Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Waterbury, CT: $43.78

Avg. Paid

$43.78

Range

$0.00 – $142.15

Total Claims

1,350,667

Providers

474

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 Waterbury, CT

Provider	Avg. Paid	Claims	Patients
Joel Jay Garsten 60 Westwood Ave	$37.91	12	12
Robert J. Porzio 1153 W Main St	$66.40	12	12
Staywell Health Care Inc. 1309 S Main St	$0.00	12	12
Sarah Ann Adams 500 Chase Pkwy	$24.37	12	12
Nancy W Baranowski 95 Scovill St	$36.07	12	12
Connecticut Counseling Centers, Inc. 4 Midland Rd	$79.21	13	13
Kathryn Spiess 140 Grandview Ave	$0.00	13	12
Ashley Marie Cozzo 56 Franklin St	$86.63	14	14
Peter James Jacoby 56 Franklin St	$7.83	14	14
Bruce & Marilyn Vinokur Foot Care Group Llc 1211 W Main St	$25.94	14	14
Jeremy Earl Prudhomme 495 Union St Ste 1082	$36.77	16	13
Peter J. Branden 1201 W Main St	$10.16	17	13
Alina Guseynova 1075 Chase Pkwy Ste A	$53.03	17	12
Sandra Carbonari 95 Scovill St	$74.12	18	18
Amanda M Marcoux 95 Thomaston Ave	$0.00	18	15
Samuel Kellner 171 Grandview Ave Ste 104	$0.00	19	17
Laura Andrews 1201 W Main St	$16.10	26	13
Jennifer L Aldrich 64 Robbins St	$21.91	26	13
Russell Parvin 60 Westwood Ave	$32.97	27	27
Raphael Ndede Shaw 64 Robbins St	$30.79	29	28
Samantha Florence 80 Phoenix Ave	$0.00	30	27
Gerald A Valletta 2247 East Main Street	$67.71	30	28
Marvia Rosemarie Mcdonald-Dias 211 Schraffts Dr Lowr Level	$37.56	31	29
Mark Defrancesco 60 Westwood Ave	$29.07	33	25
Beverly Waczek 64 Robbins St	$77.02	34	25
Leslie Coopersmith 133 Scovill St	$29.79	36	24
Robert W. Behrends 60 Westwood Ave	$0.00	41	36
Caitlyn Kennedy Mitchell 87 Grandview Ave	$27.82	43	40
Alan S. Waitze 500 Chase Pkwy	$1.51	43	38
Samir Dengle 56 Franklin St	$44.77	45	42
Joseph Mccullough 56 Franklin St	$40.73	46	34
Lawrence E. Scheer 714 Chase Pkwy	$46.31	47	27
Alyson Nicolosi 80 Phoenix Ave	$0.00	48	44
Fahmida Khan Mcgann 160 Robbins St	$32.06	50	42
Bethel Girma Shiferaw 56 Franklin St	$44.99	51	38
Neurosurgery Orthopaedics & Spine Specialists Pc 500 Chase Pkwy	$0.00	53	51
Jonathan Brian Lis 140 Grandview Ave Ste L04	$31.06	54	51
Andrea Lynne Andersen 64 Robbins St	$94.35	56	52
Arvind T Shah 417 Highland Ave	$131.21	56	42
Frank Restivo 495 Union St Ste 1082	$15.03	56	39
Steven I Aronin 140 Grandview Ave	$58.95	60	52
Sabooh Mubbashar 64 Robbins St	$10.81	60	50
Ryan Daniel Doyle 88 Grandview Ave	$21.94	62	55
Joseph J Bowen 1075 Chase Pkwy	$14.10	62	38
Shoshana Streiter 64 Robbins St	$21.97	64	63
Robert E Murray 64 Robbins St	$26.53	64	55
Philip K Nelson 500 Chase Pkwy	$8.85	65	42
Suut Gokturk 56 Franklin St	$40.69	67	67
Paula Taylor 1279 W Main St	$35.12	71	66
Bhupinder Singh Lyall 60 Westwood Ave	$27.13	72	68

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 Waterbury, CT?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Waterbury, CT is $43.78 per claim, based on 1,350,667 claims from 474 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 Waterbury, CT?

There are 474 Medicaid providers offering Office Visit related services in Waterbury, CT according to public payment data.

What is the price range for Office Visit in Waterbury, CT?

Medicaid reimbursement for Office Visit in Waterbury, CT ranges from $0.00 to $142.15 per claim, with an average of $43.78. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Waterbury, CT: $43.78

Providers Offering Office Visit in Waterbury, CT

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Waterbury, CT

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Blood Work & Lab Tests

Physical Therapy

Psychiatric Evaluation

Emergency Room Visit

Dental Cleaning & Exam

Eye Exam

Urinalysis & Urine Tests