Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Newtown, CT: $40.94

Avg. Paid

$40.94

Range

$0.00 – $75.72

Total Claims

88,639

Providers

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 Newtown, CT

Provider	Avg. Paid	Claims	Patients
Karin Michels-Ashwood 164 Mount Pleasant Rd	$0.93	16,285	13,225
Laura Shaw Nowacki 10 Queen St	$45.65	9,777	8,533
Alexia Bajwa Cortella 5 Wedgewood Ct	$41.37	8,977	7,038
Mariel Reid 153 S Main St	$73.47	8,175	6,106
Nya Ann Orsini 170 Mount Pleasant Rd	$56.84	3,915	3,135
Hindola Konrad 164 Mount Pleasant Rd Ste 201	$67.86	3,804	3,660
Jeffrey D Knispel 170 Mount Pleasant Rd Ste 201	$26.39	3,482	2,726
Andrea Jean Kaufmann 172 Mount Pleasant Rd	$36.10	3,246	3,040
Petagay O'Connor 266 S Main St	$70.89	3,204	2,880
Corinna Balanon Soriano 32 Church Hill Rd	$67.44	3,054	2,224
Carmela Luzi 170 Mount Pleasant Rd Ste 201	$34.06	3,008	2,632
Christie Daubner Roberts 266 S Main St	$52.45	2,812	2,602
Eurica Yulai Chang 170 Mount Pleasant Rd	$56.29	2,785	2,178
David C Levi 164 Mount Pleasant Rd Ste 200	$0.00	2,599	2,410
Richard J Auerbach 32 Church Hill Rd Ste 200	$75.72	2,442	1,854
Stephanie Venturini 42 Scudder Rd	$39.21	1,455	1,382
Maura Conway 170 Mount Pleasant Rd	$70.85	1,426	1,201
Kathleen Lombardi 170 Mount Pleasant Road	$42.10	1,285	899
Beth A Buscher 170 Mount Pleasant Rd Ste 201	$19.33	989	735
Caroline Lucille Larosa 170 Mount Pleasant Rd Ste 201	$25.96	844	671
Archita A Patel 170 Mount Pleasant Rd Ste 2012	$64.33	744	666
Caitlin M Balint 170 Mount Pleasant Rd	$59.20	692	596
Alireza Afshar 33 Church Hill Rd	$37.30	600	560
Jessica Leigh Stellato 33 Church Hill Rd	$54.65	560	479
Umu Kultumi Bah 170 Mount Pleasant Rd	$14.86	519	209
Cristina Nicole Dimarte 33 Church Hill Rd	$40.07	383	349
James Mullen 164 Mount Pleasant Rd Ste 202	$49.68	372	314
Paul Fitch 184 Mount Pleasant Rd	$44.59	358	287
Chandel Marie Bouthot 164 Mount Pleasant Rd Ste 202	$18.02	291	173
Katie Rudzenski 170 Mount Pleasant Rd	$64.46	245	190
Flora Parvin 33 Church Hill Rd	$37.33	73	70
Natalia Gorodetskiy 170 Mount Pleasant Rd Ste 201	$31.02	67	65
Sarah Ravel Baroody 164 Mount Pleasant Rd Ste 201	$14.09	51	37
Christina Felizardo 170 Mount Pleasant Rd	$0.00	28	13
Delvyann Gordon 164 Mount Pleasant Rd Ste 202	$41.31	25	25
Laurence A Sibrack 170 Mount Pleasant Rd Ste 201	$18.79	22	14
Jeannie Virginia Pasacreta 4 Abbey Ln	$4.62	19	12
Women'S Health Associates, P.C. 170 Mount Pleasant Rd Ste 203	$0.00	14	13
Silvia Stephanie Brescia 164 Mount Pleasant Rd	$0.00	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 Newtown, CT?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Newtown, CT is $40.94 per claim, based on 88,639 claims from 39 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 Newtown, CT?

There are 39 Medicaid providers offering Office Visit related services in Newtown, CT according to public payment data.

What is the price range for Office Visit in Newtown, CT?

Medicaid reimbursement for Office Visit in Newtown, CT ranges from $0.00 to $75.72 per claim, with an average of $40.94. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Newtown, CT: $40.94

Providers Offering Office Visit in Newtown, CT

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Newtown, CT

Durable Medical Equipment (DME)

Psychiatric Evaluation

Dental Cleaning & Exam

Vaccines & Immunizations

Eye Exam

Speech Therapy

Physical Therapy

Blood Work & Lab Tests