Average Medicaid Office Visit Payments in Vernon, CT: $52.52
Avg. Paid
$52.52
Range
$0.00 – $465.97
Total Claims
177,215
Providers
87
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 Vernon, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Monique Renee Martin
206 Talcottville Rd |
$75.42 | 9,289 | 7,638 |
|
Leela Panoor
155 W Main St |
$61.87 | 7,464 | 6,363 |
|
Robert Parnes
57 Hartford Tpke |
$82.04 | 7,197 | 6,514 |
|
James Kelly
554 Talcottville Rd |
$46.74 | 6,490 | 5,144 |
|
Judy Huang-Bulger
357 Hartford Tpke |
$84.48 | 6,417 | 5,271 |
|
Elizabeth Ann Martin
357 Hartford Tpke |
$85.68 | 6,291 | 5,259 |
|
Jerome E Lahman
357 Hartford Tpke |
$77.33 | 6,245 | 5,366 |
|
Diana Wagner
460 Hartford Tpke Ste A |
$58.05 | 5,799 | 5,096 |
|
Mohammed S Anwar
27 Naek Rd Ste 2 |
$26.27 | 5,303 | 3,000 |
|
Chinyere Okoronkwo
57 Hartford Tpke |
$80.86 | 4,964 | 4,490 |
|
Heather Karpey
347 Hartford Turnpike |
$62.33 | 4,830 | 4,119 |
|
Yasmine S Khan
460 Hartford Tpke |
$33.25 | 4,829 | 4,332 |
|
John Schifferdecker
554 Talcottville Rd |
$41.33 | 4,328 | 3,675 |
|
Kristin Giannini
520 Hartford Tpke |
$53.74 | 4,006 | 3,464 |
|
Saima J Ansari
27 Naek Rd Ste 2 |
$35.67 | 3,724 | 2,325 |
|
Faustinus C Onyirimba
27 Naek Rd |
$20.94 | 3,697 | 2,104 |
|
Erika Maria Reinhard
357 Hartford Tpke |
$55.71 | 3,545 | 2,415 |
|
Lisa Talati
428 Hartford Tpke |
$53.13 | 3,390 | 3,036 |
|
Susan Charmaine Izzo
520 Hartford Tpke |
$33.69 | 3,256 | 2,817 |
|
Nichole Kycia
460 Hartford Tpke |
$51.05 | 3,143 | 2,755 |
|
Elise Winter
520 Hartford Tpke |
$43.92 | 2,860 | 2,613 |
|
Swati J Patel
35 Talcottville Rd Ste 1 |
$13.13 | 2,836 | 2,672 |
|
Preston T Briggs
554 Talcottville Rd |
$32.27 | 2,796 | 2,133 |
|
Omar Akhtar
179 Talcottville Rd |
$42.91 | 2,723 | 1,397 |
|
Richard B Ahrens
224 Hartford Tpke |
$26.62 | 2,695 | 2,540 |
|
Eric Anthony Camyre
428 Hartford Tpke |
$51.31 | 2,634 | 2,305 |
|
Jesse Eisler
460 Hartford Tpke |
$15.74 | 2,615 | 2,006 |
|
Karen C. Halasan
27 Naek Rd |
$36.28 | 2,605 | 1,774 |
|
Richard Orris
428 Hartford Tpke |
$43.55 | 2,498 | 2,113 |
|
Kristen Maloney
357 Hartford Tpke |
$67.99 | 2,335 | 1,668 |
|
Jean Ann Menghini
35 Talcottville Rd |
$68.66 | 2,291 | 2,223 |
|
Kellie Angela Ford
35 Talcottville Road |
$4.09 | 2,241 | 1,991 |
|
Kimberly L Hayes
520 Hartford Tpke Ste M |
$54.99 | 2,026 | 1,741 |
|
Gary Irwin Bykoff
281 Hartford Turnpike |
$90.88 | 2,014 | 1,462 |
|
Andrea Sadowski
520 Hartford Tpke |
$62.26 | 1,969 | 1,699 |
|
Stephanie Melissa Fontanella
428 Hartford Tpke Ste 207 |
$25.68 | 1,904 | 1,362 |
|
Prospect Rockville Hospital, Inc.
31 Union St |
$50.20 | 1,871 | 1,712 |
|
Constandina Patricia Conley
35 Talcottville Rd |
$99.81 | 1,803 | 1,668 |
|
Michael James Lemay
460 Hartford Tpke |
$29.42 | 1,802 | 1,698 |
|
Erin Perry
179 Talcottville Rd |
$62.64 | 1,707 | 1,301 |
|
Ellen L Marmer
520 Hartford Tpke |
$48.78 | 1,543 | 1,246 |
|
Kausar Khan
520 Hartford Tpke |
$28.81 | 1,480 | 1,323 |
|
Lauren Lewis
428 Harford Turnpike |
$29.49 | 1,467 | 1,051 |
|
Momina Afrede
428 Hartford Tpke Ste 210 |
$38.10 | 1,287 | 1,124 |
|
Stephania N Dawiczyk
520 Hartford Tpke Ste M |
$22.00 | 1,267 | 1,160 |
|
Kari Jo Daniels
561 Talcottville Rd |
$14.86 | 1,192 | 1,029 |
|
Jude Hall
30 Hyde Ave Ste 109 |
$35.11 | 1,165 | 736 |
|
Sara Migneault
35 Talcottville Rd |
$58.52 | 1,137 | 1,010 |
|
Talia Lachcik
554 Talcottville Rd |
$60.85 | 1,067 | 939 |
|
Jennifer Maria Sousa Jerome
281 Hartford Tpke Ste 106 |
$57.55 | 1,055 | 783 |
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 Vernon, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Vernon, CT is $52.52 per claim, based on 177,215 claims from 87 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 Vernon, CT?
There are 87 Medicaid providers offering Office Visit related services in Vernon, CT according to public payment data.
What is the price range for Office Visit in Vernon, CT?
Medicaid reimbursement for Office Visit in Vernon, CT ranges from $0.00 to $465.97 per claim, with an average of $52.52. 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 Vernon, CT
Blood Work & Lab Tests
Avg $1.37
152,077 claims
Psychiatric Evaluation
Avg $60.36
119,291 claims
Dental Cleaning & Exam
Avg $33.00
75,388 claims
Physical Therapy
Avg $32.28
74,918 claims
Vaccines & Immunizations
Avg $16.26
49,555 claims
Eye Exam
Avg $38.23
44,676 claims
Urinalysis & Urine Tests
Avg $0.12
34,725 claims
Emergency Room Visit
Avg $233.48
34,522 claims