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
Rex L Mahnensmith 80 Phoenix Ave	$97.13	62,213	56,722
Alok Bhargava 134 Grandview Ave	$83.83	33,801	29,118
Brian Peck 1389 W Main St	$43.78	24,666	19,316
Richard Matza 1389 W Main St	$29.69	24,346	20,135
Bidarkote Somanath 140 Grandview Ave	$67.58	24,117	20,669
Nanik R Manchandani 2457 E Main St Unit 105	$89.88	22,008	19,812
Lesly Valbrun 51 North Elm Street	$3.86	17,460	8,442
Karen D Rosen 56 Franklin St	$77.09	15,570	13,770
James Dewey Williams 171 Grandview Ave	$44.93	15,141	11,738
Raymond E Winicki 171 Grandview Ave	$30.91	14,890	10,419
Meghan Elizabeth Petitti 56 Franklin St	$42.44	12,662	10,812
Philip A. Mongelluzzo 2247 East Main Street	$71.93	12,070	9,339
Melissa Amicone 51 N Elm St	$8.56	11,760	10,835
Shady Macaron 56 Franklin St	$53.76	11,138	9,923
Ihsan I Jabbour 171 Grandview Ave	$52.04	10,598	7,784
Giac Chan Nguyen Tan 171 Grandview Ave	$24.17	10,431	10,098
Nnennaya Duke 51 N Elm St	$11.56	10,249	8,624
Deborah A. Mastriani 21 W Main St	$21.66	10,098	6,656
Ira Jeffrey Berg 160 Robbins St	$74.56	9,939	8,779
Wellmore, Inc. 141 E Main St	$84.98	9,767	8,518
Elsa Mercedes Martinez 80 Phoenix Ave Ste 201	$27.09	9,411	8,503
Staywell Health Care, Inc. 80 Phoenix Ave	$16.57	8,767	7,677
Debbie L. Cayabyab 80 Phoenix Ave	$15.16	8,657	7,693
Brooke H Kokus 56 Franklin St	$38.17	8,584	6,427
Jaclyn M Brancato 56 Franklin St	$24.09	8,542	8,207
Jessica L Murphy 64 Robbins St	$30.98	8,402	6,737
Joseph Mark Pruner 56 Franklin Street	$53.51	8,375	7,211
Kate Rooney 969 W Main St	$52.29	8,366	7,355
Andrea Douyard 179 Roseland Ave	$43.53	8,332	6,935
Ashley Townsend 56 Franklin St	$38.18	8,320	6,936
Angela M Barrows 95 Scovill St	$0.07	8,187	7,481
Joseph P Morley 455 Chase Pkwy	$41.26	7,963	6,213
Abdulmasih Z Zarif 1389 W Main St	$21.96	7,900	3,391
Joel Scott Segalman 714 Chase Pkwy	$16.83	7,881	4,447
Diane Kim 1981 E Main St	$78.83	7,824	7,003
Jenna Elizabeth Langello 500 Chase Pkwy	$77.06	7,809	6,159
Shirley Joseph 1389 W Main St Ste 302	$63.34	7,801	6,579
Sedat Selajdin Shaban 1389 West Main St	$68.73	7,678	5,948
Marilyn M Vinokur 1211 W Main St	$14.23	7,675	4,351
Ellen Mascoli-Lanza 160 Robbins St	$71.66	7,648	6,924
Stephanie Lauren Gunpat 64 Robbins St	$76.81	7,630	6,619
Anna C Freitag 56 Franklin St	$42.78	7,574	6,358
Jessica Vinokur 1211 W Main St	$14.14	7,545	4,351
Xi Teng 51 N Elm St	$4.78	7,306	6,731
Edgar Catala 80 Phoenix Ave	$29.20	7,181	5,023
Michele C Pierce 60 Westwood Ave Ste 314	$28.48	7,148	5,609
Danielle P Federico 56 Franklin St	$91.03	7,129	6,378
Lea Hamila 80 Phoenix Ave	$10.59	7,099	5,798
Radhika Abhishek Agrawal 80 Phoenix Ave	$0.00	7,064	6,450
Michelle Marie Lachance 56 Franklin St	$39.66	6,917	6,083

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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