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Based on public Medicaid payment data.

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

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