Average Medicaid Office Visit Payments in Winooski, VT: $10.22
Avg. Paid
$10.22
Range
$0.00 – $85.84
Total Claims
27,295
Providers
14
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 Winooski, VT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bang Cao To
32 Malletts Bay Avenue |
$1.68 | 5,389 | 4,606 |
|
Irene Koplinka-Loehr
32 Malletts Bay Ave |
$3.69 | 3,724 | 3,176 |
|
Jessica A Griffin
32 Malletts Bay Ave Ste B |
$3.80 | 3,592 | 3,271 |
|
Lindsay Claire Arzberger
32 Malletts Bay Ave |
$15.00 | 3,513 | 3,260 |
|
Sam Russo
321 Main St Ste B |
$9.69 | 3,424 | 2,616 |
|
Anne Minor Knott
32B Malletts Bay Avenue |
$4.07 | 1,990 | 1,629 |
|
Tyler Patrick O'Bryan
32 Malletts Bay Ave Ste B |
$0.02 | 1,933 | 1,708 |
|
Ann Goering
32 Malletts Bay Ave Ste B |
$2.59 | 996 | 841 |
|
Dianne M Villani
20 W Canal St |
$67.29 | 909 | 510 |
|
Roshanna D. Minton
20 Winooski Falls Way |
$85.84 | 621 | 494 |
|
Ellen C Watson
32 Malletts Bay Ave Ste B |
$52.26 | 429 | 373 |
|
Hannah Culver
32 Malletts Bay Ave |
$0.00 | 398 | 363 |
|
Christine M. Staats
32 East Malletts Bay Ave. |
$24.08 | 365 | 326 |
|
Emily Frances Swint
106 E Allen St Unit 503 |
$19.85 | 12 | 12 |
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 Winooski, VT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Winooski, VT is $10.22 per claim, based on 27,295 claims from 14 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 Winooski, VT?
There are 14 Medicaid providers offering Office Visit related services in Winooski, VT according to public payment data.
What is the price range for Office Visit in Winooski, VT?
Medicaid reimbursement for Office Visit in Winooski, VT ranges from $0.00 to $85.84 per claim, with an average of $10.22. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Winooski, VT
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Avg $74.90
24,139 claims
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Avg $35.11
18,427 claims
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Avg $99.89
2,633 claims
Blood Work & Lab Tests
Avg $24.95
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Physical Therapy
Avg $35.19
2,565 claims
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Avg $2.44
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Avg $16.87
886 claims
Substance Abuse Treatment
Avg $265.40
289 claims