Average Medicaid Office Visit Payments in West Haven, CT: $50.44
Avg. Paid
$50.44
Range
$0.00 – $112.26
Total Claims
300,132
Providers
112
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 West Haven, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kripa Plapetta Damodharan
764 Campbell Ave Ste F |
$63.94 | 30,716 | 19,410 |
|
Jobey Jacob
365 Elm St |
$87.18 | 18,081 | 16,267 |
|
Elvin Lavern Griffith
377 Main Street |
$104.88 | 15,686 | 12,126 |
|
Kishorchandra R Gonsai
950 Campbell Ave |
$40.48 | 15,355 | 11,064 |
|
Garth Oliver
603 Savin Ave |
$74.71 | 10,431 | 8,356 |
|
Elizabeth Marcucio
755 Campbell Ave |
$74.60 | 9,876 | 8,080 |
|
Michael Ian Gazes
950 Campbell Ave |
$19.09 | 9,076 | 7,998 |
|
Jody Kusheba
764 Campbell Ave Ste F |
$57.21 | 7,468 | 4,986 |
|
Chioma U Nwokolo Nwangwu
385 Main Street |
$50.84 | 6,730 | 3,480 |
|
Mohammed Khan Yosufzai
1 Cellini Pl Ste 102 |
$49.57 | 6,678 | 6,086 |
|
Christina Moorer
410 Campbell Ave |
$7.20 | 6,517 | 5,570 |
|
Christina Mukon
1 Cellini Pl Ste 102 |
$5.41 | 6,296 | 4,952 |
|
Channa Perera
755 Campbell Ave Ste 3 |
$44.27 | 6,206 | 4,121 |
|
Joseph Anthony Saracco
385 Main St |
$26.70 | 5,789 | 4,823 |
|
Walter Mauricio Saquipulla
354 Saw Mill Rd |
$49.73 | 5,509 | 4,855 |
|
Meredith Quinn Tuttle
400 West Campus Drive |
$8.19 | 5,342 | 4,287 |
|
Ilja Hulinsky
755 Campbell Ave |
$94.35 | 5,195 | 4,645 |
|
Jana Young
950 Campbell Ave |
$13.03 | 4,770 | 3,888 |
|
Sean Wayne Lazarus
764 Campbell Ave |
$20.57 | 4,560 | 3,360 |
|
Jurg W.J. Oggenfuss
1 Cellini Pl Ste 102 |
$47.42 | 4,497 | 3,602 |
|
Mark John Daddio
385 Main St |
$1.13 | 4,422 | 3,336 |
|
Firas Tomy Yousif
410 Campbell Ave |
$23.58 | 4,402 | 3,312 |
|
Laura Saskal
1 Cellini Pl Ste 102 |
$0.35 | 4,333 | 3,888 |
|
Stacey Krasnoff
1 Cellini Pl |
$76.37 | 4,280 | 3,946 |
|
Celeste Nadene Foster
1 Cellini Pl Ste 102 |
$39.47 | 4,123 | 3,701 |
|
Jadwiga Maja Stepczynski
950 Campbell Ave |
$45.44 | 3,896 | 3,420 |
|
Mallasetappa Shiranna Umapathy
309 Main St |
$70.49 | 3,469 | 3,019 |
|
Horatiu C. Balas
1 Cellini Pl Ste 102 |
$43.84 | 3,433 | 2,794 |
|
Edward Prior
687 Campbell Ave |
$91.83 | 3,420 | 2,923 |
|
Benjamin T Gilbert
500 Elm St |
$61.44 | 3,331 | 2,144 |
|
Richard Barry Feldman
655 Saw Mill Rd |
$20.57 | 3,092 | 2,841 |
|
Piyush Gupta
764 Campbell Ave Ste E |
$17.01 | 2,967 | 1,819 |
|
William David Johns
950 Campbell Ave |
$0.29 | 2,868 | 2,288 |
|
Laura Marie Michelle Lavin
1 Cellini Pl Ste 102 |
$37.38 | 2,780 | 2,503 |
|
Emily Jordan Kopas
300 Boston Post Rd |
$47.52 | 2,652 | 2,313 |
|
David Cesidio Piselli
755 Campbell Ave |
$68.97 | 2,489 | 1,590 |
|
Brandi Lynn Krassler
415 Main St |
$112.26 | 2,486 | 2,092 |
|
Katelyn Madeline Wirtz
285 Main St |
$6.52 | 2,363 | 1,941 |
|
Miriam Vitale
950 Campbell Ave |
$46.30 | 2,336 | 1,717 |
|
Rose Tran
1 Cellini Pl Ste 102 |
$41.44 | 2,326 | 1,900 |
|
Olusola Adekunle Obasa
1 Cellini Pl Ste 102 |
$5.68 | 2,261 | 1,983 |
|
Collin C Watson
500 Elm St |
$58.48 | 2,249 | 2,001 |
|
Steven D Vyce
950 Campbell Ave |
$21.60 | 2,203 | 2,079 |
|
Terrie L Lewis
354 Saw Mill Rd |
$42.29 | 2,161 | 1,714 |
|
Blanca L. Paccha
950 Campbell Ave Bldg 2B |
$6.95 | 2,144 | 1,860 |
|
Nabeel Qureshi
748 Savin Avenue First Floor |
$61.74 | 2,092 | 1,619 |
|
Paula Andrea Ortiz
1 Cellini Pl Ste 102 |
$82.57 | 1,961 | 1,835 |
|
Tzipporah Jael Vannorman
950 Campbell Ave |
$37.18 | 1,904 | 1,399 |
|
Sandra Ntreh
115 Ardale St |
$11.28 | 1,835 | 1,678 |
|
Vikram Rao
1 Cellini Pl Ste 102 |
$58.12 | 1,736 | 1,535 |
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 West Haven, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Haven, CT is $50.44 per claim, based on 300,132 claims from 112 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 West Haven, CT?
There are 112 Medicaid providers offering Office Visit related services in West Haven, CT according to public payment data.
What is the price range for Office Visit in West Haven, CT?
Medicaid reimbursement for Office Visit in West Haven, CT ranges from $0.00 to $112.26 per claim, with an average of $50.44. 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 West Haven, CT
Substance Abuse Treatment
Avg $14.10
1,473,823 claims
Nursing Facility Care
Avg $17.08
309,972 claims
Psychiatric Evaluation
Avg $34.21
221,555 claims
Dental Cleaning & Exam
Avg $35.38
80,224 claims
Blood Work & Lab Tests
Avg $3.84
65,795 claims
Speech Therapy
Avg $40.50
52,479 claims
Eye Exam
Avg $42.05
51,174 claims
Vaccines & Immunizations
Avg $15.19
42,558 claims