Average Medicaid Office Visit Payments in Southbury, CT: $46.23
Avg. Paid
$46.23
Range
$0.00 – $116.92
Total Claims
81,927
Providers
64
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 Southbury, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kyle Bonura
1 Reservoir Office Park Ste 110 |
$81.14 | 7,275 | 6,592 |
|
Morris Papernik
30 Quaker Farms Rd Ste 1 |
$73.35 | 6,677 | 5,656 |
|
Odin Delos Reyes
1 Pomperaug Office Park |
$22.96 | 6,075 | 5,806 |
|
Michelle M Hundt
22 Depot Hill Rd |
$47.97 | 5,729 | 4,000 |
|
Reshma V Nayak
30 Quaker Farms Rd Ste 1 |
$31.88 | 5,150 | 4,516 |
|
Lalaine Mortera
22 Old Waterbury Rd |
$116.92 | 4,528 | 4,228 |
|
Erica Lyons
1449 Old Waterbury Rd |
$0.11 | 3,792 | 3,164 |
|
Lloydacia Stephens
22 Depot Hill Rd |
$68.39 | 3,715 | 2,975 |
|
Colleen Lauren Linari
30 Quaker Farms Rd |
$36.88 | 3,518 | 3,130 |
|
Dileema Kalansuriya
22 Old Waterbury Rd |
$39.01 | 3,046 | 2,146 |
|
Raafat Gorgy
690 Main St S |
$21.22 | 2,565 | 2,082 |
|
Agata Jaskiewicz-Poznanska
22 Old Waterbury Rd |
$32.19 | 2,229 | 1,582 |
|
Ceri England Burke
22 Depot Hill Rd |
$1.65 | 1,829 | 1,402 |
|
Taylor Schaake
22 Depot Hill Rd |
$29.53 | 1,646 | 1,504 |
|
William Neil Pearson
30 Quaker Farms Rd |
$42.53 | 1,534 | 1,506 |
|
Virginia Hannon
22 Old Waterbury Rd |
$22.52 | 1,509 | 1,028 |
|
Kelli Ann Bernier
1 Pomperaug Office Park Ste 102 |
$64.81 | 1,278 | 801 |
|
Richard Papantonio
900 Main St S |
$53.36 | 1,223 | 1,134 |
|
Virginie Le Dru Cohen
22 Depot Hill Rd |
$0.00 | 1,167 | 1,008 |
|
Florentino Abueg
385 Main St S Ste 301 |
$39.99 | 1,164 | 933 |
|
Leshawna Stephanie Murrell
1 Pomperaug Office Park Ste 103 |
$37.23 | 1,118 | 916 |
|
Trishna Walsh
385 Main St S |
$32.17 | 1,090 | 790 |
|
Joan Tekula
2 Pomperaug Office Park |
$0.00 | 997 | 858 |
|
Erika N Skaret
202 Playhouse Cor |
$60.17 | 994 | 928 |
|
Nicole L Martin
30 Quaker Farms Rd Ste 1 |
$41.91 | 988 | 932 |
|
Stephanie Ross
32 Poverty Rd |
$76.11 | 901 | 786 |
|
Kassandra R Paulino
22 Old Waterbury Rd Ste 108 |
$24.62 | 815 | 574 |
|
Melissa Francis
30 Quaker Farms Rd Ste 1 |
$71.12 | 804 | 717 |
|
Jenelle Digianvittorio
22 Depot Hill Rd |
$16.40 | 800 | 728 |
|
Kornelia Thomas
30 Quaker Farms Rd Ste 1 |
$68.76 | 598 | 553 |
|
Linda A Sapio-Longo
22 Depot Hill Rd |
$23.45 | 526 | 479 |
|
Harshana Patel
22 Old Waterbury Rd |
$54.75 | 496 | 372 |
|
Casey Ott
22 Old Waterbury Rd # 103 |
$14.74 | 490 | 228 |
|
Alexis Gopal
30 Quaker Farms Rd Ste 1 |
$80.19 | 479 | 442 |
|
Servando Gutierrez
900 Main St S Ste 100 |
$32.12 | 460 | 342 |
|
Grazyna Kaszycki
State Route 172 |
$13.37 | 459 | 336 |
|
Yvonne Ann Ruddy-Stein
900 Main St S |
$17.08 | 442 | 308 |
|
Kaveh Shahmohammadi Davoudi
1449 Old Waterbury Rd |
$27.29 | 407 | 304 |
|
Heather M Nisbeth
22 Old Waterbury Rd |
$35.85 | 361 | 285 |
|
Ellen Polokoff
900 Main St S |
$31.63 | 303 | 278 |
|
Gina Rupert
385 Main St South |
$21.90 | 298 | 224 |
|
Carissa Ann Corraro
900 Main St S Ste 100 |
$47.08 | 276 | 239 |
|
Saeeda Qadri
22 Old Waterbury Rd Ste 108 |
$31.01 | 259 | 135 |
|
Tarsha Scarlett-Grant
9 Union Sq Unit 1051 |
$53.94 | 226 | 184 |
|
Marianne Bette
77 Main Street North |
$59.70 | 174 | 148 |
|
Richard Nicholas Biondi
1 Pomperaug Office Park |
$54.31 | 156 | 136 |
|
Peter Donald Zdankiewicz
10 Main St S |
$8.98 | 152 | 90 |
|
Nicholas Varholak
71 Beacon Hill Dr |
$35.54 | 151 | 50 |
|
Beth Ann Sieling
33 Bullet Hill Rd. |
$23.77 | 148 | 127 |
|
Jane Hunter
385 Main St S |
$67.18 | 141 | 129 |
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 Southbury, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Southbury, CT is $46.23 per claim, based on 81,927 claims from 64 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 Southbury, CT?
There are 64 Medicaid providers offering Office Visit related services in Southbury, CT according to public payment data.
What is the price range for Office Visit in Southbury, CT?
Medicaid reimbursement for Office Visit in Southbury, CT ranges from $0.00 to $116.92 per claim, with an average of $46.23. 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 Southbury, CT
X-Ray
Avg $4.51
87,959 claims
Psychiatric Evaluation
Avg $67.78
38,693 claims
Dental Cleaning & Exam
Avg $37.68
34,228 claims
CT Scan (Computed Tomography)
Avg $26.16
34,154 claims
Physical Therapy
Avg $26.41
30,013 claims
Eye Exam
Avg $35.39
25,803 claims
Nursing Facility Care
Avg $14.91
19,379 claims
Ultrasound
Avg $22.43
9,137 claims