Average Medicaid Office Visit Payments in North Franklin, CT: $23.87
Avg. Paid
$23.87
Range
$13.37 – $59.59
Total Claims
31,758
Providers
22
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 North Franklin, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mohammad Pasha
82 New Park Ave |
$17.53 | 4,721 | 4,057 |
|
Nicole Louise Arcand
82 New Park Ave |
$30.05 | 3,976 | 3,527 |
|
Nimit Patel
82 New Park Ave |
$25.96 | 3,900 | 3,435 |
|
Scott Stanat
82 New Park Ave |
$19.89 | 3,634 | 3,261 |
|
Tarik Kardestuncer
82 New Park Ave |
$24.28 | 2,042 | 1,783 |
|
Lisa A Shea
82 New Park Ave |
$44.57 | 1,963 | 1,810 |
|
Kelly Roth
82 New Park Ave |
$27.21 | 1,918 | 1,688 |
|
Ammar Anbari
82 New Park Ave |
$18.47 | 1,781 | 1,576 |
|
Adem Lutfi Cosgel
82 New Park Ave |
$18.73 | 1,439 | 1,206 |
|
Patricia A Stuart
82 New Park Ave |
$25.87 | 1,341 | 1,189 |
|
Adam W. Green
82 New Park Ave |
$19.66 | 1,048 | 925 |
|
Kenneth J Paonessa
82 New Park Ave |
$18.54 | 662 | 579 |
|
Stephanie H Mierz
82 New Park Ave |
$14.78 | 584 | 489 |
|
Michael J Halperin
82 New Park Ave |
$14.02 | 559 | 475 |
|
David Lawrence Farrington
82 New Park Ave |
$24.19 | 467 | 406 |
|
Daniel T Glenney
82 New Park Ave |
$13.37 | 433 | 399 |
|
Marissa L Fleury
82 New Park Ave |
$26.81 | 391 | 340 |
|
Oksana Gauthier
82 New Park Ave |
$16.86 | 365 | 288 |
|
Thomas Brian Patrick
82 New Park Ave |
$15.51 | 224 | 194 |
|
Katherine Marie Bangs
82 New Park Ave |
$32.35 | 221 | 172 |
|
Kelsey Welsh Depriest
82 New Park Ave |
$59.59 | 77 | 69 |
|
Emilia Slabinski
82 New Park Ave |
$22.54 | 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 North Franklin, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in North Franklin, CT is $23.87 per claim, based on 31,758 claims from 22 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 North Franklin, CT?
There are 22 Medicaid providers offering Office Visit related services in North Franklin, CT according to public payment data.
What is the price range for Office Visit in North Franklin, CT?
Medicaid reimbursement for Office Visit in North Franklin, CT ranges from $13.37 to $59.59 per claim, with an average of $23.87. 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