Average Medicaid Office Visit Payments in Waterford, CT: $35.05
Avg. Paid
$35.05
Range
$0.00 – $79.39
Total Claims
61,399
Providers
53
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 Waterford, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ronald L Medwick
567 Vauxhall Street |
$35.42 | 12 | 12 |
|
Matthew Leon Danish
230 Waterford Pkwy S |
$79.39 | 14 | 14 |
|
Gemstonn Boniface Alegre
5 Dayton Rd Ste 102 |
$71.65 | 14 | 14 |
|
Evelyn Yee-Lam Wong
909 Hartford Tpke Ste D2 |
$18.70 | 31 | 26 |
|
Jane P Genido-Trujillo
230 Waterford Pkwy S |
$18.70 | 45 | 42 |
|
Francis Gervan Mlynarski
201 Boston Post Rd |
$22.75 | 66 | 55 |
|
Andrew Douglas Kass
230 Waterford Pkwy S |
$13.25 | 77 | 64 |
|
Monika U Zagaja
4 Greentree Dr |
$70.24 | 82 | 73 |
|
Elizabeth Willetts
196 Parkway South |
$15.25 | 104 | 98 |
|
Daniel Leroy Waggoner
196 Waterford Pkwy S Ste 305B |
$42.49 | 104 | 93 |
|
Sarah Canavan
196 Waterford Pkwy S Ste 306 |
$60.27 | 111 | 98 |
|
Valerie Popkin
196 Parkway S |
$45.73 | 177 | 166 |
|
Brian S Ehrlich
196 Parkway South |
$57.42 | 199 | 190 |
|
Francis Mayeda
914 Hartford Tpke |
$35.18 | 212 | 189 |
|
Anita Christina Chandrasekaran
196 Waterford Pkwy S Ste 201B |
$33.14 | 303 | 287 |
|
Doron J Ber
196 Waterford Pkwy S Ste 305B |
$41.26 | 348 | 319 |
|
Meghana Rao Brito
196 Waterford Pkwy S Ste 103 |
$48.63 | 352 | 335 |
|
Brian G Mann
909 Hartford Tpke |
$33.12 | 360 | 144 |
|
Mahesh Anil Netravali
196 Waterford Pkwy S Ste 305B |
$45.52 | 384 | 360 |
|
Michael Joel Kane
196 Parkway South |
$14.78 | 387 | 280 |
|
Raymond Arthur Gaito
201 Boston Post Rd |
$15.64 | 466 | 398 |
|
Susan K Schroeder
196 Parkway S |
$0.00 | 502 | 426 |
|
Damianos Kokkinidis
196 Parkway South |
$45.74 | 514 | 504 |
|
Alexandra Lamonica
196 Waterford Pkwy S |
$16.04 | 534 | 512 |
|
Robert John Kupis
196 Parkway South |
$0.00 | 614 | 452 |
|
Frank R. Dellacono
201 Boston Post Rd |
$27.28 | 619 | 534 |
|
Adelina Nicole Jakuba
5 Dayton Rd Ste 102 |
$58.24 | 667 | 632 |
|
Dmitry Volkin
5 Dayton Rd Ste 202 |
$28.06 | 812 | 773 |
|
Mark Somers
196 Parkway South |
$41.59 | 859 | 815 |
|
Mark N Fiengo
196 Parkway S |
$40.80 | 900 | 845 |
|
Urielle Marseille
196 Parkway S |
$69.36 | 1,036 | 833 |
|
Mary Ann Dionne Bentz
914 Hartford Tpke Ste 103 |
$33.52 | 1,042 | 952 |
|
Amandeep Singh Aujla
196 Parkway South |
$21.89 | 1,059 | 960 |
|
Christopher D. Smith
196 Parkway S |
$53.32 | 1,125 | 766 |
|
David S Boisoneau
201 Boston Post Rd |
$32.52 | 1,136 | 995 |
|
David Golden
36 Clark Ln |
$62.36 | 1,334 | 1,128 |
|
Richard Lord Vincent
201 Boston Post Rd |
$19.71 | 1,351 | 1,190 |
|
Joseph William Difrancesca
196 Parkway S |
$5.58 | 1,354 | 921 |
|
Margo Mae Sardo
5 Dayton Rd Ste 102 |
$43.52 | 1,387 | 1,276 |
|
Jessie R Baudner
196 Waterford Pkwy S Ste 306 |
$26.80 | 1,447 | 1,193 |
|
Amanda Siminerio
196 Waterford Pkwy S Ste 306 |
$18.51 | 1,571 | 1,409 |
|
Kimberly Guzzio
196 Parkway S |
$15.06 | 1,601 | 1,485 |
|
Russell R Otto
201 Boston Post Rd |
$28.73 | 2,015 | 1,653 |
|
John Michael Greeley
196 Parkway S |
$61.65 | 2,076 | 1,925 |
|
Jacqueline Lagasse
196 Parkway S |
$49.25 | 2,504 | 2,360 |
|
Nauman Chaudhry
174 Cross Rd |
$20.61 | 2,828 | 2,083 |
|
Jon C Gaudio
196 Parkway South |
$48.43 | 2,831 | 2,673 |
|
David Alan Brill
196 Parkway South |
$45.27 | 3,339 | 3,135 |
|
Benjamin R Newton
230 Waterford Parkway South |
$35.39 | 3,517 | 3,118 |
|
John Michael Gaetano
914 Hartford Turnpike |
$15.08 | 3,654 | 3,309 |
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 Waterford, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Waterford, CT is $35.05 per claim, based on 61,399 claims from 53 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 Waterford, CT?
There are 53 Medicaid providers offering Office Visit related services in Waterford, CT according to public payment data.
What is the price range for Office Visit in Waterford, CT?
Medicaid reimbursement for Office Visit in Waterford, CT ranges from $0.00 to $79.39 per claim, with an average of $35.05. 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 Waterford, CT
Eye Exam
Avg $23.57
77,874 claims
Psychiatric Evaluation
Avg $64.43
67,244 claims
EKG / ECG (Electrocardiogram)
Avg $4.11
43,000 claims
Physical Therapy
Avg $22.89
14,965 claims
Ambulance Transport
Avg $75.78
14,593 claims
Home Health Visit
Avg $35.87
10,629 claims
Speech Therapy
Avg $36.42
10,229 claims
Prescription Medications
Avg $471.11
10,133 claims