Average Medicaid Office Visit Payments in Saint Albans, VT: $31.19
Avg. Paid
$31.19
Range
$0.00 – $134.68
Total Claims
109,585
Providers
70
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 Saint Albans, VT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Roya Mansoorani
11 Crest Rd |
$26.21 | 10,489 | 9,678 |
|
Stacy C Strouse
11 Crest Rd |
$30.83 | 8,676 | 7,945 |
|
Heidi Zvolensky
11 Crest Rd |
$71.36 | 8,376 | 7,217 |
|
Kristen E Bond-Webster
133 Fairfield St |
$21.39 | 4,799 | 4,444 |
|
Laura Ann Bellstrom
11 Crest Rd |
$25.57 | 4,710 | 4,434 |
|
Tracy Tyson
11 Crest Rd |
$13.47 | 4,624 | 4,158 |
|
Kristie Oliver
260 Crest Rd |
$23.06 | 3,948 | 3,838 |
|
Sarah Owen
9 Crest Rd |
$15.50 | 3,595 | 3,063 |
|
Jacqueline Moriah Bray
172 Fairfield St |
$63.87 | 3,473 | 2,192 |
|
Kristen E Vickers
3 Crest Rd |
$19.35 | 3,380 | 2,835 |
|
Jennifer Marie Covino
11 Crest Rd |
$34.00 | 2,952 | 2,737 |
|
Robert Harry Tyson
11 Crest Rd |
$7.78 | 2,679 | 2,496 |
|
David James Manchester
9 Crest Rd |
$19.90 | 2,564 | 2,199 |
|
Jack E Visco
260 Crest Rd |
$23.68 | 2,324 | 2,027 |
|
Kahren K. Aydinyan
10 Crest Rd |
$20.64 | 2,300 | 2,133 |
|
Jennifer Williamson
118 N Main St |
$99.95 | 2,287 | 1,584 |
|
Emanuele Q Chiappinelli
11 Crest Rd |
$43.35 | 1,949 | 1,557 |
|
Katherine Elizabeth Shattuck
133 Fairfield St |
$134.68 | 1,862 | 1,826 |
|
Christopher Vaughn
77 Fairfield St |
$1.61 | 1,840 | 1,533 |
|
Nolan Hurley
3 Crest Rd |
$15.05 | 1,819 | 1,673 |
|
Susan Denise Williams
9 Crest Rd |
$10.02 | 1,700 | 1,418 |
|
Christa Nicole Hackney
14 Stebbins St |
$72.43 | 1,681 | 1,312 |
|
Lucas James Carter
260 Crest Rd |
$39.76 | 1,654 | 1,606 |
|
Meghan Reilly
133 Fairfield St |
$40.83 | 1,560 | 1,537 |
|
Mohamad Moussawi
9 Crest Rd |
$16.41 | 1,439 | 1,270 |
|
Terri Thomas Nielsen
9 Crest Rd |
$21.23 | 1,259 | 1,080 |
|
Ernesto Cantu
3 Crest Rd |
$0.00 | 1,249 | 972 |
|
Ethan John Hundley
12 Crest Rd |
$10.51 | 1,159 | 964 |
|
Brian Lee Jokinen
133 Fairfield St |
$11.12 | 1,068 | 988 |
|
Mackenzie B Walker
12 Crest Rd |
$5.29 | 1,052 | 904 |
|
Nicholas Adam Nowalk
107 Fisher Pond Rd |
$3.75 | 981 | 848 |
|
Stacey Bouchard
12 Crest Rd |
$26.01 | 958 | 884 |
|
Patrick J Osborne
133 Fairfield St |
$11.63 | 933 | 824 |
|
Trevor Matthew Seward
133 Fairfield St Ste 101 |
$14.30 | 918 | 822 |
|
Casey F Patunoff
107 Fisher Pond Rd |
$29.78 | 891 | 834 |
|
Matthew John Clear
278 N Main St |
$0.61 | 844 | 834 |
|
Matias Gnass
133 Fairfield St |
$30.04 | 817 | 726 |
|
Adrian L Webb
107 Fisher Pond Rd |
$8.68 | 786 | 723 |
|
Robyn Santor
9 Crest Rd |
$5.16 | 770 | 674 |
|
Maryrose Monica Zeviar
133 Fairfield St |
$0.42 | 752 | 695 |
|
Ashley Marie Zwickl
3 Crest Rd |
$0.00 | 752 | 613 |
|
Jennifer Brennan
107 Fisher Pond Rd |
$59.80 | 710 | 544 |
|
Dana Leneau Barkley
11 Crest Rd |
$5.82 | 655 | 579 |
|
Danielle Marie Lyster
133 Fairfield St |
$9.92 | 492 | 435 |
|
Brianna Durkin
80 Fairfield St |
$52.08 | 461 | 441 |
|
Leonard Tremblay
12 Crest Rd |
$25.07 | 455 | 412 |
|
David A Groening
3 Crest Rd |
$15.92 | 446 | 392 |
|
Lindsey Nicole Lovelette
12 Crest Rd |
$1.02 | 443 | 398 |
|
Gregory Jason Brophey
156 N Main St |
$19.47 | 429 | 394 |
|
Julie Hsiao-Wen Lin
53 Fairfax Rd Ste 2 |
$49.73 | 391 | 306 |
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 Saint Albans, VT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Saint Albans, VT is $31.19 per claim, based on 109,585 claims from 70 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 Saint Albans, VT?
There are 70 Medicaid providers offering Office Visit related services in Saint Albans, VT according to public payment data.
What is the price range for Office Visit in Saint Albans, VT?
Medicaid reimbursement for Office Visit in Saint Albans, VT ranges from $0.00 to $134.68 per claim, with an average of $31.19. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Saint Albans, VT
Behavioral & Mental Health Therapy
Avg $107.70
224,152 claims
Case Management Services
Avg $2.24
105,637 claims
Psychiatric Evaluation
Avg $41.90
91,516 claims
Vaccines & Immunizations
Avg $8.27
38,492 claims
Substance Abuse Treatment
Avg $500.80
23,289 claims
Ambulance Transport
Avg $102.06
21,825 claims
Emergency Room Visit
Avg $26.83
18,791 claims
Chiropractic Care
Avg $19.86
15,421 claims