Average Medicaid Office Visit Payments in Pawcatuck, CT: $37.08
Avg. Paid
$37.08
Range
$0.94 – $80.92
Total Claims
19,065
Providers
14
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 Pawcatuck, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Louis C Iovino
91 Voluntown Rd |
$80.92 | 16 | 14 |
|
Job L Sandoval
350 Liberty St |
$40.14 | 25 | 24 |
|
Kerry Marie Phelan
91 Voluntown Rd |
$43.60 | 47 | 44 |
|
Angela G Moore
91 Voluntown Rd |
$27.87 | 121 | 115 |
|
Kristen Fernandez
118 S Broad St |
$45.06 | 158 | 113 |
|
Jennifer Roch Avedisian
350 Liberty St Ste 102 |
$48.99 | 829 | 757 |
|
Clarisse D. Clemons Ferrara
9 Castle Hill Rd |
$0.94 | 1,052 | 931 |
|
Vera Marie Borkowski
91 Voluntown Rd |
$47.12 | 1,323 | 1,107 |
|
Thomas H Walter
145 Liberty St |
$7.91 | 1,504 | 1,352 |
|
Paul Niedbala
91 Voluntown Rd |
$34.65 | 1,639 | 1,523 |
|
Brenda Louise Applegate
91 Voluntown Rd |
$62.75 | 2,021 | 1,823 |
|
Stephen Joseph Phelan
91 Voluntown Rd |
$59.65 | 2,609 | 2,421 |
|
William H Kober
91 Voluntown Rd |
$55.98 | 3,732 | 3,382 |
|
Sean Andrew Colsen
16 Lincoln Ave |
$7.04 | 3,989 | 1,506 |
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 Pawcatuck, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pawcatuck, CT is $37.08 per claim, based on 19,065 claims from 14 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 Pawcatuck, CT?
There are 14 Medicaid providers offering Office Visit related services in Pawcatuck, CT according to public payment data.
What is the price range for Office Visit in Pawcatuck, CT?
Medicaid reimbursement for Office Visit in Pawcatuck, CT ranges from $0.94 to $80.92 per claim, with an average of $37.08. 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 Pawcatuck, CT
Psychiatric Evaluation
Avg $73.35
12,029 claims
Podiatry (Foot Care)
Avg $2.37
2,061 claims
Vaccines & Immunizations
Avg $9.50
807 claims
Blood Work & Lab Tests
Avg $5.37
373 claims
Substance Abuse Treatment
Avg $63.45
129 claims
Urinalysis & Urine Tests
Avg $0.07
107 claims
Hearing Test (Audiometry)
Avg $0.00
17 claims