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 |
|---|---|---|---|
|
Andrew Paul Thomas Gregory
460 Hartford Tpke |
$0.00 | 30 | 28 |
|
Eleas J Chafouleas
281 Hartford Tpke |
$13.93 | 30 | 29 |
|
Angelito C Bacay
281 Hartford Tpke |
$4.40 | 39 | 25 |
|
Ali Hemacha
428 Hartford Tpke |
$68.34 | 60 | 55 |
|
Heather Shah
27 Naek Rd Ste 2 |
$31.21 | 85 | 49 |
|
Susan F Burroughs
400 Talcottville Rd # 1 |
$36.73 | 128 | 124 |
|
Paula C Rocha
30 Hyde Ave Ste 109 |
$38.47 | 133 | 121 |
|
David Micah Kruger
224 Hartford Tpke |
$8.57 | 138 | 102 |
|
Maryellen Simko
95 Hockanum Blvd |
$31.66 | 166 | 157 |
|
Eric Michael Thompson
351 Merline Rd |
$26.22 | 177 | 131 |
|
David A Wasserstein
27 Naek Rd |
$13.09 | 180 | 141 |
|
Joy Antenelle Demarcaida
35 Talcottville Road |
$14.58 | 185 | 171 |
|
Jeffrey Philip Lahrmann
35 Talcottville Rd Ste 6 |
$16.26 | 214 | 212 |
|
Kerriann Welch
357 Hartford Tpke Fl 2 |
$36.22 | 218 | 217 |
|
Anthony Gordon
54 Hartford Tpke |
$38.29 | 218 | 212 |
|
Laurel J Robertson
30 Hyde Ave Ste 109 |
$8.80 | 220 | 177 |
|
Patrene Rhoden
30 Hyde Ave Ste 109 |
$8.27 | 231 | 101 |
|
Claudio P Milite
281 Hartford Tpke |
$9.54 | 284 | 229 |
|
Irina Bratan
35 Talcottvile Road |
$465.97 | 298 | 281 |
|
Irene A Flynn-Lombardi
281 Hartford Tpke Ste 106 |
$45.26 | 305 | 246 |
|
Abby Kelly
458 Talcottville Rd |
$23.84 | 313 | 251 |
|
Northeastern Pulmonary Associates Llc
27 Naek Road |
$0.00 | 375 | 256 |
|
Susan Flaherty Washburn
357 Hartford Tpke |
$32.70 | 387 | 233 |
|
Christina R Mclaughlin
27 Naek Rd |
$78.10 | 397 | 340 |
|
Lara T Oneil
357 Hartford Tpke |
$83.97 | 409 | 342 |
|
Chandra K. Sacheti
561 Talcottville Rd |
$15.36 | 433 | 381 |
|
Andrea Lynn Delaire
206 Talcottville Rd |
$53.27 | 526 | 474 |
|
Crystal Anne Valley-Ortyl
357 Hartford Tpke |
$43.37 | 548 | 331 |
|
Dushyant N Gandhi
561 Talcottville Rd |
$20.36 | 552 | 489 |
|
Matthew Paul Steciak
400 Talcottville Rd Ste 1 |
$25.05 | 662 | 543 |
|
Jasmeet Aujla
400 Talcottville Rd Ste 1 |
$21.12 | 720 | 482 |
|
Kelly Elizabeth Sullivan
428 Hartford Tpke Ste 207 |
$18.70 | 752 | 617 |
|
Jennifer Quinn Mitchell
35 Talcottville Rd Ste 5 |
$32.02 | 825 | 712 |
|
Alisa Hall
206 Talcottville Rd |
$41.33 | 879 | 747 |
|
Amer Nabil
31 Union St |
$53.71 | 934 | 356 |
|
Girish L Sharma
520 Hartford Tpke |
$18.60 | 1,024 | 704 |
|
Joseph Mascolo
35 Talcottville Rd |
$14.57 | 1,048 | 980 |
|
Jennifer Maria Sousa Jerome
281 Hartford Tpke Ste 106 |
$57.55 | 1,055 | 783 |
|
Talia Lachcik
554 Talcottville Rd |
$60.85 | 1,067 | 939 |
|
Sara Migneault
35 Talcottville Rd |
$58.52 | 1,137 | 1,010 |
|
Jude Hall
30 Hyde Ave Ste 109 |
$35.11 | 1,165 | 736 |
|
Kari Jo Daniels
561 Talcottville Rd |
$14.86 | 1,192 | 1,029 |
|
Stephania N Dawiczyk
520 Hartford Tpke Ste M |
$22.00 | 1,267 | 1,160 |
|
Momina Afrede
428 Hartford Tpke Ste 210 |
$38.10 | 1,287 | 1,124 |
|
Lauren Lewis
428 Harford Turnpike |
$29.49 | 1,467 | 1,051 |
|
Kausar Khan
520 Hartford Tpke |
$28.81 | 1,480 | 1,323 |
|
Ellen L Marmer
520 Hartford Tpke |
$48.78 | 1,543 | 1,246 |
|
Erin Perry
179 Talcottville Rd |
$62.64 | 1,707 | 1,301 |
|
Michael James Lemay
460 Hartford Tpke |
$29.42 | 1,802 | 1,698 |
|
Constandina Patricia Conley
35 Talcottville Rd |
$99.81 | 1,803 | 1,668 |
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