Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Hartford, CT: $38.58

Avg. Paid

$38.58

Range

$0.00 – $208.74

Total Claims

1,919,956

Providers

1,234

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 Hartford, CT

Provider	Avg. Paid	Claims	Patients
The Village For Families & Children, Inc. 1680 Albany Avenue	$87.19	33,534	29,508
Hartford Dispensary 345 Main St	$82.65	25,672	19,144
Hartford Hospital 80 Seymour St	$72.78	23,460	19,249
Heather E Lucas Ross 85 Seymour St Ste 125B	$13.55	22,773	20,804
Community Health Services, Inc. 500 Albany Ave	$27.50	16,756	13,975
Tricia Rita Pinto 21 Woodland St Ste 115	$69.59	14,622	12,651
David Simon Henry 1229 Albany Ave	$43.54	14,552	13,019
Charter Oak Health Center, Inc. 21 Grand St	$0.02	14,473	12,099
Olga Iris Colon 60 Gillett St	$24.43	14,293	11,169
Raymond Castro 21 Grand St	$0.20	14,195	12,406
Christopher Paul Scheinberg 282 Washington St	$61.33	13,878	9,715
Hartford Community Mental Health Center Inc. 2550 Main St	$55.08	12,784	10,634
Nieves Hornbeck 21 Grand St	$9.05	12,350	9,731
James Parker 282 Washington St	$89.70	12,300	10,756
Robert Lawrence Bligh 80 Seymour St	$18.80	12,196	7,352
Elke Nicole Webb 500 Albany Ave	$0.00	11,949	10,260
Sonya Harris 16 Coventry St	$8.38	11,894	8,524
Sachin Dhingra 576 Farmington Ave	$66.33	11,688	9,928
Danilo Manalese Pangilinan 21 Woodland St	$8.28	11,500	7,049
Wallace Jane Hamel 80 Seymour Street	$5.72	10,830	10,097
Nneka O Mathew 500 Albany Ave	$1.91	10,728	8,672
Natalia P. Buksa 80 Seymour Street	$34.30	10,420	8,646
Victoria Zuckerman 500 Albany Ave	$0.06	10,331	8,550
Pamela J Glines 21 Grand St	$0.43	10,307	8,630
Marc Andrew Benjamin 80 Seymour Street	$60.44	9,084	6,909
Michelle J Cho 31 Seymour St Fl 2	$21.75	8,545	7,754
Deneisha Tamara Lindsay 500 Albany Ave	$0.00	8,521	7,886
Shel Swanson 1 Main St	$0.99	8,409	6,626
Laura Marie Miller 500 Albany Ave	$0.16	8,316	7,219
Syed Johar Ali Naqvi 21 Grand St	$0.28	8,067	6,272
Jason William Ptak 500 Albany Ave	$42.53	8,042	7,318
Charlecinth Roberts 675 Tower Ave	$60.33	8,038	6,848
Cynthia Neuberger Breen 21 Grand St	$0.30	7,955	6,387
Cunegundo M Vergara 80 Seymour Street	$22.56	7,757	7,244
Michelle Lynn Leece 43 Woodland St	$2.21	7,750	6,348
Orett Brown 500 Albany Ave	$6.53	7,730	7,056
Jessica Kiback 100 Retreat Ave Ste 201	$7.30	7,700	5,407
Joel L Wilken 80 Seymour Street	$24.07	7,685	7,123
Esther Wint 490 Blue Ave	$59.27	7,540	5,390
Kari Edelson 282 Washington St	$90.64	7,349	6,307
Tejas Vishveshkumar Sheth 80 Seymour Street	$37.76	7,213	6,420
Mark J Pierce 1030 New Britain Ave	$46.29	7,211	6,411
Monica Mary Joyce-Montaudy 282 Washington St	$25.39	6,862	6,392
Jaime Kweon 500 Albany Ave	$8.29	6,835	6,472
Robert M Smith 310 Collins St	$47.78	6,695	5,774
Elizabeth Scharf Sharp 76 New Britain Ave	$0.00	6,656	5,820
Mark Tsu Chong Lee 282 Washington St	$56.01	6,623	6,113
Stephenie C. Thurber 21 Grand St	$16.67	6,620	4,543
Sherwin M Tucker 500 Albany Ave	$4.63	6,557	5,600
Ricardo Ruiz 490 Blue Hills Ave	$0.19	6,463	5,092

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 Hartford, CT?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hartford, CT is $38.58 per claim, based on 1,919,956 claims from 1234 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 Hartford, CT?

There are 1234 Medicaid providers offering Office Visit related services in Hartford, CT according to public payment data.

What is the price range for Office Visit in Hartford, CT?

Medicaid reimbursement for Office Visit in Hartford, CT ranges from $0.00 to $208.74 per claim, with an average of $38.58. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Hartford, CT: $38.58

Providers Offering Office Visit in Hartford, CT

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Bronx, NY

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Houston, TX

Las Vegas, NV

Other Procedures in Hartford, CT

Substance Abuse Treatment

Blood Work & Lab Tests

Emergency Room Visit

Psychiatric Evaluation

Physical Therapy

X-Ray

EKG / ECG (Electrocardiogram)

Urinalysis & Urine Tests