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 |
|---|---|---|---|
|
Robert N Beattie
3 Crest Rd |
$6.93 | 21 | 21 |
|
Ross William Thibodeau
3 Crest Rd |
$29.99 | 35 | 29 |
|
Ahmet Cengiz Esenler
6 Crest Rd |
$10.60 | 50 | 37 |
|
Northwestern Medical Center, Inc.
133 Fairfield St Ste 102 |
$0.00 | 67 | 65 |
|
Abraham Auerbach
128 Fisher Pond Rd Ste 3 |
$59.00 | 75 | 67 |
|
Mary Ann Yeatts-Peterson
37 Catherine St |
$57.60 | 83 | 53 |
|
Rachel I Kornik
53 Fairfax Rd |
$68.11 | 91 | 79 |
|
Kimberly R. Liberty
3 Crest Rd |
$46.43 | 113 | 102 |
|
Jenna E Purdell
596 Sheldon Rd |
$0.00 | 115 | 108 |
|
Northwestern Counseling & Support Services Inc
107 Fisher Pond Rd |
$0.00 | 120 | 96 |
|
Maara Devi Singh
3 Crest Rd |
$0.28 | 132 | 124 |
|
Thomas Allerton
3 Crest Rd |
$2.91 | 140 | 122 |
|
Meghan Clack
133 Fairfield St |
$1.77 | 145 | 129 |
|
Kevan M Sternberg
133 Fairfield St |
$37.67 | 188 | 182 |
|
Jessica Ann Whelan
50 High St |
$60.27 | 213 | 104 |
|
Carey-Leah Havrilko
3 Champlain Cmns Ste 1 |
$84.21 | 295 | 291 |
|
Cassidy S Heisler
80 Fairfield St |
$23.14 | 297 | 266 |
|
Luke Daniel Heald
133 Fairfield St |
$9.20 | 322 | 245 |
|
Laura Lynn Werner
128 Fisher Pond Rd |
$66.74 | 356 | 339 |
|
Nathan Scott Mauser
133 Fairfield St Ste 101 |
$8.50 | 376 | 190 |
|
Julie Hsiao-Wen Lin
53 Fairfax Rd Ste 2 |
$49.73 | 391 | 306 |
|
Gregory Jason Brophey
156 N Main St |
$19.47 | 429 | 394 |
|
Lindsey Nicole Lovelette
12 Crest Rd |
$1.02 | 443 | 398 |
|
David A Groening
3 Crest Rd |
$15.92 | 446 | 392 |
|
Leonard Tremblay
12 Crest Rd |
$25.07 | 455 | 412 |
|
Brianna Durkin
80 Fairfield St |
$52.08 | 461 | 441 |
|
Danielle Marie Lyster
133 Fairfield St |
$9.92 | 492 | 435 |
|
Dana Leneau Barkley
11 Crest Rd |
$5.82 | 655 | 579 |
|
Jennifer Brennan
107 Fisher Pond Rd |
$59.80 | 710 | 544 |
|
Ashley Marie Zwickl
3 Crest Rd |
$0.00 | 752 | 613 |
|
Maryrose Monica Zeviar
133 Fairfield St |
$0.42 | 752 | 695 |
|
Robyn Santor
9 Crest Rd |
$5.16 | 770 | 674 |
|
Adrian L Webb
107 Fisher Pond Rd |
$8.68 | 786 | 723 |
|
Matias Gnass
133 Fairfield St |
$30.04 | 817 | 726 |
|
Matthew John Clear
278 N Main St |
$0.61 | 844 | 834 |
|
Casey F Patunoff
107 Fisher Pond Rd |
$29.78 | 891 | 834 |
|
Trevor Matthew Seward
133 Fairfield St Ste 101 |
$14.30 | 918 | 822 |
|
Patrick J Osborne
133 Fairfield St |
$11.63 | 933 | 824 |
|
Stacey Bouchard
12 Crest Rd |
$26.01 | 958 | 884 |
|
Nicholas Adam Nowalk
107 Fisher Pond Rd |
$3.75 | 981 | 848 |
|
Mackenzie B Walker
12 Crest Rd |
$5.29 | 1,052 | 904 |
|
Brian Lee Jokinen
133 Fairfield St |
$11.12 | 1,068 | 988 |
|
Ethan John Hundley
12 Crest Rd |
$10.51 | 1,159 | 964 |
|
Ernesto Cantu
3 Crest Rd |
$0.00 | 1,249 | 972 |
|
Terri Thomas Nielsen
9 Crest Rd |
$21.23 | 1,259 | 1,080 |
|
Mohamad Moussawi
9 Crest Rd |
$16.41 | 1,439 | 1,270 |
|
Meghan Reilly
133 Fairfield St |
$40.83 | 1,560 | 1,537 |
|
Lucas James Carter
260 Crest Rd |
$39.76 | 1,654 | 1,606 |
|
Christa Nicole Hackney
14 Stebbins St |
$72.43 | 1,681 | 1,312 |
|
Susan Denise Williams
9 Crest Rd |
$10.02 | 1,700 | 1,418 |
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
8,766,644 claims · 4540 providers
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