Average Medicaid Office Visit Payments in Wilton, CT: $54.54
Avg. Paid
$54.54
Range
$16.42 – $153.99
Total Claims
41,207
Providers
46
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 |
|---|---|---|---|
|
Anna Dukhovich
60 Danbury Rd |
$88.48 | 17 | 16 |
|
Sarah Kahn
195 Danbury Rd |
$32.24 | 21 | 12 |
|
Alan Mervyn Radin
195 Danbury Rd |
$44.77 | 22 | 18 |
|
Robert Kent Merrill
249 Danbury Rd |
$18.31 | 28 | 24 |
|
Paul B Tobias
372 Danbury Rd Ste 180 |
$39.88 | 42 | 42 |
|
Lauren Lacivita
30 Danbury Rd |
$36.80 | 56 | 56 |
|
Michael Connor
27 Danbury Rd Fl 3 |
$19.58 | 83 | 75 |
|
Vinay Madan
35 Danbury Rd Ste 9 |
$32.59 | 96 | 80 |
|
Amara Shafi
249 Danbury Rd |
$47.70 | 97 | 79 |
|
Deirdre Marie Schorman
35 Danbury Rd |
$52.78 | 117 | 102 |
|
Craig David Serin
195 Danbury Rd |
$48.37 | 118 | 90 |
|
Monaa Zafar
50 Danbury Rd |
$153.99 | 124 | 118 |
|
Christine Chih-Mei Yang-Kauh
31 Pheasant Run Rd |
$110.96 | 126 | 126 |
|
Christine Elizabeth Macken
55 Danbury Rd |
$81.12 | 127 | 118 |
|
Noah L Hendler
195 Danbury Rd Ste 260 |
$64.57 | 183 | 169 |
|
David Asher Klapper
60 Danbury Rd Ste 101 |
$40.82 | 279 | 242 |
|
Chelsea Morrow Smith
249 Danbury Rd |
$39.14 | 318 | 243 |
|
Michelle Lee
249 Danbury Rd |
$30.69 | 326 | 279 |
|
Donald J Leone
249 Danbury Road |
$49.14 | 337 | 278 |
|
Francis Aversano
249 Danbury Rd Ste 300 |
$27.38 | 342 | 247 |
|
Carolyn Couture
35 Old Ridgefield Rd |
$74.72 | 343 | 282 |
|
Stephanie Miles
50 Danbury Rd Fl 1 |
$33.56 | 349 | 330 |
|
Adam Jordan Katz
55 Danbury Rd |
$86.28 | 361 | 314 |
|
Thomas Xu
372 Danbury Rd Ste 197 |
$66.08 | 372 | 322 |
|
Jean-Marc Alling
115 Old Ridgefield Rd Ste 101B |
$52.76 | 505 | 473 |
|
Shannon Morales
195 Danbury Rd |
$93.26 | 535 | 513 |
|
Jessica Foertsch
55 Danbury Rd |
$74.63 | 574 | 474 |
|
Susan Daly
80 Old Ridgefield Rd |
$46.31 | 723 | 596 |
|
Eugenia Golda Volkin
55 Danbury Rd |
$72.95 | 830 | 764 |
|
Kikelomo Olufunmilayo Otuyelu-Garritano
65 Old Ridgefield Rd |
$64.07 | 876 | 662 |
|
Carol Ann Fucigna
372 Danbury Rd |
$44.56 | 915 | 777 |
|
Erica Seebeck
249 Danbury Road |
$79.43 | 971 | 881 |
|
Charles Xiaodong Ma
249 Danbury Rd |
$37.98 | 1,046 | 919 |
|
Jeremiah James Lewis
372 Danbury Rd Ste 197 |
$52.97 | 1,185 | 934 |
|
Michele Mccann Olbrys
372 Danbury Rd Ste 197 |
$64.05 | 1,234 | 1,012 |
|
Khushbu V Janani
50 Danbury Rd Fl 1 |
$69.24 | 1,394 | 1,296 |
|
Meghna Shah
249 Danbury Rd |
$40.13 | 1,478 | 1,306 |
|
Robert Guerrera
27 Danbury Rd |
$46.82 | 1,542 | 1,379 |
|
Allison Rose Denicola
60 Danbury Rd Ste 101 |
$25.77 | 1,603 | 1,380 |
|
Pamela Joy Randolph
249 Danbury Road |
$50.22 | 1,831 | 1,562 |
|
Surekha Shenoy
55 Danbury Rd |
$78.14 | 2,111 | 1,800 |
|
Amy Lohman
249 Danbury Rd |
$73.58 | 2,517 | 2,079 |
|
Olivia M Kousky
60 Danbury Rd |
$76.89 | 3,081 | 2,865 |
|
Sejal H Parekh
249 Danbury Rd |
$54.33 | 3,098 | 2,869 |
|
Maria Clara Restrepo
372 Danbury Rd Ste 197 |
$61.46 | 3,978 | 3,221 |
|
Sally R. Bergwerk
372 Danbury Rd Ste 197 |
$16.42 | 4,896 | 4,477 |
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.
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 Wilton, CT
Physical Therapy
Avg $0.01
79,800 claims
Psychiatric Evaluation
Avg $54.05
22,772 claims
Mammogram
Avg $64.51
6,852 claims
Speech Therapy
Avg $46.51
6,084 claims
Blood Work & Lab Tests
Avg $6.80
4,161 claims
X-Ray
Avg $3.65
3,502 claims
Emergency Room Visit
Avg $111.19
2,856 claims
Vaccines & Immunizations
Avg $13.75
2,360 claims