Average Medicaid Office Visit Payments in Niantic, CT: $61.32
Avg. Paid
$61.32
Range
$8.05 – $113.43
Total Claims
49,823
Providers
24
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 Niantic, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jessie M.E. Brutus
170 Flanders Rd Ste 32 |
$98.32 | 13,108 | 11,185 |
|
Michele Nadine Litwin
30 W Main Street |
$41.82 | 7,427 | 4,467 |
|
Laura Jean Brewster
8 W Main St Ste 1-3 |
$42.52 | 6,706 | 5,349 |
|
Sajda Perween Malik
170 Flanders Rd |
$88.64 | 6,589 | 5,578 |
|
Emily Claire Vafek
11 Industrial Park Road |
$29.06 | 3,535 | 3,048 |
|
Jonathan Robert Piposar
11 Industrial Park Road |
$27.53 | 2,585 | 2,310 |
|
Erica L Lussier
248 Flanders Rd |
$49.42 | 2,481 | 2,303 |
|
Steven Y Wei
11 Industrial Park Rd |
$32.37 | 1,797 | 1,575 |
|
Erin Colella
248 Flanders Rd |
$60.42 | 811 | 706 |
|
Brittany Rae Yetton
170 Flanders Rd Ste D10 |
$32.47 | 756 | 304 |
|
Troy D. Frazer
179 Flanders Rd |
$32.27 | 705 | 480 |
|
Erik Sommers
11 Industrial Park Road |
$23.43 | 578 | 506 |
|
Carly Melissa Madore
248 Flanders Rd |
$52.35 | 510 | 414 |
|
Gregory Alan White
11 Industrial Park Rd |
$19.19 | 499 | 448 |
|
Abel A Donka
22 W Main St |
$36.47 | 446 | 404 |
|
Agnes Z. Dardas
11 Industrial Park Rd |
$28.58 | 366 | 313 |
|
Brianna Suchomel
201 W Main St |
$62.90 | 211 | 129 |
|
Gina L Williams
248 Flanders Rd |
$113.43 | 200 | 182 |
|
Brian L Williams
248 Flanders Rd |
$65.11 | 160 | 149 |
|
Robert Paul Goldberg
22 W Main St |
$24.53 | 123 | 92 |
|
Luanne Benshimol
248 Flanders Rd |
$54.20 | 111 | 97 |
|
Cassandra Cotter
248 Flanders Rd |
$31.38 | 66 | 52 |
|
David Duvall Thompson
22 W Main St |
$43.96 | 37 | 36 |
|
Richard Justin Thoms
11 Industrial Park Rd |
$8.05 | 16 | 13 |
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 Niantic, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Niantic, CT is $61.32 per claim, based on 49,823 claims from 24 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 Niantic, CT?
There are 24 Medicaid providers offering Office Visit related services in Niantic, CT according to public payment data.
What is the price range for Office Visit in Niantic, CT?
Medicaid reimbursement for Office Visit in Niantic, CT ranges from $8.05 to $113.43 per claim, with an average of $61.32. 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 Niantic, CT
Physical Therapy
Avg $12.35
30,501 claims
Psychiatric Evaluation
Avg $73.26
23,729 claims
Vaccines & Immunizations
Avg $17.14
17,000 claims
Blood Work & Lab Tests
Avg $3.12
10,946 claims
Ambulance Transport
Avg $78.18
6,551 claims
Hearing Test (Audiometry)
Avg $25.11
6,007 claims
Nursing Facility Care
Avg $18.38
5,159 claims
Urinalysis & Urine Tests
Avg $0.02
5,073 claims