Average Medicaid Office Visit Payments in Sharon, CT: $45.35
Avg. Paid
$45.35
Range
$5.80 – $71.69
Total Claims
10,992
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 Sharon, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tri State Womens Services Llc
50 Amenia Rd |
$71.69 | 14 | 12 |
|
David Reynard Kurish
29 Hospital Hill Rd |
$46.34 | 16 | 13 |
|
Armen Todd Babigian
11 Hospital Rd |
$5.80 | 25 | 25 |
|
William E Schweizer
50 Amenia Rd |
$68.78 | 44 | 40 |
|
Mustafa M Ugurlu
50 Hospital Hill Rd |
$28.12 | 47 | 34 |
|
Jerome K Roth
17 Hospital Hill Rd |
$11.95 | 153 | 70 |
|
Suzanne Taylor Thompson
50 Hospital Hill Rd |
$33.20 | 153 | 126 |
|
Jack Finkelstein
40 Gay St |
$32.77 | 319 | 289 |
|
Carl C Dandrea
50 Hospital Hill Drive |
$44.74 | 387 | 381 |
|
Tamar Rae Melin
29 Hospital Hill Rd Ste 1400 |
$70.52 | 794 | 689 |
|
Karen B Arel
29 Hospital Hill Rd |
$44.44 | 824 | 711 |
|
Donald Soucier
50 Hospital Hill Rd |
$28.65 | 1,280 | 1,121 |
|
Howard Mortman
50 Amenia Rd |
$43.98 | 1,652 | 1,411 |
|
Joshua Samuel Jaffe
50 Amenia Rd |
$50.34 | 1,860 | 1,541 |
|
Rebecca Wike Malone
29 Hospital Hill Rd |
$47.31 | 3,424 | 2,449 |
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 Sharon, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sharon, CT is $45.35 per claim, based on 10,992 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 Sharon, CT?
There are 15 Medicaid providers offering Office Visit related services in Sharon, CT according to public payment data.
What is the price range for Office Visit in Sharon, CT?
Medicaid reimbursement for Office Visit in Sharon, CT ranges from $5.80 to $71.69 per claim, with an average of $45.35. 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 Sharon, CT
Blood Work & Lab Tests
Avg $4.05
42,485 claims
Emergency Room Visit
Avg $122.47
35,421 claims
Physical Therapy
Avg $33.83
19,081 claims
Urinalysis & Urine Tests
Avg $0.81
8,789 claims
EKG / ECG (Electrocardiogram)
Avg $3.22
8,015 claims
X-Ray
Avg $33.72
5,862 claims
CT Scan (Computed Tomography)
Avg $167.92
2,128 claims
Psychiatric Evaluation
Avg $87.28
1,102 claims