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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

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

Other Procedures in Wilton, CT