Average Medicaid Office Visit Payments in New Haven, CT: $40.00
Avg. Paid
$40.00
Range
$0.00 – $254.47
Total Claims
2,069,086
Providers
1,484
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 Haven, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cornell Scott Hill Health Corporation
400-428 Columbus Avenue |
$8.55 | 58,624 | 50,127 |
|
Muneeb Samma
1450 Chapel St |
$64.04 | 53,123 | 33,476 |
|
Theodora Fraser Mcpherson
151 Clifton St |
$48.07 | 24,606 | 10,598 |
|
Michael A Imevbore
46 Prince St |
$54.83 | 20,798 | 16,989 |
|
Sanjay K Aggarwal
1427 Chapel St |
$92.03 | 20,134 | 13,427 |
|
Andrew Yim
400 Columbus Ave |
$11.04 | 17,177 | 15,591 |
|
Yale New Haven Hospital
20 York Street |
$60.35 | 15,401 | 13,116 |
|
Veronica Egbunike
400 Columbus Ave |
$8.13 | 14,780 | 12,521 |
|
Sandra E. Charles
1354 Chapel St |
$67.11 | 13,904 | 11,961 |
|
Camille Alecia Payne
20 York St |
$99.18 | 12,468 | 10,019 |
|
Dayna Leigh Giordano
311 East St |
$67.31 | 12,172 | 8,142 |
|
Fair Haven Community Health Clinic Inc
374 Grand Ave |
$0.01 | 11,755 | 9,644 |
|
Tanilla Louise Brown
400 Columbus Ave |
$5.68 | 11,320 | 10,173 |
|
Kevin Dinsmore
1423 Chapel St Ste 1A |
$48.14 | 11,304 | 6,856 |
|
New Era Rehabilitation Center, Inc.
311 East Street |
$46.72 | 11,199 | 4,015 |
|
Sudha Sreenivasan
34 Park St |
$0.29 | 10,878 | 8,699 |
|
Marybeth Holak
428 Columbus Avenue |
$10.00 | 10,717 | 10,101 |
|
Brian S Gallant
428 Columbus Ave |
$8.12 | 10,678 | 8,930 |
|
Daniela N Convertito
1 Park St |
$77.34 | 10,526 | 9,086 |
|
Kaiser Toosy
136 Sherman Ave Ste 302 |
$29.07 | 10,121 | 7,007 |
|
Stephanie Esposito
1351 Whalley Ave |
$72.64 | 9,989 | 6,863 |
|
Maura Fischer
388 Whitney Ave |
$8.53 | 9,684 | 7,337 |
|
Erik H Waldman
20 York St |
$50.66 | 9,299 | 8,994 |
|
Melinda S Sharkey
800 Howard Ave |
$105.48 | 9,112 | 8,770 |
|
Marissa Constance- Taft Bayerl
300 George St |
$6.19 | 8,915 | 7,578 |
|
Philip Costello Costello
400 Columbus Ave |
$4.94 | 8,727 | 6,944 |
|
Jeffrey L Pellenberg
400 Columbus Ave |
$18.19 | 8,701 | 7,610 |
|
Catherine Rose Salva
789 Howard Ave |
$65.15 | 8,699 | 7,878 |
|
Pamela Hetherington
428 Columbus Ave |
$0.02 | 8,693 | 7,356 |
|
James E Seely
374 Grand Ave |
$0.02 | 8,612 | 7,751 |
|
Lucy Evelyn Wojcicki
400 Columbus Ave |
$12.31 | 8,534 | 6,824 |
|
Thomas Sunjin Jung
129 York St |
$59.17 | 8,320 | 7,252 |
|
Clifford W. Beers Guidance Clinic Inc
93 Edwards St |
$92.03 | 8,215 | 7,495 |
|
Charlayne Mcstay
20 York St # T-209 |
$78.59 | 8,120 | 6,598 |
|
Allison Kelly Underwood
400 Columbus Ave |
$9.76 | 8,119 | 6,941 |
|
Meghan O'Connor Constantino
46 Prince St |
$0.58 | 8,069 | 7,090 |
|
James R Hanas
20 York St |
$63.13 | 8,015 | 6,645 |
|
Mary Ellen Baldino
333 Cedar St |
$53.31 | 7,944 | 6,344 |
|
Alissa Umstead
1450 Chapel St |
$78.43 | 7,859 | 7,274 |
|
Mallick Qaiser Alam
77 Grand Ave |
$71.11 | 7,706 | 7,161 |
|
Benjamin David Gallagher
150 Sargent Dr |
$28.64 | 7,634 | 7,078 |
|
Frank Joseph Mongillo
26 Elm Street |
$58.28 | 7,500 | 6,615 |
|
Arya Giri Varthi
20 York St |
$31.99 | 7,348 | 7,053 |
|
Anne Elizabeth Stevens
344 Winchester Ave |
$92.75 | 7,279 | 6,315 |
|
Melissa A. Perez
789 Howard Ave |
$14.35 | 7,237 | 6,389 |
|
Edin Memisevich
1 Long Wharf Dr |
$54.29 | 7,166 | 6,306 |
|
Barbara Orrok
1435 State St |
$47.42 | 7,074 | 4,425 |
|
Tamiko V Jackson
1423 Chapel St |
$72.54 | 6,897 | 5,937 |
|
Mary Mcneel
400 Columbus Ave |
$3.77 | 6,813 | 6,196 |
|
Julia Meiyee Shi
1 Long Wharf Dr |
$43.37 | 6,642 | 5,562 |
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 Haven, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in New Haven, CT is $40.00 per claim, based on 2,069,086 claims from 1484 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 Haven, CT?
There are 1484 Medicaid providers offering Office Visit related services in New Haven, CT according to public payment data.
What is the price range for Office Visit in New Haven, CT?
Medicaid reimbursement for Office Visit in New Haven, CT ranges from $0.00 to $254.47 per claim, with an average of $40.00. 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 Haven, CT
Substance Abuse Treatment
Avg $16.20
5,439,085 claims
Blood Work & Lab Tests
Avg $1.94
3,276,855 claims
Emergency Room Visit
Avg $223.61
1,483,537 claims
Psychiatric Evaluation
Avg $41.56
1,243,275 claims
X-Ray
Avg $16.22
1,177,788 claims
Ambulance Transport
Avg $118.17
1,081,418 claims
Urinalysis & Urine Tests
Avg $1.26
597,256 claims
CT Scan (Computed Tomography)
Avg $60.78
533,483 claims