Average Medicaid Office Visit Payments in Wallingford, CT: $50.24
Avg. Paid
$50.24
Range
$0.00 – $124.50
Total Claims
309,519
Providers
115
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 Wallingford, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Andrea Gail Isaacs
50 Gaylord Farm Rd |
$124.50 | 16 | 16 |
|
Comprehensive Neurology And Pain Center Of Connecticut, Llc
67 Masonic Ave |
$0.00 | 25 | 13 |
|
Cynthia Hall Mccraven
863 N Main Street Ext Ste 301 |
$26.78 | 36 | 30 |
|
Richard Harold Anderson
185 Center St |
$1.94 | 41 | 37 |
|
Rochelle Turetsky
Gaylord Farms Rd. |
$59.88 | 68 | 66 |
|
Beth Ann Hackett
97 Barnes Rd |
$10.52 | 69 | 37 |
|
Andrew Pettay Metzger
863 N Main Street Ext Ste 301 |
$32.05 | 75 | 65 |
|
Mikayla Colleen Surina
950 Yale Ave Ste 39 |
$36.12 | 76 | 72 |
|
Meir Kryger
Gaylord Farms Rd |
$102.52 | 86 | 84 |
|
Kathryn M Papadikis
900 Northrop Rd |
$48.27 | 86 | 81 |
|
David M. Stevenson
74 Cheshire Road |
$24.56 | 92 | 65 |
|
Thomas J. Helm
185 Center St |
$33.33 | 93 | 82 |
|
Gina Kelley
850 N Main Street Ext # 2 |
$31.40 | 95 | 84 |
|
Christopher Sullivan
850 N Main Street Ext |
$26.92 | 121 | 69 |
|
Alfredo Luis Axtmayer
8 Research Pkwy |
$20.60 | 153 | 101 |
|
Andrew Cosenza
821 N Main Street Ext Ste 210 |
$82.83 | 161 | 148 |
|
Adrian Kenneth Wyllie
4 Research Pkwy |
$23.46 | 168 | 39 |
|
John Marino
701 N Colony Rd |
$9.18 | 177 | 146 |
|
Catharine Burke
50 Gaylord Farm Rd |
$28.76 | 205 | 158 |
|
Liza Alexis Paolini
182 High Hill Rd |
$90.39 | 234 | 213 |
|
Megan Rianne Wolf
863 N Main Street Ext Ste 200 |
$27.20 | 234 | 190 |
|
Moulin Yogesh Chokshi
863 N Main Street Ext Ste 101 |
$28.63 | 238 | 223 |
|
Carolyn Umengan Rojo
22 Masonic Avenue |
$26.73 | 300 | 275 |
|
Nkiruka Emeagwali
44 N Plains Industrial Road |
$22.40 | 322 | 288 |
|
Michele Palmucci Barry
67 Masonic Ave Ste 2400 |
$28.95 | 342 | 291 |
|
Megan Woodruff
950 Yale Ave |
$33.89 | 344 | 214 |
|
Melissa Kay Tuohy
67 Masonic Ave Ste 2400 |
$21.39 | 356 | 248 |
|
Gisela Sardinas
15 S Elm St |
$7.45 | 369 | 190 |
|
Kathryn Bellico Cappiello
1062 Barnes Rd Ste 300 |
$26.27 | 376 | 359 |
|
Michael Mcmahon
1062 Barnes Rd |
$18.72 | 419 | 353 |
|
Anant Agarwalla
850 N Main Street Ext |
$38.51 | 433 | 380 |
|
Zain Ahmed
1062 Barnes Rd Ste 300 |
$55.54 | 468 | 446 |
|
Lauren Mary Dempsey
85 Barnes Rd Ste 202 |
$45.42 | 473 | 347 |
|
Anton Robert Cherry
50 Gaylord Farm Rd |
$11.36 | 515 | 437 |
|
Chelsea Ann Gardner
85 Barnes Road |
$76.60 | 539 | 466 |
|
Amanda Marie Wilson
1062 Barnes Rd Ste 300 |
$20.87 | 553 | 529 |
|
Charles Brian Helm
185 Center St |
$41.98 | 614 | 538 |
|
Allison Padegimas
1062 Barnes Rd Ste 300 |
$59.01 | 662 | 629 |
|
Comprehensive Orthopedics & Musculoskeletal Care Llc
863 North Main St Ext |
$0.04 | 670 | 323 |
|
Authurine Hannam-Davis
300 Church Street, Ste 103 |
$0.00 | 697 | 589 |
|
David J Chen
50 Gaylord Farm Rd |
$19.54 | 739 | 669 |
|
Alexandria Rose Viscosi
85 Barnes Rd Ste 202 |
$80.39 | 755 | 637 |
|
Aimie Huelsman
329 Main St Ste 202 |
$50.99 | 756 | 481 |
|
Alla Bernshteyn
67 Masonic Ave |
$40.07 | 878 | 691 |
|
Leonard A Kolstad
863 N Main Street Ext |
$7.46 | 878 | 512 |
|
Hudson Seidel
863 N Main Street Ext Ste 200 |
$22.13 | 916 | 737 |
|
Luci Juvan
Gaylord Farms Rd. |
$11.04 | 954 | 771 |
|
Julianne Mastroe
97 Barnes Rd. |
$71.83 | 1,143 | 1,010 |
|
Stacy T Unsworth
950 Yale Ave |
$60.75 | 1,149 | 950 |
|
Miriam Susan Cohen
97 Barnes Rd |
$62.61 | 1,189 | 1,094 |
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 Wallingford, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wallingford, CT is $50.24 per claim, based on 309,519 claims from 115 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 Wallingford, CT?
There are 115 Medicaid providers offering Office Visit related services in Wallingford, CT according to public payment data.
What is the price range for Office Visit in Wallingford, CT?
Medicaid reimbursement for Office Visit in Wallingford, CT ranges from $0.00 to $124.50 per claim, with an average of $50.24. 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 Wallingford, CT
Physical Therapy
Avg $37.20
332,437 claims
Blood Work & Lab Tests
Avg $3.00
295,351 claims
Pathology & Lab Services
Avg $17.54
116,010 claims
Psychiatric Evaluation
Avg $61.57
105,847 claims
Urinalysis & Urine Tests
Avg $5.91
62,810 claims
Nursing Facility Care
Avg $15.08
61,889 claims
EKG / ECG (Electrocardiogram)
Avg $6.53
57,483 claims
Speech Therapy
Avg $41.78
56,472 claims