Average Medicaid Office Visit Payments in Westbrook, CT: $34.43
Avg. Paid
$34.43
Range
$0.01 – $81.76
Total Claims
25,962
Providers
20
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 Westbrook, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Juliette Nedah Harris
250 Flat Rock Pl |
$44.03 | 18 | 14 |
|
Todd David Applegate
5 Pequot Park Rd |
$14.13 | 23 | 18 |
|
Ellen Marie Morris-White
125 Hammock Rd N |
$20.27 | 24 | 12 |
|
Andrea Marie Niziolek
250 Flat Rock Pl |
$52.37 | 46 | 37 |
|
Valerie M Small
250 Flat Rock Pl |
$81.76 | 74 | 71 |
|
Jill M Banatoski
5 Pequot Park Rd |
$39.10 | 92 | 90 |
|
Alyssa Marie Gambardella
4 Grove Beach Rd N Ste 1B |
$24.78 | 93 | 90 |
|
Kelly Keefe Nelson
5 Pequot Park Rd |
$29.26 | 182 | 151 |
|
Jennifer Lyn Sutherland
250 Flat Rock Place |
$57.65 | 481 | 431 |
|
Colleen R Chappell
250 Flat Rock Pl |
$58.24 | 645 | 577 |
|
Megin Iaccarino
250 Flat Rock Pl |
$57.90 | 907 | 798 |
|
Lara Ann Colabelli
5 Pequot Park Rd Ste 201A |
$43.61 | 915 | 838 |
|
Shane Thomas Ridge
250 Flat Rock Pl |
$51.85 | 1,009 | 903 |
|
Jason Ziegler
250 Flat Rock Pl |
$60.21 | 1,019 | 868 |
|
Robert W Kyrcz
250 Flat Rock Pl |
$69.30 | 1,094 | 825 |
|
Carol Anne Standish
250 Flat Rock Pl Fl 2 |
$34.52 | 1,668 | 1,486 |
|
Lauren Hart Nichols
250 Flat Rock Pl |
$66.13 | 1,753 | 1,548 |
|
Christopher S Curdo
250 Flat Rock Pl |
$79.79 | 2,964 | 2,504 |
|
Tara T.S. Fagan
250 Flat Rock Pl |
$0.01 | 5,864 | 4,025 |
|
Laura E. Wing
250 Flat Rock Pl |
$16.26 | 7,091 | 6,363 |
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 Westbrook, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Westbrook, CT is $34.43 per claim, based on 25,962 claims from 20 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 Westbrook, CT?
There are 20 Medicaid providers offering Office Visit related services in Westbrook, CT according to public payment data.
What is the price range for Office Visit in Westbrook, CT?
Medicaid reimbursement for Office Visit in Westbrook, CT ranges from $0.01 to $81.76 per claim, with an average of $34.43. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
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Chicago, IL
Avg $30.31
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Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Westbrook, CT
Dental Cleaning & Exam
Avg $33.71
6,445 claims
Ambulance Transport
Avg $72.44
2,548 claims
Dental Filling
Avg $83.90
2,390 claims
Speech Therapy
Avg $56.49
1,944 claims
Psychiatric Evaluation
Avg $57.72
1,621 claims
Behavioral & Mental Health Therapy
Avg $123.66
1,613 claims
Vaccines & Immunizations
Avg $1.26
454 claims
Tooth Extraction
Avg $122.35
379 claims