Average Medicaid Office Visit Payments in Southington, CT: $45.43
Avg. Paid
$45.43
Range
$0.00 – $102.13
Total Claims
211,805
Providers
90
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 Southington, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nirmala Panwar
1783 Meriden Waterbury Tpke #13 |
$81.19 | 13,292 | 6,105 |
|
Arthur Blumer
340 N Main St |
$46.87 | 10,252 | 8,672 |
|
George J Costanzo
340 N Main St |
$31.02 | 9,519 | 7,557 |
|
Gregory D. Bell
81 Meriden Ave |
$33.43 | 9,308 | 6,910 |
|
Maureen N Onyirimba
55 Meriden Ave |
$85.52 | 8,313 | 6,376 |
|
Jason L Chang
55 Meriden Ave Ste 1A |
$45.70 | 8,266 | 6,756 |
|
Wylie David Hosmer
55 Meriden Ave Ste 1A |
$30.65 | 7,406 | 6,023 |
|
Agatha Giliberto
326 Main Street |
$80.36 | 6,263 | 3,937 |
|
Matthew Patrick Raymond
340 N Main St |
$22.04 | 6,117 | 5,669 |
|
Luis Diego Leon
1115 West St |
$54.62 | 6,065 | 5,252 |
|
Brian J Byrne
55 Meriden Ave |
$36.01 | 6,020 | 4,948 |
|
Narinder Maheshwari
1115 West St |
$64.24 | 5,791 | 5,052 |
|
Peter David Byeff
55 Meriden Ave |
$36.45 | 4,890 | 3,664 |
|
Samuel Lewis Siegler
81 Meriden Ave |
$15.21 | 4,305 | 2,061 |
|
Vincent M Leone
1115 West St |
$75.27 | 4,300 | 3,656 |
|
Farid F Shafik
318 North Main St |
$20.73 | 4,266 | 3,130 |
|
Bridgitte F. Ackeifi
41 Old Turnpike Rd |
$49.07 | 4,034 | 3,147 |
|
Heather Ryng
462 Queen St Ste 302 |
$32.65 | 3,925 | 3,365 |
|
Allison L Valley
775 W Queen Street |
$34.32 | 3,835 | 3,480 |
|
Emily Hollywood
73 S Plains Rd |
$30.60 | 3,778 | 3,625 |
|
Apeksha Vachhani
98 Main St |
$38.28 | 3,765 | 3,455 |
|
Eleonore Roesch
98 Main St |
$69.17 | 3,330 | 3,054 |
|
Lorissa Heath
98 Main St Ste 203 |
$31.66 | 3,177 | 2,146 |
|
Prim Kasabiiti
1115 West St |
$2.97 | 3,176 | 2,777 |
|
William R Mcqueen
55 Meriden Ave |
$65.39 | 2,850 | 2,226 |
|
Michael Anthony Sposato
98 Main St |
$32.08 | 2,790 | 2,191 |
|
Rajwardhan Yadav
1131 West St Ste 1 |
$41.76 | 2,778 | 2,262 |
|
Joshua Rock
55 Meriden Ave |
$24.33 | 2,699 | 2,106 |
|
George Skarvinko
209 Main St |
$69.12 | 2,677 | 2,380 |
|
Laura Thompson
1187 Queen St |
$30.85 | 2,584 | 2,189 |
|
Alyssa Kanagaki Greenleaf
462 Queen St Ste 303 |
$27.62 | 2,554 | 2,401 |
|
Kathleen M. Rinaldi
326 Main St |
$34.47 | 2,525 | 1,981 |
|
Wilner Samson
98 Main St |
$63.05 | 2,484 | 2,311 |
|
Lori Marie De La Portilla
462 Queen St # 303 |
$38.67 | 2,427 | 2,322 |
|
Setareh Alipourfetrati
1115 West St |
$69.62 | 2,334 | 2,084 |
|
David Inyangetor
1115 West St |
$71.46 | 2,137 | 1,729 |
|
Sana Idrees
98 Main St |
$41.46 | 1,958 | 1,516 |
|
Joseph A Babiarz
360 N Main St |
$44.53 | 1,951 | 1,569 |
|
Emily Amanda Williams
167 Main St |
$35.49 | 1,949 | 1,674 |
|
Kimberly O Drakes
1131 West St |
$34.63 | 1,794 | 1,501 |
|
Gina Frances Lattanzio
209 Main St Ste A |
$62.35 | 1,676 | 1,480 |
|
Isma Arif Mian
462 Queen Street |
$44.72 | 1,652 | 1,571 |
|
Ebony Tasha Johnson
462 Queen St Fl 3 |
$12.21 | 1,588 | 1,469 |
|
Andrew D Guest
171 Liberty St |
$10.33 | 1,442 | 821 |
|
Michelle Louise Slavin
462 Queen St Ste 303 |
$61.48 | 1,411 | 1,318 |
|
Mark Peterson
143 N Main St |
$63.46 | 1,400 | 1,140 |
|
Jessica Mason
462 Queen St # 301 |
$47.28 | 1,391 | 1,302 |
|
Angela Orsini-Garry
209 Main St Ste A |
$64.30 | 1,355 | 1,229 |
|
Kriston Ronalter
775 Queen Street |
$36.37 | 1,289 | 942 |
|
Vuong Duc Dang
360 N Main St |
$43.10 | 1,239 | 1,010 |
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 Southington, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Southington, CT is $45.43 per claim, based on 211,805 claims from 90 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 Southington, CT?
There are 90 Medicaid providers offering Office Visit related services in Southington, CT according to public payment data.
What is the price range for Office Visit in Southington, CT?
Medicaid reimbursement for Office Visit in Southington, CT ranges from $0.00 to $102.13 per claim, with an average of $45.43. 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 Southington, CT
Psychiatric Evaluation
Avg $62.64
54,102 claims
Dental Cleaning & Exam
Avg $34.89
39,478 claims
Emergency Room Visit
Avg $46.23
33,985 claims
Nursing Facility Care
Avg $13.77
21,527 claims
Eye Exam
Avg $39.16
21,428 claims
Vaccines & Immunizations
Avg $12.93
20,478 claims
Blood Work & Lab Tests
Avg $5.17
18,975 claims
Speech Therapy
Avg $35.97
16,126 claims