Average Medicaid Office Visit Payments in Plainfield, CT: $54.11
Avg. Paid
$54.11
Range
$0.59 – $81.88
Total Claims
50,712
Providers
17
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 Plainfield, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Heather Sarah Lonardo
558 Norwich Rd |
$1.26 | 71 | 68 |
|
Alicia Yanac
584 Norwich Rd Ste 300 |
$10.21 | 215 | 210 |
|
Claire Marie Warren
558 Norwich Road |
$47.13 | 251 | 208 |
|
Vickie M Hall
584 Norwich Rd Ste 300 |
$41.00 | 289 | 269 |
|
Amanda Lea Furness
584 Norwich Rd |
$14.86 | 307 | 292 |
|
Alexandra Coyne
584 Norwich Rd |
$7.45 | 876 | 760 |
|
Aimee Christa Eaton
584 Norwich Rd Ste 300 |
$21.67 | 1,165 | 959 |
|
Cherie A Sage
584 Norwich Rd Ste 400 |
$81.36 | 1,166 | 903 |
|
Elena Poloukhine
12 Lathrop Rd |
$30.80 | 1,313 | 1,158 |
|
Sherry Lee Kroll
Hartford Healthcare Medical Group Primary Care |
$40.26 | 1,626 | 1,501 |
|
Amy Elizabeth Deluca
584 Norwich Rd Ste 300 |
$8.82 | 1,951 | 977 |
|
Katie Ann Erick
584 Norwich Rd Ste 300 |
$26.31 | 3,632 | 2,679 |
|
John Newton Mackey
558 Norwich Road |
$53.34 | 4,176 | 3,414 |
|
Dana Cavicke
12 Lathrop Road |
$0.59 | 4,691 | 4,400 |
|
Paul L Dalbec
558 Norwich Rd |
$81.88 | 8,753 | 7,889 |
|
Wagdy M Habashy
31 Dow Rd |
$70.07 | 9,283 | 8,434 |
|
Richard Dominick Moro
558 Norwich Rd |
$70.84 | 10,947 | 8,616 |
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 Plainfield, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Plainfield, CT is $54.11 per claim, based on 50,712 claims from 17 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 Plainfield, CT?
There are 17 Medicaid providers offering Office Visit related services in Plainfield, CT according to public payment data.
What is the price range for Office Visit in Plainfield, CT?
Medicaid reimbursement for Office Visit in Plainfield, CT ranges from $0.59 to $81.88 per claim, with an average of $54.11. 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 Plainfield, CT
Dental Cleaning & Exam
Avg $34.39
31,845 claims
Psychiatric Evaluation
Avg $65.32
25,816 claims
Non-Emergency Medical Transportation
Avg $0.00
16,219 claims
Dental Filling
Avg $85.79
15,547 claims
Physical Therapy
Avg $16.71
10,266 claims
Tooth Extraction
Avg $71.95
8,034 claims
Speech Therapy
Avg $34.31
6,442 claims
Root Canal
Avg $602.19
964 claims