Average Medicaid Office Visit Payments in Enfield, CT: $46.95
Avg. Paid
$46.95
Range
$0.28 – $99.61
Total Claims
328,865
Providers
141
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 Enfield, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hemant K Panchal
170 Hazard Ave |
$75.46 | 39,017 | 28,324 |
|
Marat Gitman
5 N Main St |
$6.48 | 20,129 | 14,749 |
|
David S. Melman
5 N Main St |
$18.19 | 12,125 | 9,609 |
|
Darshan J Shah
139 Hazard Ave |
$22.73 | 10,569 | 5,678 |
|
Janice A. Reeder
153 Hazard Ave |
$24.08 | 10,281 | 8,160 |
|
Carol Erickson
7 Elm St |
$70.04 | 8,796 | 7,224 |
|
Theresa Nowinski
153 Hazard Ave |
$60.65 | 8,362 | 6,494 |
|
Lynn Nochisaki
150 Hazard Ave # Buildb |
$68.83 | 7,350 | 6,192 |
|
Francine D York
55 Hazard Ave |
$78.93 | 6,731 | 5,792 |
|
Cynthia Bodeur
155 Hazard Ave |
$83.69 | 6,334 | 5,752 |
|
Kevin E Sadowski
143 Hazard Ave |
$44.29 | 6,012 | 4,557 |
|
Stacy Brittany Beaupre
55 Hazard Ave |
$72.63 | 5,815 | 5,329 |
|
Stephen Jason Sasso
55 Hazard Ave |
$70.83 | 5,674 | 4,442 |
|
Asha Qusba
153 Hazard Ave |
$49.84 | 5,635 | 4,255 |
|
Izabela Krakowiak- Colasacco
701 Enfield St |
$54.47 | 5,527 | 5,263 |
|
Jill Bernstein
9 Cranbrook Blvd |
$14.86 | 5,205 | 4,785 |
|
Caryn Hannah Cohen Sloate
155 Hazard Ave |
$75.03 | 5,196 | 4,538 |
|
Dushyant Parikh
146 Hazard Ave |
$30.48 | 4,999 | 3,952 |
|
Arthur H. Skalski
151 Hazard Ave |
$18.04 | 4,763 | 3,877 |
|
Dina Amato
155 Hazard Ave Ste 14 |
$99.56 | 4,749 | 4,456 |
|
Jigisha Patel Morosky
9 Cranbrook Blvd |
$99.61 | 4,492 | 3,682 |
|
Anne Marie F Villa
150 Hazard Ave |
$72.65 | 4,436 | 4,100 |
|
Kelly Julia Nolin
9 Cranbrook Blvd |
$51.35 | 4,430 | 3,458 |
|
Noah Starkey
9 Cranbrook Blvd |
$38.77 | 3,855 | 3,079 |
|
Bonnie Lender
139 Hazard Ave Building 6 Ste 2 |
$33.69 | 3,850 | 2,629 |
|
Ian Sterling Tucker
15 Palomba Dr |
$29.28 | 3,849 | 3,317 |
|
Brian P Weber
55 Hazard Ave |
$88.34 | 3,766 | 3,221 |
|
Jessica Angela Nichole Fett
5 N Main St |
$15.96 | 3,623 | 1,886 |
|
Nicole Johnston Misiaszek
160 Hazard Ave |
$47.47 | 3,481 | 2,843 |
|
George Donahue
150 Hazard Ave |
$31.57 | 3,361 | 2,891 |
|
Meagen Marcy Mccusker
113 Elm Street |
$16.00 | 3,247 | 2,177 |
|
Robin F Deutsch
153 Hazard Ave |
$25.60 | 3,191 | 1,781 |
|
Kaitlyn Gyehyun Lemieux
875 Enfield St |
$5.73 | 3,131 | 2,492 |
|
Karen Yencho
150 Hazard Ave Bldg B |
$39.19 | 2,989 | 2,898 |
|
Arthur H. Skalski, M.D., Llc
151 Hazard Ave |
$4.62 | 2,944 | 2,506 |
|
Courtney Marquardt
155 Hazard Ave Ste 2 |
$31.12 | 2,941 | 2,644 |
|
Robert P Dudek
140 Hazard Ave |
$33.80 | 2,880 | 2,545 |
|
Thomas Aloysius Mcdonald
7 Elm St Fl 3 |
$44.11 | 2,723 | 2,642 |
|
Lawrence S. Benjamin
875 Enfield St |
$73.29 | 2,716 | 2,636 |
|
Jaykumar Ranchodbhai Thumar
142 Hazard Ave |
$53.88 | 2,678 | 2,354 |
|
Brittania Anne Georgette Liebla
153 Hazard Ave |
$76.32 | 2,582 | 1,682 |
|
Kyle Jacob Chambers
15 Palomba Dr |
$47.69 | 2,398 | 2,340 |
|
Sarah L Cabelus
9 Cranbrook Blvd Fl 2 |
$55.87 | 2,341 | 1,997 |
|
Kalyan K Pundla
100 Hazard Ave Ste 101 |
$57.67 | 2,226 | 2,059 |
|
Ronald Jay Davidoff
153 Hazard Ave |
$55.66 | 2,213 | 2,010 |
|
Allison Vanasse
54 Hazard Ave Ste 135 |
$32.57 | 2,040 | 1,864 |
|
Michele Marie Trela Bowdy
9 Cranbrook Blvd Fl 2 |
$57.01 | 2,011 | 1,851 |
|
Younus F Masih
15 Palomba Drive |
$16.51 | 1,988 | 1,557 |
|
Patrick R. Gibson
Enfield Medical Associates |
$46.87 | 1,847 | 1,814 |
|
Michael F. Morosky
9 Cranbrook Blvd |
$29.50 | 1,808 | 1,201 |
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 Enfield, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Enfield, CT is $46.95 per claim, based on 328,865 claims from 141 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 Enfield, CT?
There are 141 Medicaid providers offering Office Visit related services in Enfield, CT according to public payment data.
What is the price range for Office Visit in Enfield, CT?
Medicaid reimbursement for Office Visit in Enfield, CT ranges from $0.28 to $99.61 per claim, with an average of $46.95. 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 Enfield, CT
Psychiatric Evaluation
Avg $48.26
162,921 claims
Substance Abuse Treatment
Avg $10.19
115,480 claims
Dental Cleaning & Exam
Avg $32.60
62,312 claims
Speech Therapy
Avg $35.93
43,985 claims
Vaccines & Immunizations
Avg $17.97
43,454 claims
Eye Exam
Avg $39.32
40,723 claims
Physical Therapy
Avg $27.36
33,608 claims
Ambulance Transport
Avg $137.59
23,924 claims