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 |
|---|---|---|---|
|
Sameer Syed
The Gaylord Hospital |
$62.12 | 19,176 | 17,001 |
|
Anace H Said
85 Barnes Rd Ste 202 |
$95.77 | 18,940 | 12,627 |
|
Mary Colburn
850 N Main Street Ext |
$56.33 | 13,742 | 9,898 |
|
Shahzad Zaki
1257 S Broad St |
$69.23 | 12,141 | 7,940 |
|
Mary N Sanders
85 Barnes Rd |
$66.77 | 11,591 | 9,821 |
|
La'Erica L Williams
85 Barnes Rd |
$50.24 | 10,285 | 6,674 |
|
Kwaku Ohene Asare
50 Gaylord Farm Rd |
$14.29 | 8,135 | 7,770 |
|
Pei Fang Sun
850 N Main Street Ext |
$47.74 | 7,961 | 5,494 |
|
Sandra Peccerillo
1062 Barnes Rd |
$68.74 | 7,783 | 6,173 |
|
Gina Morgenstein
85 Barnes Rd |
$48.80 | 7,600 | 6,073 |
|
Adam Quinn Ferguson
863 N Main Street Ext Ste 200 |
$25.66 | 7,112 | 5,364 |
|
Kathleen Mary Kirwin
116 S Main St |
$1.86 | 6,500 | 5,006 |
|
Daniel T. Dennehy
185 Center St |
$13.02 | 6,490 | 5,660 |
|
Jonathan Robert Dale
863 N Main Street Ext Ste 200 |
$35.22 | 6,167 | 5,335 |
|
Michael Clark
850 N Main Street Ext |
$34.25 | 6,015 | 4,706 |
|
Craig Michael Keanna
1062 Barnes Rd |
$99.66 | 5,992 | 5,464 |
|
Aaron Saul Covey
863 N Main Street Ext |
$25.05 | 5,608 | 4,199 |
|
Aaron E Padden
16 Sharon Dr |
$51.52 | 5,081 | 4,286 |
|
Kerline Vassell Klaus
1062 Barnes Road |
$89.10 | 4,716 | 4,343 |
|
Joseph A. Peccerillo
185 Center St |
$18.32 | 4,570 | 4,025 |
|
Kimberly Hayden Miles
950 Yale Ave |
$65.88 | 4,102 | 3,362 |
|
George Spivack
97 Barnes Rd |
$47.19 | 4,037 | 3,805 |
|
James B Fanning
185 Center St |
$16.71 | 4,008 | 3,562 |
|
Anatoly Braylovsky
850 N Main Street Ext |
$52.63 | 3,905 | 3,279 |
|
Vivian P Tsuei
1062 Barnes Rd |
$94.59 | 3,899 | 3,511 |
|
Carlos R Valentin
950 Yale Ave |
$59.29 | 3,898 | 3,267 |
|
Jeffrey Jennings
97 Barnes Rd |
$73.84 | 3,871 | 3,418 |
|
Igor Gene Turok
67 Masonic Ave |
$1.20 | 3,537 | 2,569 |
|
John Dinkler
1062 Barnes Rd |
$43.39 | 3,517 | 3,343 |
|
Rania Rifaey
863 N Main Street Ext Ste 200 |
$19.06 | 3,334 | 2,567 |
|
Robert Joel Golub
1062 Barnes Rd |
$48.46 | 3,246 | 3,041 |
|
Marlene L. Waradzin
185 Center St |
$14.80 | 2,957 | 2,661 |
|
Wolf J Erlich
950 Yale Ave |
$13.54 | 2,941 | 1,517 |
|
Yidi Ge
850 N Main Street Ext Ste 1A3 |
$38.57 | 2,908 | 2,020 |
|
Elizabeth R Renker
97 Barnes Rd Ste 6 |
$65.10 | 2,902 | 2,269 |
|
Christopher Michael Yardan
187 N Main St |
$31.37 | 2,859 | 2,025 |
|
Alexander Baaklini
950 Yale Ave |
$52.25 | 2,850 | 2,213 |
|
John Huang
67 Masonic Ave |
$49.43 | 2,783 | 2,640 |
|
Tara Nicole Carlesco
821 N Main Street Ext Ste 210 |
$63.62 | 2,635 | 2,375 |
|
Donna L Mariano
67 Masonic Ave |
$40.31 | 2,622 | 2,403 |
|
Marie Helene Pouliot
1062 Barnes Road |
$95.65 | 2,618 | 2,419 |
|
Joan Mary Landino
185 Center St |
$40.02 | 2,544 | 1,776 |
|
Richard Barry Wein
25 Fair Street |
$68.77 | 2,538 | 2,250 |
|
Colleen Sherkow
863 N Main Street Ext |
$60.46 | 2,360 | 2,221 |
|
Maria G De Sousa
950 Yale Ave |
$60.01 | 2,348 | 1,918 |
|
Allison Pearson
1243 S Broad St |
$55.69 | 2,299 | 1,877 |
|
Ryan S Charette
863 North Main Street, Extension |
$21.65 | 2,243 | 1,705 |
|
Devika Umashanker
22 Masonic Ave |
$45.64 | 2,235 | 1,970 |
|
Norman Roth
1062 Barnes Rd Ste 300 |
$30.55 | 2,206 | 2,073 |
|
Ronald S Paret
863 N Main Street Ext |
$18.00 | 2,012 | 1,320 |
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