Average Medicaid Office Visit Payments in South Burlington, VT: $42.19
Avg. Paid
$42.19
Range
$0.00 – $125.83
Total Claims
104,203
Providers
114
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 South Burlington, VT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alissa Wolfley
366 Dorset St # 20 |
$80.49 | 9,505 | 5,859 |
|
Theodore R Wissink
118 Tilley Dr Ste 201 |
$33.20 | 3,926 | 3,668 |
|
John Ross Brooklyn
368 Dorset St Ste 1 |
$28.44 | 3,910 | 3,406 |
|
Tina Marie D'Amato
75 San Remo Dr |
$67.36 | 3,748 | 3,088 |
|
Melia Dora Kovach
366 Dorset St Ste 20 |
$81.45 | 3,615 | 2,511 |
|
Alexandra Victoria Toof
368 Dorset St Ste 1 |
$20.45 | 3,461 | 3,279 |
|
Katharine B Margulius
51 Timber Ln |
$11.10 | 3,392 | 3,148 |
|
Michael Phillips
1200 Williston Rd |
$61.56 | 3,023 | 2,412 |
|
Leah Mariette Macaulay
595 Dorset St Ste 4 |
$14.43 | 2,858 | 2,614 |
|
Laurie M Davignon
62 Tilley Dr Ste 202 |
$29.55 | 2,819 | 2,724 |
|
Lauren Brogna Richard
192 Tilley Drive |
$17.07 | 2,679 | 2,570 |
|
Grigorios Delaportas
192 Tilley Dr |
$23.05 | 2,497 | 2,386 |
|
Kate Lamancuso
3 Timber Ln |
$4.23 | 2,216 | 1,860 |
|
Sarahjeet Singh
1200 Williston Rd |
$57.94 | 2,185 | 1,898 |
|
Gary Taylor
1200 Williston Rd |
$65.11 | 1,923 | 1,604 |
|
Jessica M Sisto
1775 Williston Rd Ste 110 |
$38.42 | 1,694 | 1,610 |
|
Leah Mclane Costello
51 Timber Ln |
$20.53 | 1,671 | 1,542 |
|
Catherine W Maina
3 Timber Lane |
$12.63 | 1,615 | 1,489 |
|
William T Gerson
52 Timberlane |
$47.65 | 1,586 | 1,487 |
|
Bradley T Friesen
52 Timberlane |
$33.64 | 1,519 | 1,420 |
|
Jeffrey Allen Crandall
40 Timber Ln |
$67.72 | 1,516 | 1,364 |
|
Courtneyanne Randall
150 Kennedy Dr |
$56.83 | 1,318 | 1,305 |
|
Jessica Knight Savoy
192 Tilley Dr |
$16.33 | 1,201 | 1,139 |
|
Debra Shuma Hartswick
52 Timberlane |
$48.23 | 1,191 | 1,105 |
|
Peter Gunther
368 Dorset St |
$10.89 | 1,109 | 932 |
|
Morgan Hebert
1540 Williston Rd |
$47.04 | 1,106 | 1,082 |
|
Jessica Lynn Stadtmauer
185 Tilley Dr |
$88.29 | 1,077 | 969 |
|
Stephen John Merena
192 Tilley Dr |
$15.94 | 1,056 | 921 |
|
Clara M Keegan
3 Timber Ln |
$20.32 | 1,042 | 960 |
|
Robert A Luebbers
1775 Williston Rd |
$21.53 | 1,035 | 948 |
|
Melissa Sue Barrup
550 Hinesburg Rd |
$20.50 | 1,021 | 875 |
|
Johanna Powden Golston
595 Dorset St Ste 4 |
$125.83 | 1,003 | 769 |
|
Michelle Lynn Young
99 Swift St Ste 200 |
$64.52 | 950 | 908 |
|
Jennifer J Kelly
62 Tilley Dr Ste 202 |
$35.33 | 944 | 891 |
|
Katja A Von Sitas
1775 Williston Rd Ste 110 |
$33.84 | 943 | 870 |
|
Elizabeth Ann Hunt
51 Timber Ln |
$14.15 | 904 | 839 |
|
Timothy Schad
3 Timber Ln |
$20.56 | 901 | 842 |
|
Elizabeth F. Jaffe
53 Timber Ln |
$87.39 | 884 | 853 |
|
Mbuyi Marie-Claire Smith
192 Tilley Dr |
$17.84 | 883 | 843 |
|
Jason Gramling
1 Timber Ln |
$17.52 | 870 | 775 |
|
Elissa Ann Delong
185 Tilley Dr |
$0.91 | 860 | 796 |
|
Julie Anne Stanitis Thompson
1775 Williston Rd Ste 110 |
$57.86 | 844 | 819 |
|
Gamal H Eltabbakh
1060 Hinesburg Rd |
$88.09 | 843 | 762 |
|
Rebecca A Nagle
51 Timber Ln |
$17.56 | 806 | 745 |
|
Talia Frances Hall
41 Idx Dr Ste 220 |
$89.86 | 783 | 664 |
|
Karin Batalden Gray
51 Timber Ln |
$6.45 | 738 | 693 |
|
Kym Boyman
1775 Williston Rd Ste 110 |
$88.69 | 657 | 619 |
|
David Lisle
192 Tilley Dr |
$41.08 | 646 | 625 |
|
Mark Lazarovich
53 Timber Ln |
$104.58 | 637 | 584 |
|
Monica C Fiorenza
51 Timber Ln |
$13.36 | 630 | 600 |
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 South Burlington, VT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in South Burlington, VT is $42.19 per claim, based on 104,203 claims from 114 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 South Burlington, VT?
There are 114 Medicaid providers offering Office Visit related services in South Burlington, VT according to public payment data.
What is the price range for Office Visit in South Burlington, VT?
Medicaid reimbursement for Office Visit in South Burlington, VT ranges from $0.00 to $125.83 per claim, with an average of $42.19. 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 South Burlington, VT
Blood Work & Lab Tests
Avg $54.27
116,717 claims
Psychiatric Evaluation
Avg $62.12
112,409 claims
Dental Cleaning & Exam
Avg $36.44
94,385 claims
Substance Abuse Treatment
Avg $447.71
83,118 claims
Chiropractic Care
Avg $25.78
23,565 claims
Eye Exam
Avg $35.52
19,767 claims
Vaccines & Immunizations
Avg $9.85
10,501 claims
EKG / ECG (Electrocardiogram)
Avg $2.35
10,455 claims