Average Medicaid Office Visit Payments in Rutland, VT: $23.20
Avg. Paid
$23.20
Range
$0.00 – $93.69
Total Claims
306,049
Providers
162
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 Rutland, VT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Frederick Hesse
199 Stratton Rd Ste 1 |
$36.46 | 40,625 | 18,034 |
|
Richard Carleton Baker
215 Stratton Rd |
$0.74 | 12,321 | 9,641 |
|
Kristen Marie Sheehan
198 N Main St Ste C-3 |
$68.72 | 10,967 | 6,848 |
|
Ali J Kenyon
215 Stratton Rd |
$1.93 | 9,249 | 8,718 |
|
Matthew E Stevens
215 Stratton Rd |
$1.52 | 9,218 | 8,662 |
|
Amy P Corey
215 Stratton Rd |
$1.38 | 5,948 | 5,675 |
|
Elizabeth Richard
215 Stratton Rd |
$0.89 | 5,786 | 5,507 |
|
Laura Kalinen Lober
Rutland Community Health Center |
$2.69 | 5,680 | 5,078 |
|
Amy Pfenning
1 General Wing Rd |
$0.03 | 5,341 | 4,642 |
|
Lilah Rachel Woodard
215 Stratton Rd |
$6.45 | 5,179 | 4,601 |
|
T Ray Lovko
215 Stratton Rd |
$9.85 | 4,938 | 3,889 |
|
Terri Lynn Redmond
160 Allen St |
$46.11 | 4,912 | 3,818 |
|
David I. Schneider
1 General Wing Rd |
$0.27 | 4,826 | 4,431 |
|
Judy A. Nelson
1 General Wing Rd |
$0.27 | 4,808 | 4,379 |
|
Kristin Angeline Camp Sperber
215 Stratton Rd |
$4.26 | 4,728 | 4,236 |
|
Stephen J. Wood
1 General Wing Rd |
$0.53 | 4,622 | 4,188 |
|
Allison Barbara Adams
1 General Wing Rd |
$0.37 | 4,507 | 3,975 |
|
Jennifer Cyr Tinsman
215 Stratton Rd |
$1.75 | 4,344 | 4,150 |
|
Wende Sue Morgan
215 Stratton Rd |
$5.89 | 4,327 | 3,258 |
|
Abigail Rose Brown
173 S Main St |
$70.41 | 4,252 | 3,553 |
|
Indra Ray Lovko
1 General Wing Rd |
$0.17 | 4,151 | 3,828 |
|
Chelsea E Greeno
71 Allen St Ste 403 |
$1.66 | 3,972 | 3,781 |
|
Cindy M Mcdonough
215 Stratton Rd |
$4.43 | 3,942 | 3,628 |
|
Chris S Masillo
215 Stratton Rd |
$7.00 | 3,680 | 3,389 |
|
Oana Ivan
215 Stratton Rd |
$7.38 | 3,668 | 3,450 |
|
Brandi Amber Rand
73 Center St Ste 2 |
$54.28 | 3,449 | 2,964 |
|
Douglas L Dier
98 Allen St |
$57.01 | 3,347 | 3,079 |
|
Gregory John Burkland
75 Allen St |
$61.05 | 3,339 | 2,436 |
|
Anna Mccloy
1 General Wing Rd |
$0.22 | 3,320 | 3,006 |
|
Allan Daniel Eisemann
160 Allen St |
$49.47 | 3,270 | 2,949 |
|
Alyssa Mary Brown
173 S Main St |
$24.80 | 3,133 | 2,341 |
|
Clare Conner
215 Stratton Rd |
$6.96 | 2,914 | 2,660 |
|
Johanna M Swift
199 Stratton Rd |
$72.90 | 2,896 | 2,089 |
|
Christopher Stronczak
160 Allen St |
$0.57 | 2,896 | 2,744 |
|
Amy E Ferguson
1 General Wing Rd |
$0.16 | 2,794 | 2,584 |
|
Arabella Bull-Stewart
160 Allen St |
$31.04 | 2,527 | 2,306 |
|
Timothy J Lensing
215 Stratton Rd |
$10.80 | 2,481 | 2,175 |
|
Eva Mayer
1 General Wing Rd |
$9.96 | 2,479 | 2,226 |
|
Patty Anne Thornton
92 Allen St |
$60.96 | 2,459 | 1,939 |
|
Martin G Carmody
69 Allen St |
$37.85 | 2,436 | 2,183 |
|
Ernest M Bove
145 Allen St |
$21.85 | 2,424 | 2,277 |
|
Leonard Delorenzo
160 Allen St |
$12.57 | 2,410 | 2,145 |
|
Kimberly Ann Eugair
98 Allen St Ste 2 |
$48.79 | 2,373 | 2,138 |
|
Kerry Brennan Finch
69 Allen St |
$19.79 | 2,275 | 2,134 |
|
Margaret A Daly
8 Albert Cree Dr |
$32.02 | 2,267 | 2,149 |
|
Daniel Cole
3 Albert Cree Dr |
$18.23 | 2,166 | 2,041 |
|
Benjamin Joseph Mahoney
160 Allen St |
$54.40 | 2,137 | 1,773 |
|
Michael E Robertello
12 Commons St |
$18.93 | 2,013 | 1,906 |
|
Melissa A Mckibben
215 Stratton Rd |
$18.48 | 1,992 | 1,672 |
|
Matthew Gammons
3 Albert Cree Dr |
$25.91 | 1,938 | 1,838 |
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 Rutland, VT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rutland, VT is $23.20 per claim, based on 306,049 claims from 162 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 Rutland, VT?
There are 162 Medicaid providers offering Office Visit related services in Rutland, VT according to public payment data.
What is the price range for Office Visit in Rutland, VT?
Medicaid reimbursement for Office Visit in Rutland, VT ranges from $0.00 to $93.69 per claim, with an average of $23.20. 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 Rutland, VT
Psychiatric Evaluation
Avg $46.32
120,396 claims
Blood Work & Lab Tests
Avg $37.53
82,607 claims
Dental Cleaning & Exam
Avg $37.61
75,083 claims
Behavioral & Mental Health Therapy
Avg $42.91
74,266 claims
Case Management Services
Avg $27.82
64,908 claims
Emergency Room Visit
Avg $51.75
62,861 claims
Nursing Facility Care
Avg $2.03
55,449 claims
Substance Abuse Treatment
Avg $341.77
53,182 claims