Average Medicaid Office Visit Payments in Tolland, CT: $55.94
Avg. Paid
$55.94
Range
$15.81 – $71.77
Total Claims
24,264
Providers
17
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 Tolland, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael E Yencho
239 Merrow Rd |
$71.77 | 6,005 | 5,083 |
|
Tristin Elizabeth Geist
231 Merrow Rd Ste 3915 |
$50.20 | 5,157 | 4,258 |
|
Andrea S Barletta
699 Shenipsit Lake Rd |
$54.77 | 3,798 | 3,366 |
|
Binayak Prasad Koirala
6 Fieldstone Cmns |
$53.67 | 3,278 | 2,806 |
|
Ryan William Maringola
6 Fieldstone Cmns Ste D |
$39.97 | 2,572 | 2,213 |
|
Gerald M Bayona
384 Merrow Rd Ste K |
$53.02 | 1,584 | 1,237 |
|
John H Senechal
239 Merrow Rd |
$64.83 | 722 | 587 |
|
Wayne M Castagna
23C Fieldstone Cmns |
$28.24 | 350 | 319 |
|
Rachel Lynn Maclean
231 Merrow Rd |
$70.86 | 203 | 187 |
|
Diane Packard Annibalini
384 Merrow Rd Ste K |
$49.83 | 178 | 162 |
|
Swift Optometry Care Pc
26 Shenipsit Lake Rd |
$37.22 | 132 | 131 |
|
Jennifer Marie Allen
384 Merrow Rd Ste J |
$53.91 | 106 | 100 |
|
Michele Giles Romero
6 Fieldstone Cmns Ste D |
$36.95 | 67 | 58 |
|
Jennifer Bartson
231 Merrow Rd Ste 3915 |
$35.41 | 45 | 18 |
|
Beth Schweitzer
6 Fieldstone Commons |
$38.51 | 31 | 16 |
|
David Edward Palozej
384A Merrow Rd Ste A |
$15.81 | 22 | 13 |
|
Angela C Biondi
384 Merrow Rd Ste K |
$39.01 | 14 | 14 |
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 Tolland, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Tolland, CT is $55.94 per claim, based on 24,264 claims from 17 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 Tolland, CT?
There are 17 Medicaid providers offering Office Visit related services in Tolland, CT according to public payment data.
What is the price range for Office Visit in Tolland, CT?
Medicaid reimbursement for Office Visit in Tolland, CT ranges from $15.81 to $71.77 per claim, with an average of $55.94. 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 Tolland, CT
Ambulance Transport
Avg $20.86
153,359 claims
Non-Emergency Medical Transportation
Avg $0.00
149,071 claims
Eye Exam
Avg $44.64
25,139 claims
Vaccines & Immunizations
Avg $22.07
5,113 claims
Nursing Facility Care
Avg $2.37
4,460 claims
Psychiatric Evaluation
Avg $53.89
4,108 claims
Blood Work & Lab Tests
Avg $4.47
3,501 claims
Physical Therapy
Avg $10.08
3,347 claims