Average Medicaid Office Visit Payments in South Windsor, CT: $45.00
Avg. Paid
$45.00
Range
$1.53 – $125.29
Total Claims
200,254
Providers
103
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 Windsor, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Julia Louis
2600 Tamarack Ave Ste 200 |
$125.29 | 12 | 12 |
|
Iram Abdul Shaikh
525 Buckland Rd |
$40.10 | 12 | 12 |
|
Eastern Connecticut Physician Associates Llc
2701 Tamarack Ave |
$7.61 | 13 | 12 |
|
Farrah El-Khatib
1559 Sullivan Ave Fl 1 |
$24.53 | 14 | 12 |
|
Paul Allen Schwiger
2800 Tamarack Ave Ste 104 |
$10.40 | 18 | 13 |
|
Talia Marie Torres
1559 Sullivan Ave Ste 200 |
$90.66 | 18 | 18 |
|
Kara L Collazo
1050 Sullivan Ave Ste A4 |
$34.48 | 28 | 27 |
|
Laura Lyn Catania
1559 Sullivan Ave |
$2.80 | 33 | 27 |
|
Alyssa Lynn Dugas
1050 Sullivan Ave Ste A4 |
$21.36 | 45 | 38 |
|
Ilona Slusker Shternfeld
2800 Tamarack Ave |
$61.77 | 45 | 43 |
|
Cynthia B Heller
1559 Sullivan Ave |
$53.77 | 51 | 50 |
|
Madhuri Pratinidhi
1504 Sullivan Ave |
$52.61 | 55 | 50 |
|
Kathryn Pascucci
1340 Sullivan Ave |
$49.02 | 96 | 82 |
|
Katherine Riddle
2600 Tamarack Ave Ste 200 |
$47.76 | 100 | 90 |
|
Kayla Koza
2800 Tamarack Ave Ste 104 |
$21.63 | 104 | 96 |
|
Jeffrey E Stein
1559 Sullivan Ave |
$47.30 | 140 | 125 |
|
Mark Tousignant
2800 Tamarack Ave |
$29.79 | 153 | 132 |
|
Katerina M. Michaels-Bogdan
2600 Tamarack Ave Ste 200 |
$30.39 | 154 | 126 |
|
Sharon Tokarz
2800 Tamarack Ave |
$29.91 | 157 | 148 |
|
Christopher M Bulger
479 Buckland Rd Fl 2 |
$20.68 | 180 | 96 |
|
Pauline Patricia Wilks
1504 Sullivan Ave |
$30.12 | 196 | 192 |
|
Andrea Little
2800 Tamarack Ave Ste 104 |
$51.43 | 198 | 173 |
|
Pietro Rondinelli
2400 Tamarack Ave Ste 101 |
$22.06 | 214 | 184 |
|
Jessica M Bridge
2600 Tamarack Ave Ste 200 |
$28.74 | 217 | 176 |
|
Susan Evans
93 Evergreen Way |
$31.85 | 230 | 210 |
|
Marcy Lynn Qureshi
2400 Tamarack Ave |
$68.47 | 241 | 215 |
|
Martin J. Hancock
2600 Tamarack Ave Ste 200 |
$42.51 | 245 | 209 |
|
Kara Nelsen
925 Sullivan Ave |
$62.76 | 251 | 229 |
|
Patrick B Senatus
2800 Tamarack Rd |
$28.17 | 309 | 283 |
|
Manage Nissanka
127 Rosemary Ln |
$47.33 | 382 | 332 |
|
Pooja Narwal
1559 Sullivan Ave |
$103.64 | 385 | 358 |
|
Medha Patel Desai
2600 Tamarack Ave Ste 200 |
$35.43 | 397 | 369 |
|
Brian Thomas Moy
2400 Tamarack Ave Ste 101 |
$46.51 | 405 | 292 |
|
Alexis Kyra Warren
2600 Tamarack Ave Ste 200 |
$29.32 | 408 | 283 |
|
Andrea Dias Murphy
1741 Ellington Rd |
$38.05 | 410 | 372 |
|
Molly Brown
2600 Tamarack Ave Ste 200 |
$31.07 | 413 | 340 |
|
Meghan Dzioba
2701 Tamarack Ave |
$52.64 | 424 | 383 |
|
Koral Ben-Simon
70 Buckland Rd |
$35.74 | 429 | 411 |
|
Marcy Calsetta
925 Sullivan Ave |
$51.58 | 455 | 401 |
|
Beth A Lemek
2400 Tamarack Ave |
$35.36 | 456 | 403 |
|
Sarah Graceffa
2600 Tamarack Ave Ste 200 |
$34.15 | 464 | 387 |
|
Jacqueline Elizabeth Calvo
2600 Tamarack Ave |
$38.39 | 495 | 440 |
|
Stacy Joanne Spiro
1050 Sullivan Ave |
$5.31 | 497 | 463 |
|
Camillo Ferrari
2400 Tamarack Ave Ste 202 |
$37.32 | 505 | 459 |
|
Latha Dulipsingh
1559 Sullivan Ave Fl 2 |
$36.68 | 529 | 506 |
|
Danielle M. Grieco
2600 Tamarack Ave Ste 200 |
$41.24 | 554 | 458 |
|
Alok Mehta
25 Oakland Rd |
$51.94 | 673 | 626 |
|
Colin James Burgess
2800 Tamarack Ave Ste 104 |
$39.27 | 686 | 585 |
|
Lydia Lormand
2600 Tamarack Ave Ste 200 |
$38.61 | 730 | 648 |
|
John D Wysocki
2400 Tamarack Ave |
$39.82 | 759 | 650 |
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 Windsor, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in South Windsor, CT is $45.00 per claim, based on 200,254 claims from 103 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 Windsor, CT?
There are 103 Medicaid providers offering Office Visit related services in South Windsor, CT according to public payment data.
What is the price range for Office Visit in South Windsor, CT?
Medicaid reimbursement for Office Visit in South Windsor, CT ranges from $1.53 to $125.29 per claim, with an average of $45.00. 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 Windsor, CT
Psychiatric Evaluation
Avg $53.07
73,970 claims
Vaccines & Immunizations
Avg $16.61
47,564 claims
Nursing Facility Care
Avg $32.62
38,026 claims
Emergency Room Visit
Avg $58.59
23,941 claims
Speech Therapy
Avg $40.20
23,776 claims
Blood Work & Lab Tests
Avg $4.84
22,169 claims
Eye Exam
Avg $38.78
17,270 claims
Physical Therapy
Avg $32.59
16,118 claims