Based on public Medicaid payment data.

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
Eric Rosenberg 631 Quaker Ln S	$35.14	12	12
Shannon B. Beausoleil 1216 Farmington Ave Ste 202	$80.66	13	12
Sarah Elizabeth Schauer 631 Quaker Ln S	$36.48	14	13
Jeffrey M Factor 836 Farmington Avenue	$21.78	14	13
Philip J Karanian 20 Isham Rd	$26.89	15	13
Frances B Gurtman 445 South Main Street	$22.06	15	12
Maura Emerick 173 Oakwood Ave	$41.50	16	13
Jennifer Raska 28 N Main St Ste 102	$40.21	16	12
Gregory C Walsh 20 Isham Rd	$25.23	17	13
Anna-Maria Alvares 47 Miamis Rd	$21.25	20	18
Allise Lauren Markowski 612B Quaker Ln S	$27.05	20	13
Jared Diamond Wasser 631 S Quaker Ln	$19.84	21	21
Sana Kalra 776 Farmington Ave Ste 1500	$54.04	21	15
Jonathan A Kost 65 Memorial Rd	$2.04	21	12
Dorothy Rose Mulligan 1013 Farmington Ave	$35.13	22	21
Eva Marie Carignan 345 N Main St	$34.29	26	25
Wendy Levinbook 65 Memorial Rd	$26.42	26	24
Lisa Anne Knoll 20 Isham Rd	$26.93	30	28
Abigail Elizabeth Gurall 345 N Main St Ste 242	$39.82	33	32
Marcie A Migliorato 336 North Main Street	$55.08	37	37
Sarah Ariel Senkfor 785 Farmington Ave	$44.94	37	27
Matthew F Colliton 20 Isham Rd	$32.57	41	37
Janna Zempsky 1459A New Britain Ave	$0.00	43	43
Meagan Platt 61 S Main St Fl 3	$17.58	55	37
Herbert Saul Hoffman 1170 New Britain Ave	$11.73	55	42
Amit Rathi 345 N Main St Ste 311	$56.54	56	47
Meghan Corkery 17 S Main St	$37.11	57	54
Peggy Ku 345 N Main St	$40.07	58	56
Carissa A Webster-Lake 2550 Albany Ave # 1056	$20.05	59	53
Jack Ryan 2475 Albany Ave Ste 203B	$116.56	60	30
Kristine Macomber 345 N Main St	$36.26	60	51
Lynnette Cardone 309 N Main St	$46.33	61	54
Elisheva Esther Terrion 95 S Main St	$63.42	63	49
Jennifer Lagosz Conboy 1216 Farmington Ave	$0.00	66	59
Yanet Ravelo 1216 Farmington Ave Ste 202	$60.67	72	64
Cierra Helenia Carr Fabien 983 New Britain Ave	$45.17	83	74
Rachel Billstrom Nelson 345 N Main St	$33.86	88	77
Emma Woodward 65 Memorial Rd Ste 508	$42.80	89	84
Janet Flink 1678 Asylum Ave	$19.63	91	77
Geraldine S Pearson 65 Kane St	$19.40	94	40
Danielle Wagner 65 Memorial Rd Ste 405	$17.37	105	104
Heidi Caroline King 139 N Main St	$24.60	110	71
Margaret M O'Neill 970 Farmington Ave Ste 201	$72.12	112	97
Samuel Werner 342 N Main St Ste 350	$92.57	113	92
Tyler M Stanley 970 Farmington Ave	$64.34	125	103
Theresa Marie Castillejo 65 Memorial Rd Ste 508	$47.35	136	130
Stephen E Lee 45 S Main St Ste 302	$55.20	147	134
Linda Natalie Suarez 430 New Park Ave Ste 102	$21.74	148	69
Marshall P Grodofsky 836 Farmington Avenue	$40.63	156	149
Stephanie Gort 60 Barksdale Rd	$37.35	158	147

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.

Average Medicaid Office Visit Payments in West Hartford, CT: $45.66

Providers Offering Office Visit in West Hartford, CT

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in West Hartford, CT

Eye Exam

Psychiatric Evaluation

Non-Emergency Medical Transportation

Dental Cleaning & Exam

Ambulance Transport

Durable Medical Equipment (DME)

Physical Therapy

Vaccines & Immunizations