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 |
|---|---|---|---|
|
Shannon Conley Peterson
170 Hazard Ave |
$32.20 | 12 | 12 |
|
Bridget Garrity Bortz
149 Hazard Ave |
$33.12 | 14 | 12 |
|
Sarah Nordbeck
75 Hazard Ave Ste F |
$15.64 | 15 | 15 |
|
Andrew J Epstein
146 Hazard Ave Ste 201 |
$35.35 | 17 | 12 |
|
Kimberly Ann Lucey
1699 King St Ste 102 |
$12.81 | 18 | 12 |
|
Robert E Marra
1379 Enfield St |
$7.95 | 22 | 12 |
|
Helen Veirs Rice
875 Enfield St |
$16.94 | 30 | 18 |
|
Jamie Helen Scott
701 Enfield Street |
$50.80 | 45 | 40 |
|
Jeffrey Martin Doot
149 Hazard Ave |
$15.35 | 46 | 39 |
|
Burcu Kuruca
28 Montano Rd |
$35.01 | 53 | 53 |
|
Karen L Krustapentus
701 Enfield St |
$49.11 | 53 | 50 |
|
Carmine Ciccarelli
140 Hazard Ave |
$23.62 | 55 | 54 |
|
Madeline Murphy
170 Hazard Ave |
$55.89 | 65 | 59 |
|
Sarah Leigh Lasala
113 Elm St Ste 304 |
$9.19 | 70 | 44 |
|
William Bruce Spector
100 Hazard Ave |
$33.18 | 75 | 68 |
|
Emma La Perla
170 Hazard Ave Ste 2 |
$52.92 | 80 | 75 |
|
Christopher Louis Agro
149 Hazard Ave |
$14.77 | 80 | 74 |
|
Silvia Marisol Puma
140 Hazard Ave Ste 105 |
$28.63 | 84 | 57 |
|
William Kwame Boafo
9 Christopher Dr |
$17.43 | 87 | 79 |
|
George Bacall
170 Hazard Ave |
$37.10 | 94 | 89 |
|
Brittany Adamski
155 Hazard Ave Ste 2 |
$47.01 | 94 | 94 |
|
Pamela S. Haskins
9 Cranbrook Blvd |
$23.71 | 98 | 85 |
|
Emily Christina Dow
155 Hazard Ave Ste 2 |
$36.53 | 103 | 99 |
|
Thomas V Johnson
1379 Enfield St |
$8.85 | 110 | 80 |
|
Community Health Resources, Inc.
153 Hazard Ave |
$2.31 | 111 | 69 |
|
Lori M Tilden-Smith
100 Hazard Ave Ste 101 |
$52.39 | 114 | 106 |
|
Kenneth Borkowski
170 Hazard Ave |
$49.71 | 137 | 129 |
|
Carla Desantis
170 Hazard Ave |
$36.17 | 146 | 135 |
|
Lindsey Diane Petrangelo
160 Hazard Ave Ste 103 |
$8.09 | 163 | 138 |
|
Lorraine Hartnett
9 Cranbrook Blvd |
$6.90 | 170 | 96 |
|
Polina M Melamud
9 Cranbrook Blvd Fl 2 |
$38.42 | 220 | 195 |
|
Jenny Koshy
5 N Main St |
$34.01 | 235 | 189 |
|
Gabriella Beaulieu
100 Hazard Ave Ste 101 |
$56.56 | 248 | 235 |
|
Anna Maria Fleischman
142 Hazard Ave |
$16.41 | 300 | 259 |
|
Maja Matwiejczuk
113 Elm Street |
$12.29 | 312 | 176 |
|
Thomas Baird Fitzgerald
170 Hazard Ave |
$55.08 | 322 | 302 |
|
Brianna Mae Jarvis
55 Hazard Ave |
$48.39 | 335 | 299 |
|
Miri Daly
141 Hazard Ave |
$28.15 | 336 | 273 |
|
Kelly L Mead
113 Elm St Ste 304 |
$41.47 | 351 | 287 |
|
Peter John Drennan
701 Enfield Street |
$51.36 | 353 | 337 |
|
Virginia Susan Ferlan
170 Hazard Ave |
$33.16 | 355 | 331 |
|
Melissa D'Amato
140 Hazard Ave Ste 105 |
$19.90 | 365 | 206 |
|
Keri Murray
875 Enfield St |
$33.10 | 373 | 342 |
|
Brian Thomas Maurer
155 Hazard Ave |
$89.99 | 393 | 362 |
|
Colleen Mcdermott
151 Hazard Ave Suite 4 |
$19.91 | 397 | 355 |
|
Kristen E Winters
1379 Enfield St |
$9.45 | 411 | 273 |
|
Jay Allen Kimmel
113 Elm St Ste 302 |
$15.63 | 414 | 336 |
|
Harold S Wright
113 Elm St |
$71.61 | 447 | 406 |
|
Briana Gwaltney
160 Hazard Ave Ste 103 |
$19.74 | 472 | 428 |
|
Lauren Elizabeth Mazza
170 Hazard Ave |
$56.20 | 498 | 436 |
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