Average Medicaid Office Visit Payments in Plainville, CT: $29.48
Avg. Paid
$29.48
Range
$0.00 – $95.82
Total Claims
116,013
Providers
49
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 Plainville, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Teryn Andy
91 Northwest Dr |
$53.99 | 13 | 13 |
|
Wheeler Clinic Inc
91 Northwest Dr |
$0.00 | 17 | 13 |
|
Alexis Medena
32 Peach Orchard Hl |
$0.00 | 45 | 45 |
|
Jonathan Pendleton
184 East St |
$37.90 | 56 | 47 |
|
Timothy Edward Goundrey
201 N Mountain Rd Ste 201 |
$50.72 | 59 | 55 |
|
Victoria Marie Pryputniewicz
201 N Mountain Rd Ste 201 |
$28.63 | 126 | 69 |
|
Steven H Brown
440 New Britain Ave Ste 1 |
$23.58 | 129 | 125 |
|
Teresa M Szajda
7 North Washington Street |
$95.82 | 181 | 164 |
|
Eric Bruce Cohen
91 Northwest Dr |
$83.96 | 190 | 161 |
|
David P Roy
184 East St |
$26.81 | 241 | 208 |
|
Peter J Harris
184 East St |
$42.68 | 251 | 217 |
|
Danielle O'Brien
Plainville Internal Medicine |
$0.08 | 293 | 253 |
|
Kayla Cristoferi
201 N Mountain Rd Ste 102 |
$33.09 | 413 | 398 |
|
Oosman Tariq
184 East St |
$38.73 | 545 | 452 |
|
Daniel E Morganstern
201 N Mountain Rd Ste 202 |
$50.89 | 547 | 451 |
|
David A Winokur
91 Northwest Dr |
$95.05 | 601 | 533 |
|
Bethany Anne Carr
201 North Mountain Rd |
$19.47 | 630 | 584 |
|
Megan Kokoszka
201 N Mountain Rd Ste 202 |
$24.95 | 637 | 582 |
|
Monika E. Kieltyka
201 N Mountain Rd |
$39.45 | 651 | 601 |
|
Doris L Altherr
7 N Washington St |
$33.99 | 708 | 471 |
|
Camelia Arlene Lawrence
201 N Mountain Rd Ste 201 |
$35.88 | 729 | 669 |
|
Paulina Miklosz
58 W Main St |
$20.21 | 793 | 740 |
|
Karen P Haverly
184 East St |
$26.59 | 958 | 907 |
|
Jency Jacob
184 East St |
$44.99 | 1,208 | 899 |
|
Robert S Waskowitz
201 N Mountain Rd Ste 302 |
$20.30 | 1,220 | 1,031 |
|
Serrita Roper
91 Northwest Dr |
$8.72 | 1,425 | 1,250 |
|
Karli Leone
201 N Mountain Rd Ste 202 |
$31.09 | 1,586 | 1,526 |
|
Ashley Marie Bogue
184 East St |
$37.28 | 1,631 | 1,117 |
|
Samantha Dippolino
74 East St |
$1.36 | 1,736 | 1,402 |
|
Rebecca S Kreuzer
91 Northwest Dr |
$15.93 | 2,037 | 1,814 |
|
Robert Carangelo
201 N Mountain Rd Ste 302 |
$6.17 | 2,252 | 2,073 |
|
Catherine Joanna Cannan
201 N Mountain Rd Ste 202 |
$16.40 | 2,569 | 2,009 |
|
Helen Ifeyinwa Anaedo
201 N Mountain Rd |
$36.31 | 2,746 | 2,583 |
|
Emily Rheaume
240 East St |
$33.72 | 2,810 | 2,502 |
|
Angela G Geddis
184 East St |
$85.76 | 3,019 | 2,764 |
|
Kerri S Lee
201 N Mountain Rd |
$26.72 | 3,118 | 2,951 |
|
Ashley E Sanchez-Mitchell
201 N Mountain Rd |
$37.71 | 3,135 | 2,993 |
|
Andrew Bessette
91 Northwest Dr |
$3.83 | 3,275 | 2,636 |
|
Mathew Thomas
240 East St |
$45.75 | 3,305 | 2,995 |
|
Wheeler Clinic Inc
91 Northwest Drive |
$32.11 | 3,815 | 3,292 |
|
Joseph G Sinning
201 N Mountain Rd Ste 202 |
$22.70 | 4,025 | 3,477 |
|
Yongho Son Minale
120 W Main St |
$61.28 | 4,553 | 4,098 |
|
Kimberly K Saucier
58 W Main St |
$19.34 | 4,597 | 3,348 |
|
Martha S Barcelos
91 Northwest Dr |
$34.25 | 5,364 | 4,605 |
|
Henry Douglas Todd
36 Whiting St |
$31.89 | 6,411 | 5,337 |
|
Stephen A Kei
240 East St |
$42.13 | 7,034 | 5,816 |
|
Caitlin Marie Minihan
91 Northwest Dr |
$1.93 | 8,247 | 6,599 |
|
Stephanie Wills
201 N Mountain Rd Ste 203 |
$1.64 | 12,997 | 10,382 |
|
Olayinka Edwards
201 N Mountain Rd Ste 203 |
$51.78 | 13,085 | 7,462 |
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 Plainville, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Plainville, CT is $29.48 per claim, based on 116,013 claims from 49 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 Plainville, CT?
There are 49 Medicaid providers offering Office Visit related services in Plainville, CT according to public payment data.
What is the price range for Office Visit in Plainville, CT?
Medicaid reimbursement for Office Visit in Plainville, CT ranges from $0.00 to $95.82 per claim, with an average of $29.48. 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 Plainville, CT
Psychiatric Evaluation
Avg $25.63
377,929 claims
Behavioral & Mental Health Therapy
Avg $133.23
77,249 claims
Case Management Services
Avg $59.70
32,538 claims
Substance Abuse Treatment
Avg $16.79
27,302 claims
Eye Exam
Avg $39.35
16,080 claims
Vaccines & Immunizations
Avg $15.97
9,532 claims
Speech Therapy
Avg $34.76
8,712 claims
Blood Work & Lab Tests
Avg $4.63
7,344 claims