Average Medicaid Office Visit Payments in Newington, CT: $61.84
Avg. Paid
$61.84
Range
$0.00 – $96.11
Total Claims
195,452
Providers
63
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 Newington, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Victoria Skonieczny
2288 Berlin Tpke |
$34.12 | 12 | 12 |
|
Jeffrey J Mihalek
375 Willard Ave |
$46.00 | 13 | 12 |
|
Talia Morgan Brown
505 Willard Ave Ste D |
$13.28 | 15 | 13 |
|
Mitchel Boyd Strand
485 Willard Ave |
$31.29 | 15 | 15 |
|
Lawrence Paul Levine
2909 Berlin Tpke |
$84.99 | 33 | 33 |
|
Alexandra Hac
555 Willard Ave |
$17.07 | 43 | 29 |
|
Nguyen Tran
262 Brockett St |
$29.18 | 49 | 44 |
|
Premier Healthcare Services Of Connecticut Llc
2909 Berlin Tpke |
$0.00 | 49 | 49 |
|
Nicole Everett
555 Willard Ave |
$9.49 | 58 | 26 |
|
Muhammed Umair Khan
485 Willard Ave |
$33.01 | 59 | 57 |
|
Asma Syeda
Newington Va Hospital |
$29.97 | 75 | 63 |
|
Francesco Lupis
196 Kitts Ln |
$56.92 | 78 | 76 |
|
Pamela L Manthous
18 Cedar St |
$29.19 | 90 | 85 |
|
Catherine M. Ferentini
38 Fenn Rd |
$21.55 | 104 | 84 |
|
Eric L Cropper
3164 Berlin Tpke |
$18.89 | 104 | 88 |
|
Christopher J Veale
505 Willard Ave |
$89.60 | 108 | 102 |
|
Tatong Hemmaplardh
1268 Main St |
$48.21 | 155 | 118 |
|
Joseph Whalen
375 Willard Ave |
$20.10 | 229 | 156 |
|
Jessica Prisco
555 Willard Ave |
$19.22 | 330 | 322 |
|
Christopher O Ogolla
38 Fenn Rd |
$33.70 | 335 | 300 |
|
Timothy Lassiter
2909 Berlin Tpke |
$34.82 | 343 | 310 |
|
Kirsten Kerrigan
18 Cedar St |
$34.39 | 351 | 252 |
|
Adele I Clay
375 Willard Ave |
$17.89 | 426 | 230 |
|
Alla Kirzon
375 Willard Ave |
$26.05 | 434 | 227 |
|
Shahnaz Hussain
18 Cedar St |
$38.58 | 440 | 413 |
|
Cliff W Wagner
2909 Berlin Tpke |
$59.76 | 471 | 398 |
|
Stephanie Ruth Spaulding
555 Willard Ave |
$46.14 | 522 | 377 |
|
Carlos Antonio Hernandez-Avila
525 Russell Road |
$96.11 | 526 | 492 |
|
Matthew Zaringhalam
555 Willard Ave Dept Of |
$42.03 | 530 | 497 |
|
Selma Costa Rosa
117 Dowd St |
$24.48 | 566 | 439 |
|
Erika Polyanskaya
Cedarcrest Hospital 525 Russell Road |
$58.70 | 650 | 617 |
|
Kristina Jean Hennessey Hill
375 Willard Ave |
$38.28 | 980 | 848 |
|
Domenic Flammia
375 Willard Ave |
$25.72 | 990 | 601 |
|
Anna Lauren Perrone
375 Willard Ave |
$26.20 | 1,007 | 721 |
|
Albert J Denuzzio
1268 Main St |
$43.92 | 1,043 | 948 |
|
Thomas A. Rinaldi
196 Kitts Ln |
$36.49 | 1,144 | 858 |
|
Craig M Kaufman
505 Willard Ave |
$11.06 | 1,207 | 1,089 |
|
Lauren Diane Plass
555 Willard Ave |
$42.50 | 1,314 | 1,212 |
|
Risa Budoff
40 Fenn Rd |
$29.86 | 1,455 | 1,291 |
|
Shiji A. Isaac
505 Willard Avenue |
$89.53 | 1,614 | 1,488 |
|
Maureen Marie Worley
129 Patricia M Genova Dr |
$21.17 | 1,617 | 1,181 |
|
Amy L Baumer
505 Willard Ave |
$93.33 | 1,800 | 1,663 |
|
Syed Shujaat Ali
555 Willard Ave |
$59.26 | 1,878 | 1,801 |
|
Melissa R Diloreto
375 Williard Ave |
$27.94 | 1,934 | 1,472 |
|
Sanjay Parbatbhai Barochia
66 Cedar St |
$59.80 | 2,125 | 1,649 |
|
Christopher M Desanto
505 Willard Ave |
$88.23 | 2,220 | 2,064 |
|
Christopher M Cruz
555 Willard Ave |
$2.19 | 2,343 | 2,198 |
|
Laura J Pickett
141 Willard Avenue |
$88.71 | 2,498 | 2,330 |
|
Gabriel Oluseun Arimoro
205 Kelsey St |
$34.14 | 2,542 | 2,106 |
|
Carol Specter
555 Willard Ave |
$31.38 | 2,831 | 2,324 |
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 Newington, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Newington, CT is $61.84 per claim, based on 195,452 claims from 63 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 Newington, CT?
There are 63 Medicaid providers offering Office Visit related services in Newington, CT according to public payment data.
What is the price range for Office Visit in Newington, CT?
Medicaid reimbursement for Office Visit in Newington, CT ranges from $0.00 to $96.11 per claim, with an average of $61.84. 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 Newington, CT
Eye Exam
Avg $34.09
75,103 claims
Dental Cleaning & Exam
Avg $28.19
54,172 claims
Psychiatric Evaluation
Avg $60.39
51,625 claims
Non-Emergency Medical Transportation
Avg $57.01
37,308 claims
Vaccines & Immunizations
Avg $14.80
25,381 claims
Nursing Facility Care
Avg $19.28
18,141 claims
Physical Therapy
Avg $28.08
17,545 claims
Blood Work & Lab Tests
Avg $22.77
10,725 claims