves
28 East Ave |
$77.77 | 1,081 | 872 |
|
Maritza I Perez
39 Pine St |
$22.65 | 708 | 627 |
|
Natalie Savona
38 East Ave |
$26.37 | 553 | 317 |
|
Anna Maria Welcome
69 Grove St |
$57.63 | 488 | 437 |
|
Alicia Masucci
28 East Ave |
$61.45 | 443 | 352 |
|
Rosemary Ellen Klenk
183 Cherry Street |
$72.44 | 432 | 393 |
|
Rachel H Chung
38 East Ave |
$66.68 | 389 | 307 |
|
Sara L. S. Coca
36 Grove Street |
$32.01 | 276 | 229 |
|
Jerusha E Stahl
69 Grove St |
$20.26 | 254 | 253 |
|
Alexandra Gabrielle Schieber
28 East Ave |
$35.67 | 196 | 176 |
|
William T Flynn
173 East Avenue |
$68.91 | 124 | 114 |
|
Eva Lillian Grunberg
173 East Avenue |
$70.17 | 111 | 94 |
|
Alyssa Newman
173 East Avenue |
$74.73 | 89 | 79 |
|
Jerri Jensen
69 Grove St |
$47.53 | 40 | 40 |
|
Deena Rachel Ebright
36 Grove St |
$0.00 | 31 | 28 |
|
Kathleen Mary Berchelmann
711 Silvermine Rd |
$23.38 | 25 | 12 |
|
Maria Ieni
173 East Ave |
$55.18 | 17 | 14 |
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 New Canaan, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in New Canaan, CT is $58.02 per claim, based on 24,565 claims from 25 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 New Canaan, CT?
There are 25 Medicaid providers offering Office Visit related services in New Canaan, CT according to public payment data.
What is the price range for Office Visit in New Canaan, CT?
Medicaid reimbursement for Office Visit in New Canaan, CT ranges from $0.00 to $86.13 per claim, with an average of $58.02. 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 New Canaan, CT
Vaccines & Immunizations
Avg $25.23
5,993 claims
Psychiatric Evaluation
Avg $19.45
4,826 claims
Urinalysis & Urine Tests
Avg $1.30
1,550 claims
Blood Work & Lab Tests
Avg $16.47
1,394 claims
Eye Exam
Avg $36.69
1,038 claims
Emergency Room Visit
Avg $220.58
697 claims
Ultrasound
Avg $57.03
577 claims
Physical Therapy
Avg $70.51
280 claims