Average Medicaid Office Visit Payments in Watertown, CT: $54.65
Avg. Paid
$54.65
Range
$10.47 – $87.63
Total Claims
104,592
Providers
26
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 Watertown, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ephraim P Bartfeld
380 Main St |
$82.31 | 28,243 | 23,194 |
|
Trisha Erdman
595 Straits Tpke Unit 2 |
$10.93 | 10,875 | 7,704 |
|
Christopher Ward Moody
380 Main St |
$61.48 | 8,176 | 6,132 |
|
Maximilian Gomez-Trochez
365 Main St Ste 201 |
$71.58 | 7,054 | 5,615 |
|
Allyson Lynn Rovetto
365 Main St Ste 201 |
$87.63 | 6,811 | 5,949 |
|
Hilary Skarbinski
380 Main St |
$50.14 | 4,559 | 3,980 |
|
Julia A Frankel
27 Siemon Company Dr # 116W |
$22.53 | 4,449 | 3,138 |
|
Jaime Strachan
595 Straits Tpke Unit 2 |
$15.18 | 3,901 | 2,785 |
|
Melissa Meyer
70 Fieldwood Rd |
$60.69 | 3,737 | 3,042 |
|
Preshia Heather Evans
380 Main St |
$67.49 | 3,317 | 2,764 |
|
Jacqueline O Lustig
380 Main St |
$76.58 | 3,222 | 2,725 |
|
Kevin Charles King
380 Main St |
$76.37 | 2,837 | 2,497 |
|
Maegan Anderson
27 Siemon Company Dr Ste 115W |
$16.07 | 2,738 | 1,658 |
|
Peter Anthony Ferrante
777 Echo Lake Rd Unit F |
$24.82 | 2,562 | 2,125 |
|
Robert Kingsbury Botta
595 Straits Tpke Unit 2 |
$15.31 | 2,328 | 1,678 |
|
Ann-Marie Williams
595 Straits Tpke |
$16.52 | 1,498 | 1,158 |
|
John M Mchugh
777 Echo Lake Rd Unit F |
$17.24 | 1,262 | 1,002 |
|
Stephen R Rubenstein
70 Heminway Park Rd |
$36.54 | 1,250 | 1,160 |
|
Sallie Ann Carrington
70 Heminway Park Rd |
$25.99 | 1,213 | 999 |
|
Spencer Emerson Deros
595 Straits Tpke |
$10.47 | 1,050 | 624 |
|
Ezra Dottino
777 Echo Lake Rd Unit F |
$27.68 | 921 | 765 |
|
Elisha Danzig
70 Heminway Park Rd |
$32.58 | 720 | 578 |
|
Moqueet Arshad Qureshi
595 Straits Tpke Unit 2 |
$14.19 | 669 | 465 |
|
Charles Staples
205 Sylvan Lake Rd |
$24.47 | 506 | 476 |
|
Deanna Michaud
70 Heminway Park Rd |
$19.83 | 471 | 321 |
|
Alyssa Pesino
875 Bassett Rd |
$33.36 | 223 | 214 |
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 Watertown, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Watertown, CT is $54.65 per claim, based on 104,592 claims from 26 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 Watertown, CT?
There are 26 Medicaid providers offering Office Visit related services in Watertown, CT according to public payment data.
What is the price range for Office Visit in Watertown, CT?
Medicaid reimbursement for Office Visit in Watertown, CT ranges from $10.47 to $87.63 per claim, with an average of $54.65. 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 Watertown, CT
Vaccines & Immunizations
Avg $14.87
38,761 claims
Non-Emergency Medical Transportation
Avg $0.00
25,693 claims
Eye Exam
Avg $40.42
25,085 claims
Psychiatric Evaluation
Avg $52.23
24,183 claims
Podiatry (Foot Care)
Avg $4.10
23,094 claims
Speech Therapy
Avg $36.51
20,961 claims
Physical Therapy
Avg $23.18
11,287 claims
Blood Work & Lab Tests
Avg $2.91
11,059 claims