Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Wilton, CT: $54.54

Avg. Paid

$54.54

Range

$16.42 – $153.99

Total Claims

41,207

Providers

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 Wilton, CT

Provider	Avg. Paid	Claims	Patients
Sally R. Bergwerk 372 Danbury Rd Ste 197	$16.42	4,896	4,477
Maria Clara Restrepo 372 Danbury Rd Ste 197	$61.46	3,978	3,221
Sejal H Parekh 249 Danbury Rd	$54.33	3,098	2,869
Olivia M Kousky 60 Danbury Rd	$76.89	3,081	2,865
Amy Lohman 249 Danbury Rd	$73.58	2,517	2,079
Surekha Shenoy 55 Danbury Rd	$78.14	2,111	1,800
Pamela Joy Randolph 249 Danbury Road	$50.22	1,831	1,562
Allison Rose Denicola 60 Danbury Rd Ste 101	$25.77	1,603	1,380
Robert Guerrera 27 Danbury Rd	$46.82	1,542	1,379
Meghna Shah 249 Danbury Rd	$40.13	1,478	1,306
Khushbu V Janani 50 Danbury Rd Fl 1	$69.24	1,394	1,296
Michele Mccann Olbrys 372 Danbury Rd Ste 197	$64.05	1,234	1,012
Jeremiah James Lewis 372 Danbury Rd Ste 197	$52.97	1,185	934
Charles Xiaodong Ma 249 Danbury Rd	$37.98	1,046	919
Erica Seebeck 249 Danbury Road	$79.43	971	881
Carol Ann Fucigna 372 Danbury Rd	$44.56	915	777
Kikelomo Olufunmilayo Otuyelu-Garritano 65 Old Ridgefield Rd	$64.07	876	662
Eugenia Golda Volkin 55 Danbury Rd	$72.95	830	764
Susan Daly 80 Old Ridgefield Rd	$46.31	723	596
Jessica Foertsch 55 Danbury Rd	$74.63	574	474
Shannon Morales 195 Danbury Rd	$93.26	535	513
Jean-Marc Alling 115 Old Ridgefield Rd Ste 101B	$52.76	505	473
Thomas Xu 372 Danbury Rd Ste 197	$66.08	372	322
Adam Jordan Katz 55 Danbury Rd	$86.28	361	314
Stephanie Miles 50 Danbury Rd Fl 1	$33.56	349	330
Carolyn Couture 35 Old Ridgefield Rd	$74.72	343	282
Francis Aversano 249 Danbury Rd Ste 300	$27.38	342	247
Donald J Leone 249 Danbury Road	$49.14	337	278
Michelle Lee 249 Danbury Rd	$30.69	326	279
Chelsea Morrow Smith 249 Danbury Rd	$39.14	318	243
David Asher Klapper 60 Danbury Rd Ste 101	$40.82	279	242
Noah L Hendler 195 Danbury Rd Ste 260	$64.57	183	169
Christine Elizabeth Macken 55 Danbury Rd	$81.12	127	118
Christine Chih-Mei Yang-Kauh 31 Pheasant Run Rd	$110.96	126	126
Monaa Zafar 50 Danbury Rd	$153.99	124	118
Craig David Serin 195 Danbury Rd	$48.37	118	90
Deirdre Marie Schorman 35 Danbury Rd	$52.78	117	102
Amara Shafi 249 Danbury Rd	$47.70	97	79
Vinay Madan 35 Danbury Rd Ste 9	$32.59	96	80
Michael Connor 27 Danbury Rd Fl 3	$19.58	83	75
Lauren Lacivita 30 Danbury Rd	$36.80	56	56
Paul B Tobias 372 Danbury Rd Ste 180	$39.88	42	42
Robert Kent Merrill 249 Danbury Rd	$18.31	28	24
Alan Mervyn Radin 195 Danbury Rd	$44.77	22	18
Sarah Kahn 195 Danbury Rd	$32.24	21	12
Anna Dukhovich 60 Danbury Rd	$88.48	17	16

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 Wilton, CT?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wilton, CT is $54.54 per claim, based on 41,207 claims from 46 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 Wilton, CT?

There are 46 Medicaid providers offering Office Visit related services in Wilton, CT according to public payment data.

What is the price range for Office Visit in Wilton, CT?

Medicaid reimbursement for Office Visit in Wilton, CT ranges from $16.42 to $153.99 per claim, with an average of $54.54. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Wilton, CT: $54.54

Providers Offering Office Visit in Wilton, CT

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Wilton, CT

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Psychiatric Evaluation

Mammogram

Speech Therapy

Blood Work & Lab Tests

X-Ray

Emergency Room Visit

Vaccines & Immunizations