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 |
|---|---|---|---|
|
Ralph Prezioso
70 Meriden Ave |
$4.32 | 12 | 12 |
|
Wendy Ann Assael
462 Queen St |
$96.42 | 13 | 13 |
|
Jessica Isabel Abrantes-Figueiredo
1115 West St |
$17.31 | 18 | 13 |
|
Nazer Qureshi
55 Meriden Ave Ste 3G |
$102.13 | 27 | 27 |
|
Candice Ellen Shea
1131 West St |
$28.12 | 34 | 25 |
|
Yale Home Care Physicians Inc
1783 Meriden Waterbury Tpke |
$0.00 | 42 | 33 |
|
Amy Breakstone
1131 West St |
$46.43 | 42 | 37 |
|
Kawal Hanjan-Fusco
110 Dunham Pl |
$36.57 | 46 | 43 |
|
Sai Charan Nagella
1115 West Street |
$40.57 | 50 | 50 |
|
Carmelina Luongo
1131 West St |
$35.97 | 53 | 51 |
|
Masuma Islam
1115 West St |
$38.96 | 64 | 62 |
|
Tatiana Kharina
832 Queen St |
$22.98 | 81 | 76 |
|
Cassandra R Desmond
1131 West St Ste 2 |
$28.83 | 83 | 79 |
|
Karen Benoit
326 Main St |
$46.59 | 100 | 83 |
|
Grace Barry
1187 Queen St |
$55.88 | 101 | 74 |
|
Kristin Marie Kuchyt
1131 West St, Building1, Suite 2 |
$26.55 | 141 | 85 |
|
Anthony A Luciano
1115 West St |
$42.60 | 172 | 136 |
|
Mary Haran
51 North Main St |
$32.56 | 202 | 181 |
|
Anthony Dominick Ciardella
360 14 N Main St |
$24.40 | 210 | 131 |
|
Marybeth Fisher
167 Main St |
$17.97 | 223 | 107 |
|
Heather Lavallee Theriault
27 Meriden Ave |
$24.44 | 232 | 203 |
|
Ramzia Julia Asheh
81 Meriden Ave |
$20.20 | 253 | 220 |
|
Amanda Massaro Strileckis
1131 West St |
$7.88 | 364 | 192 |
|
Kimberly Burns
1187 Queen St |
$54.82 | 399 | 360 |
|
Elina Schwartz
98 Main Street |
$5.32 | 442 | 381 |
|
Michael J Dawson
55 Meriden Ave Ste 3G |
$28.03 | 457 | 436 |
|
Danielle Elizabeth Luciano
1115 West St |
$36.21 | 459 | 417 |
|
Inku K Lee
55 Meriden Ave Ste 3G |
$19.85 | 498 | 429 |
|
Vickie Christine Gerdon
1131 West St |
$15.56 | 554 | 538 |
|
Letterio Asciuto
70 Meriden Ave |
$42.43 | 713 | 652 |
|
Lauren Madigan
941 Queen St |
$29.09 | 746 | 569 |
|
Russell Chiappetta
360 N Main St |
$9.24 | 754 | 618 |
|
Katarzyna J. Wadolowski
209 Main St |
$28.37 | 766 | 570 |
|
Timothy W Chapados
70 Meriden Ave |
$62.37 | 803 | 745 |
|
Christopher K Manning
1131 West St |
$29.02 | 892 | 716 |
|
Curtland Chester Brown
55 Meriden Ave |
$18.15 | 930 | 478 |
|
Joshua Craig Wilson
832 Queen St |
$31.35 | 977 | 752 |
|
Samantha N Nesbeth
963 Queen St Ste E |
$4.65 | 1,125 | 964 |
|
Stephanie Fiore
1115 West St |
$39.00 | 1,196 | 1,129 |
|
Rebecca Davies Jeffery
340 N Main St |
$69.01 | 1,204 | 969 |
|
Vuong Duc Dang
360 N Main St |
$43.10 | 1,239 | 1,010 |
|
Kriston Ronalter
775 Queen Street |
$36.37 | 1,289 | 942 |
|
Angela Orsini-Garry
209 Main St Ste A |
$64.30 | 1,355 | 1,229 |
|
Jessica Mason
462 Queen St # 301 |
$47.28 | 1,391 | 1,302 |
|
Mark Peterson
143 N Main St |
$63.46 | 1,400 | 1,140 |
|
Michelle Louise Slavin
462 Queen St Ste 303 |
$61.48 | 1,411 | 1,318 |
|
Andrew D Guest
171 Liberty St |
$10.33 | 1,442 | 821 |
|
Ebony Tasha Johnson
462 Queen St Fl 3 |
$12.21 | 1,588 | 1,469 |
|
Isma Arif Mian
462 Queen Street |
$44.72 | 1,652 | 1,571 |
|
Gina Frances Lattanzio
209 Main St Ste A |
$62.35 | 1,676 | 1,480 |
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