Average Medicaid Office Visit Payments in Willimantic, CT: $18.46
Avg. Paid
$18.46
Range
$0.00 – $96.84
Total Claims
184,843
Providers
79
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 Willimantic, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Generations Family Health Center, Inc.
40 Mansfield Ave |
$2.22 | 32,272 | 27,719 |
|
Martin Adam Bloch
289 Windham Rd |
$26.25 | 13,690 | 7,219 |
|
Brett Robertson
40 Mansfield Ave |
$0.05 | 8,750 | 7,099 |
|
Rachael Ann Cruz
40 Mansfield Ave |
$0.55 | 7,545 | 6,091 |
|
Emmanuela Chery
40 Mansfield Ave |
$28.04 | 6,500 | 5,574 |
|
Dana Wiseman
40 Mansfield Ave |
$0.21 | 6,174 | 4,669 |
|
Ariye M Krassner
40 Mansfield Ave |
$0.27 | 5,278 | 3,568 |
|
Laura Nicole Sabourin
40 Mansfield Ave |
$2.98 | 4,964 | 4,001 |
|
Surayda Julissa Herrera
5 Founders St Ste 100 |
$35.07 | 4,757 | 4,414 |
|
Nicole Monahan
150 Mansfield Ave |
$32.39 | 4,359 | 3,986 |
|
Danielle Digeronimo
40 Mansfield Ave |
$0.21 | 4,160 | 3,196 |
|
Aurora Teresa Leon Conde
40 Mansfield Ave |
$0.06 | 3,685 | 2,982 |
|
Steven J Green
36 Watson St |
$38.99 | 3,659 | 3,203 |
|
Shaina Forte
40 Mansfield Ave |
$0.06 | 3,622 | 2,722 |
|
Dahiana Rivera
40 Mansfield Ave |
$0.09 | 3,534 | 2,575 |
|
Stephen M Rouse
36 Watson St |
$35.53 | 3,473 | 3,083 |
|
Stephen F. Scarangella
5 Founders St Ste 202 |
$15.89 | 3,279 | 2,405 |
|
Maura Reynolds
40 Mansfield Ave |
$0.11 | 3,207 | 2,489 |
|
Ruby Lynn Quinit Moore
1703 Main St |
$63.13 | 3,142 | 2,914 |
|
Rachell Laureena Farnham
40 Mansfield Ave |
$0.06 | 3,082 | 2,173 |
|
Perception Programs Inc
842 Main St |
$91.00 | 3,055 | 2,379 |
|
Michael James Scanlon
162 Mansfield Ave Apt A |
$34.71 | 2,887 | 2,530 |
|
Karla Renee Scanlon
162 Mansfield Ave |
$34.85 | 2,839 | 2,601 |
|
Karen Anderson Zott
355 High St |
$32.86 | 2,823 | 2,550 |
|
William Thomas Culviner
36 Watson St |
$31.79 | 2,771 | 2,419 |
|
Mamta Singh
5 Founders St |
$22.31 | 2,147 | 1,763 |
|
Jerilyn S Allen
36 Watson St |
$28.35 | 2,127 | 1,892 |
|
Edward Stanley Sawicki
1703 Main St |
$53.25 | 2,076 | 1,827 |
|
Craig Edwin Foster
1185 Main St |
$32.53 | 2,049 | 1,975 |
|
Nicole Monique Taylor
40 Mansfield Ave |
$0.00 | 2,017 | 1,672 |
|
Craig D Sweeney
1703 Main St |
$33.69 | 1,937 | 1,869 |
|
Gregory Haman
5 Founders St Ste 100 |
$38.43 | 1,886 | 1,716 |
|
Erica Forsythe
150 Mansfield Ave |
$89.62 | 1,851 | 1,613 |
|
Francisco Jose Reis Ferreira De Lima
5 Founders St Ste 100 |
$52.79 | 1,725 | 1,647 |
|
Kipp W. Spencer
40 Mansfield Ave |
$0.45 | 1,645 | 1,229 |
|
Pantcho G Maslinski
112 Mansfield Ave |
$29.04 | 1,495 | 1,401 |
|
Ann Lillian Semolic
14 Quarry St |
$57.57 | 1,425 | 1,187 |
|
Holly Ann Desmarais
150 Mansfield Ave |
$32.91 | 1,299 | 1,221 |
|
Ana Paula Pinto Copetti
5 Founders St Ste 100 |
$53.41 | 1,234 | 1,159 |
|
Jessica Hsieh Mullins
112 Mansfield Ave |
$16.65 | 1,209 | 1,080 |
|
Taryn Kegler
842 Main St |
$18.13 | 1,092 | 748 |
|
Jeffrey Glen Kegel
5 Founders St |
$20.58 | 974 | 931 |
|
Judith Chinenye Ukabam
5 Founders St Ste 100 |
$37.49 | 893 | 833 |
|
Deirdre M Clark
5 Founders St Ste 102 |
$25.69 | 875 | 815 |
|
Marlene Schwartz
112 Mansfield Ave |
$17.51 | 859 | 789 |
|
Kathyrn Amanda Konow
5 Founders St Ste 100 |
$37.58 | 758 | 681 |
|
Linda Gechas
132 Mansfield Ave |
$0.00 | 742 | 697 |
|
Susie Bernado
40 Mansfield Ave |
$0.00 | 724 | 601 |
|
Jamie Elizabeth Charron
5 Founders St Ste 102 |
$16.26 | 630 | 603 |
|
Robert Joseph Bundy
112 Mansfield Ave |
$16.08 | 614 | 561 |
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 Willimantic, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Willimantic, CT is $18.46 per claim, based on 184,843 claims from 79 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 Willimantic, CT?
There are 79 Medicaid providers offering Office Visit related services in Willimantic, CT according to public payment data.
What is the price range for Office Visit in Willimantic, CT?
Medicaid reimbursement for Office Visit in Willimantic, CT ranges from $0.00 to $96.84 per claim, with an average of $18.46. 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 Willimantic, CT
Substance Abuse Treatment
Avg $21.29
468,783 claims
Emergency Room Visit
Avg $217.25
203,542 claims
Blood Work & Lab Tests
Avg $0.31
153,794 claims
Psychiatric Evaluation
Avg $36.30
151,614 claims
Physical Therapy
Avg $28.23
118,107 claims
X-Ray
Avg $34.96
52,972 claims
Urinalysis & Urine Tests
Avg $0.31
46,234 claims
EKG / ECG (Electrocardiogram)
Avg $4.76
45,409 claims