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 |
|---|---|---|---|
|
Lindsay Peet Smith
185 Tilley Dr |
$103.48 | 12 | 12 |
|
Kara Katherine Rozendaal
321 Dorset St |
$52.26 | 12 | 12 |
|
Anne M Pelkey
3 Timber Ln |
$12.92 | 13 | 13 |
|
Dennis R. Beatty
1 Timber Ln |
$22.51 | 14 | 13 |
|
Sarah J Mclaughlin
1 Timber Ln |
$29.49 | 14 | 12 |
|
Peter Van Buren
62 Tilley Dr |
$18.20 | 15 | 12 |
|
Brittany Bowman
55 Timber Ln |
$85.62 | 29 | 26 |
|
Kathryn Leopold
1775 Williston Rd Ste 110 |
$72.96 | 32 | 31 |
|
Jane G Conolly
1775 Williston Rd |
$57.70 | 42 | 38 |
|
Mary Flimlin
55 Tabor Pl |
$31.57 | 46 | 40 |
|
Emily Grace Rosenberg
3 Timber Ln |
$85.66 | 50 | 46 |
|
Chantel Tousignant
1 Timber Ln |
$27.86 | 57 | 54 |
|
Nathaniel Jonathan Nelms
192 Tilley Dr |
$21.78 | 59 | 55 |
|
Brittany Owens Bryan
192 Tilley Dr |
$23.50 | 61 | 55 |
|
Shaunak Krishan Bakshi
1100 Hinesburg Rd Ste 201 |
$33.08 | 64 | 50 |
|
Erin Bingham
62 Tilley Dr |
$20.12 | 89 | 77 |
|
Aaron W Reiter
3 Timber Ln |
$19.96 | 105 | 90 |
|
Allison Catherine Mack
62 Tilley Dr Ste 101 |
$34.35 | 105 | 93 |
|
Michael Blankstein
192 Tilley Drive |
$21.32 | 105 | 103 |
|
Amanda Christina Ng
75 San Remo Dr |
$17.62 | 114 | 97 |
|
Amber Julia Jimerson
7 Fayette Dr |
$0.00 | 120 | 107 |
|
Jeremy Thomas Whitney
150 Dorset St Ste 250 |
$75.55 | 121 | 117 |
|
Desiree Anne Price
1 Timber Ln |
$21.08 | 129 | 119 |
|
Michael Korczykowski
141 Shamrock Rd |
$27.95 | 145 | 140 |
|
Suzanne Decapua
192 Tilley Dr |
$22.24 | 162 | 150 |
|
Sara R. Roberts
1 Timber Ln |
$31.80 | 162 | 145 |
|
Nicole Kearney
185 Tilley Dr Ste 51 |
$75.41 | 184 | 157 |
|
Reimy Evangelista De Leon
40A Timber Ln |
$65.27 | 186 | 130 |
|
Deborah Moyer
62 Tilley Dr Ste 101 |
$14.23 | 192 | 183 |
|
Kathryn Ridgely Applegate
118 Tilley Dr Ste 201 |
$30.11 | 199 | 192 |
|
Stephen Baad
386 Dorset St |
$2.57 | 211 | 176 |
|
Kielee Beth Pelland
1 Kennedy Dr Ste L1 |
$1.14 | 212 | 173 |
|
Mohammad Mertaban
304 Sugar Tree Ln |
$0.12 | 212 | 212 |
|
Mary Justine Hall
54 W Twin Oaks Ter Ste 13 |
$57.59 | 224 | 130 |
|
Clodagh Coghlan
368 Dorset St |
$4.47 | 281 | 249 |
|
Susan D. Weinstein
1 Timber Lane |
$17.77 | 284 | 249 |
|
Laura Mcgevna
30 Farrell St Ste 200 |
$29.46 | 288 | 278 |
|
Jessica Leah Scherer
150 Dorset St Ste 250 |
$33.85 | 294 | 279 |
|
Kellie Michele Malaney
1775 Williston Rd Ste 220 |
$0.00 | 303 | 236 |
|
John William Hinkle
99 Swift St Ste 200 |
$83.11 | 304 | 293 |
|
Laura Michelle Weiland
62 Tilley Dr |
$25.39 | 305 | 279 |
|
Emily Macleod Garcia
185 Tilley Dr |
$59.51 | 309 | 283 |
|
Christine Dee Northrup
368 Dorset St |
$0.00 | 325 | 291 |
|
Mark Pitcher
368 Dorset St |
$0.00 | 336 | 297 |
|
Jane Lowell
185 Tilley Dr |
$76.71 | 338 | 314 |
|
Tracie L Hammond
192 Tilley Dr |
$19.55 | 346 | 318 |
|
Anja Jokela
3 Timber Ln |
$23.21 | 365 | 337 |
|
Peyton Wingfield
53 Timber Ln |
$79.06 | 368 | 352 |
|
Edward F. Kent
53 Timber Ln |
$100.85 | 373 | 362 |
|
Katherine Frances Clemente
6 San Remo Dr |
$0.00 | 397 | 349 |
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