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Based on public Medicaid payment data.

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

Other Procedures in South Burlington, VT