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 |
|---|---|---|---|
|
Thuy Tran
950 Campbell Ave |
$40.83 | 13 | 12 |
|
Wajahat Zafar Mehal
950 Campbell Ave |
$87.46 | 13 | 12 |
|
Amy E. Bortzfield
950 Campbell Ave |
$60.07 | 15 | 12 |
|
Connecticut Podiatry Group, P.C.
385 Main St |
$0.00 | 16 | 12 |
|
Donna Marie Underhill
5 Bayview Pl Fl 1 |
$74.05 | 17 | 15 |
|
Internal Medicine Of West Haven Llc
764 Campbell Ave |
$1.27 | 21 | 16 |
|
Simina Clara Ionescu
1 Cellini Pl Ste 102 |
$24.96 | 28 | 24 |
|
Mark J Drabinski
687 Campbell Ave |
$33.14 | 34 | 27 |
|
Anu Walaliyadda
1 Cellini Pl Ste 102 |
$46.51 | 34 | 24 |
|
William Hoffman
410 Campbell Ave |
$5.59 | 39 | 38 |
|
Sylvester Dorobisz
1 Cellini Pl Ste 102 |
$74.31 | 50 | 50 |
|
Kathleen Thompson
687 Campbell Ave |
$0.00 | 64 | 58 |
|
Apt Foundation Inc.
184 Front Ave |
$93.35 | 66 | 56 |
|
Hamada Hamid Altalib
950 Campbell Ave |
$35.19 | 78 | 63 |
|
Ramandeep Kaur
950 Campbell Ave |
$22.80 | 82 | 65 |
|
Ronald J Schwartz
1 Cellini Pl Ste 102 |
$31.18 | 86 | 78 |
|
Glenn Charles Vitale
385 Main St |
$2.68 | 95 | 46 |
|
Benedict Fernando
1 Cellini Pl Ste 102 |
$26.29 | 101 | 65 |
|
Crystal Jobson
950 Campbell Ave |
$75.48 | 108 | 107 |
|
Jill Wasserman Gulliford
950 Campbell Ave |
$14.56 | 130 | 125 |
|
Alison George
92 Harding Ave |
$78.98 | 143 | 118 |
|
Harsida Desai
950 Campbell Ave |
$19.61 | 146 | 131 |
|
Sarah Marone Trainor
1 Cellini Pl Ste 102 |
$69.58 | 158 | 150 |
|
Shinelle Kaiya Wilkins
950 Campbell Ave Bldg 2 |
$4.29 | 167 | 158 |
|
Christopher M Inclima
415 Main St |
$20.32 | 192 | 146 |
|
Diane E Fahey
755 Campbell Ave |
$83.12 | 203 | 181 |
|
Marianne Vahey
687 Campbell Ave |
$67.15 | 250 | 233 |
|
Marie-Reine Gracita Byron
687 Campbell Ave |
$0.00 | 274 | 197 |
|
Stephen Bruce Castracane
655 Saw Mill Road |
$6.11 | 275 | 202 |
|
Angelin S Shajan
1 Cellini Pl Ste 102 |
$64.39 | 313 | 278 |
|
Latha Chirunomula
764 Campbell Ave Ste E |
$48.78 | 319 | 251 |
|
Jillene Bonet
764 Campbell Ave Ste F |
$10.15 | 337 | 121 |
|
Avlin Barlow Imaeda
950 Campbell Ave |
$39.84 | 353 | 348 |
|
Angela Helen Ryan
1 Cellini Pl Ste 102 |
$0.62 | 356 | 314 |
|
Jerezem Sison Fegley
950 Campbell Ave |
$62.19 | 362 | 341 |
|
Elizabeth Ann Souza
687 Campbell Ave |
$0.00 | 375 | 346 |
|
Lindsay Taylor Davis
655 Saw Mill Rd Ste 5 |
$14.48 | 487 | 369 |
|
Robert P Mingrone
153 Saw Mill Rd |
$47.35 | 566 | 515 |
|
Qaiyum Mujtaba
750 Savin Ave |
$47.05 | 592 | 542 |
|
Jeremy Scott Evans
950 Campell Ave |
$53.98 | 609 | 488 |
|
Alyssa E Gruen
755 Campbell Ave Ste 2 |
$79.74 | 624 | 539 |
|
Anna Zimmerman
950 Campbell Ave Ste 11 |
$13.50 | 682 | 644 |
|
Richard Thomas Daddio
354 Campbell Ave |
$25.48 | 717 | 548 |
|
Judith Ann Deshpande
300 Boston Post Rd |
$37.99 | 732 | 324 |
|
Jodonna S. Scala
950 Campbell Ave |
$26.47 | 766 | 623 |
|
Hong Ju Lin
950 Campbell Ave |
$71.66 | 771 | 743 |
|
Nkemakonam H Ikekpeazu
764 Campbell Ave |
$89.15 | 782 | 728 |
|
Shaukat A Khan
950 Campbell Ave |
$66.30 | 800 | 740 |
|
Heather Cerasale
500 Elm St |
$26.59 | 823 | 567 |
|
Joseph Patrick Rogers
267 Elm St |
$25.85 | 933 | 863 |
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