Average Medicaid Office Visit Payments in West Hartford, CT: $45.66
Avg. Paid
$45.66
Range
$0.00 – $116.56
Total Claims
378,248
Providers
213
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 West Hartford, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brandon Batory
1030 Boulevard |
$75.75 | 22,995 | 19,306 |
|
Irene Abramovich
1216 Farmington Ave |
$0.35 | 13,978 | 11,061 |
|
David Jay-Pei Jeng
1013 Farmington Avenue |
$14.78 | 12,610 | 8,480 |
|
Elizabeth Pelletier
200 Bloomfield Ave |
$53.55 | 12,510 | 8,427 |
|
Lauren Batory
1030 Boulevard |
$65.33 | 11,345 | 8,918 |
|
Nicole Papachristos
1030 Boulevard |
$44.12 | 10,726 | 7,849 |
|
Kenneth Reeve
1459A New Britain Ave |
$65.84 | 9,661 | 8,679 |
|
James Andrew Stringer
1030 Boulevard |
$67.45 | 8,340 | 6,597 |
|
Jeremy Chaoyen Hwang
1013 Farmington Ave |
$16.76 | 8,260 | 5,737 |
|
Lyndon B. Lee
1013 Farmington Ave |
$24.82 | 7,710 | 5,668 |
|
Suchitra Varma
65 Kane St |
$63.33 | 7,405 | 6,543 |
|
Thomas I Knox
345 N Main St Fl 1 |
$49.11 | 6,893 | 6,182 |
|
Alberto J Rodriguez
345 N Main St Ste 112 |
$58.05 | 6,611 | 5,930 |
|
Michael B Teiger
345 N Main St |
$78.07 | 6,058 | 5,354 |
|
Ishrat Quadri
1162 New Britain Ave |
$105.47 | 5,946 | 5,326 |
|
Semone Sabrina Roach
1162 New Britain Ave |
$68.89 | 5,396 | 4,718 |
|
Paul S Sullivan
345 N Main St |
$50.56 | 5,319 | 4,677 |
|
Karen Cooper-Tripp
17 S Highland St |
$46.39 | 5,082 | 4,199 |
|
Kathryn Mary Horman
445 S Main St |
$75.30 | 5,066 | 4,724 |
|
Lauren West Valley
336 N Main St Ste A |
$29.06 | 4,858 | 4,007 |
|
Alan E Solinsky
1013 Farmington Ave |
$14.34 | 4,814 | 3,264 |
|
William M Thramann
65 Kane St |
$63.46 | 4,575 | 3,995 |
|
Angela Stein
631 Quaker Ln S |
$45.49 | 4,361 | 3,960 |
|
Kristine Sterling
1030 New Britain Ave |
$48.57 | 4,300 | 3,789 |
|
Jacqueline Ortiz-Skenderidis
12 N Main St Ste 110 |
$49.56 | 4,142 | 2,599 |
|
Nicholas Joseph Rosage
336 N Main St Ste A |
$27.45 | 4,141 | 3,254 |
|
Sarah Elbaum
65 Brewster Rd |
$62.54 | 4,085 | 3,669 |
|
Gladys Quinones
1007 Farmington Ave Ste 3A |
$37.92 | 4,017 | 2,479 |
|
Pm Pediatrics Of Connecticut
1459 New Britain Ave |
$0.19 | 3,925 | 2,030 |
|
Diana Minerva Rodriguez
445 S Main St |
$43.74 | 3,587 | 3,150 |
|
Neeru C Dua
836 Farmington Ave Ste 121 |
$14.62 | 3,568 | 2,734 |
|
Jessica M Borkowski
336 N Main St |
$30.56 | 3,466 | 2,869 |
|
Tapas Bandyopadhyay
61 S Main St |
$29.56 | 3,420 | 3,193 |
|
Mojdeh Heidari
10 Princeton St |
$34.32 | 3,156 | 2,296 |
|
Christopher John Kochis
998 Farmington Ave |
$72.09 | 3,140 | 2,714 |
|
Christopher Kin Ming Orr
1013 Farmington Ave |
$22.38 | 3,061 | 1,868 |
|
Elizabeth Appel
65 Kane St |
$48.20 | 2,961 | 2,433 |
|
Maria E Quinones
1007 Farmington Ave Ste 3A |
$26.41 | 2,930 | 2,368 |
|
Nike Itohan Kubeyinje
785 Farmington Avenue |
$25.85 | 2,712 | 2,451 |
|
Susan Owen Perks
345 N Main St Ste 248 |
$68.71 | 2,628 | 2,201 |
|
Erin Hannan
345 N Main St |
$26.99 | 2,604 | 2,176 |
|
Ashley Mills
901 Farmington Ave Ste 3 |
$18.00 | 2,533 | 2,124 |
|
Sara Frances Kirsch
336 N Main St |
$35.00 | 2,506 | 1,984 |
|
Matthew Scott Warren
81 S Main St Ste 5 |
$84.83 | 2,483 | 2,376 |
|
Margaret Powell
1007 Farmington Ave |
$67.26 | 2,426 | 2,195 |
|
Michael Skolnick
226 Griswold Dr |
$26.04 | 2,369 | 1,622 |
|
Kimberly Milaney
44 Outlook Ave |
$35.76 | 2,340 | 2,099 |
|
David Fermin Arguello
65 Kane Street |
$43.06 | 2,320 | 2,128 |
|
Cheryl Laflamme
631 Quaker Ln S |
$50.02 | 2,312 | 1,814 |
|
Shannon Blake
631 Quaker Ln S |
$12.35 | 2,229 | 1,325 |
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 West Hartford, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Hartford, CT is $45.66 per claim, based on 378,248 claims from 213 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 West Hartford, CT?
There are 213 Medicaid providers offering Office Visit related services in West Hartford, CT according to public payment data.
What is the price range for Office Visit in West Hartford, CT?
Medicaid reimbursement for Office Visit in West Hartford, CT ranges from $0.00 to $116.56 per claim, with an average of $45.66. 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 West Hartford, CT
Eye Exam
Avg $28.43
202,383 claims
Psychiatric Evaluation
Avg $55.21
199,828 claims
Non-Emergency Medical Transportation
Avg $0.00
105,157 claims
Dental Cleaning & Exam
Avg $32.17
88,150 claims
Ambulance Transport
Avg $23.80
87,579 claims
Durable Medical Equipment (DME)
Avg $24.02
86,804 claims
Physical Therapy
Avg $7.90
47,485 claims
Vaccines & Immunizations
Avg $15.60
44,662 claims