Average Medicaid Office Visit Payments in Plantsville, CT: $46.98
Avg. Paid
$46.98
Range
$3.79 – $58.57
Total Claims
33,470
Providers
15
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 Plantsville, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kevin Patrick Greene
710 Main St |
$43.57 | 12,841 | 6,804 |
|
Eric Lussier
710 Main St Bldg 4 |
$56.31 | 7,921 | 5,575 |
|
Alkesh V Patel
710 Main Street |
$54.81 | 4,573 | 2,763 |
|
Samela Mariano Brown
1753 Meriden-Waterbury Tpke |
$57.51 | 3,153 | 2,777 |
|
Laura L Tyler
710 Main St Bldg 4 |
$15.35 | 989 | 470 |
|
Kristina Leigh Benoit
710 Main St Bldg 4 |
$23.88 | 865 | 587 |
|
Willie J Levesque
852 Prospect St |
$22.11 | 686 | 623 |
|
Sherri Ann Dayton
710 Main St Bldg 4 |
$26.21 | 666 | 338 |
|
Steven G Spector
790 S Main St |
$58.57 | 614 | 246 |
|
Thomas William Donohue
15 Cornerstone Court |
$3.79 | 417 | 378 |
|
Nicole Damato
341 West St Unit B |
$40.73 | 363 | 282 |
|
Ira Lawrence Spar
620 Main St |
$35.19 | 161 | 138 |
|
Jewel Walters
966 S Main St |
$46.15 | 152 | 90 |
|
Youssef Khawaja
16 Cornerstone Ct |
$13.02 | 42 | 41 |
|
Janna Corbelle
710 Main St Ste 1 |
$29.42 | 27 | 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 Plantsville, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Plantsville, CT is $46.98 per claim, based on 33,470 claims from 15 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 Plantsville, CT?
There are 15 Medicaid providers offering Office Visit related services in Plantsville, CT according to public payment data.
What is the price range for Office Visit in Plantsville, CT?
Medicaid reimbursement for Office Visit in Plantsville, CT ranges from $3.79 to $58.57 per claim, with an average of $46.98. 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 Plantsville, CT
Nursing Facility Care
Avg $19.09
16,046 claims
Psychiatric Evaluation
Avg $51.85
14,749 claims
Prescription Medications
Avg $3.52
6,328 claims
Physical Therapy
Avg $9.19
3,469 claims
EKG / ECG (Electrocardiogram)
Avg $7.79
1,992 claims
Speech Therapy
Avg $61.87
1,717 claims
Home Health Visit
Avg $62.93
1,638 claims
Dental Cleaning & Exam
Avg $38.05
1,490 claims