Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in American Fork, UT: $50.69

Avg. Paid

$50.69

Range

$0.00 – $127.30

Total Claims

55,529

Providers

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 American Fork, UT

Provider	Avg. Paid	Claims	Patients
Krista Gray 1191 N 1050 E	$4.63	12,000	9,547
Michael D Whiting 48 N 1100 E	$77.97	8,804	7,763
John Joseph Mangelson 98 N 1100 E Ste 103	$77.93	3,989	3,402
Mark K Hafen 226 N 1100 E Ste A	$51.33	3,535	2,912
Todd L Chidester 1159 E 200 N Suite 200	$63.96	2,681	2,512
Russell J Beckstead 1175 E 50 S Ste 241	$79.94	2,193	1,989
Yun Ling 1175 E 50 S	$62.83	1,545	1,287
Mohammad Entezari Taher 212 S 1100 E	$39.82	1,158	999
Jonathan Reed Burnett 98 N 1100 E Ste 201	$50.57	1,039	964
Jason Mark Huddleston 1175 E 50 S	$43.21	1,013	787
Stephen W. Lee 1159 E 200 N Ste 200	$62.09	958	877
Joshua J Hardman 226 N 1100 E	$46.37	918	796
Ihc Health Services Inc 212 S 1100 E	$56.08	917	865
Scott Harris Mumford 1159 E 200 N	$56.14	885	817
Aaron Jacob Peterson 48 N 1100 E	$75.03	881	793
Timo J Hoggard 226 N 1100 E	$41.58	862	748
Toby Paulson 1175 E 50 S	$54.78	844	737
David K Hafen 226 N 1100 E	$51.83	695	602
Valley Obstetrics And Gynecology, Pc 120 N 1220 E	$54.08	631	578
Ihc Health Services Inc 1159 E 200 N	$46.30	611	571
Sarah Lyn Ashby 1159 E 200 N	$73.55	587	565
Tyson Layne Jones 1159 E 200 N	$60.69	565	512
Justin Crop 226 N 1100 E	$43.24	558	490
Jesse Lucinda James 98 B. 1100 E. Suite #102	$40.01	541	507
Alliance Youth Services 995 E 1100 N	$90.30	500	467
Orrin Blake Hansen 1175 E 50 S Ste 241	$69.06	492	422
Ryan Albert Slater 98 N 1100 E Ste 103	$70.53	417	356
Neurological Associates Llc 212 S 1100 E	$65.54	414	390
Roscoe S Nelson 1159 E 200 N Ste 300	$43.27	400	361
Andrew Reid Smith 98 N 1100 E Ste 101	$127.30	395	375
Utah State Developmental Center 895 N. 900 E.	$14.30	371	338
Paul Hepworth 98 N 1100 E Ste 101	$45.51	309	288
Mohammad M Alsolaiman 1175 E 50 S Ste 221	$58.94	270	219
Steven Michael Ruiz 226 N 1100 E	$46.05	245	222
Rogers Foot & Ankle Institute Inc 1248 E 90 N	$35.86	231	217
Ihc Health Services Inc 98 N 1100 E	$75.60	211	205
Jennifer Sariah Gilbert 98 N 1100 E Ste 101	$42.66	189	188
Marsena E Conner 1159 E 200 N	$70.77	187	169
Tomeika Ulett-Garcia 1175 E 50 S	$47.76	172	134
James Nguyen 98 N 1100 E Ste 203	$48.77	163	160
Spencer C. Jasper 98 N 1100 E Ste 205	$103.87	153	143
Ryan B Wilcox 1159 E 200 N	$61.05	151	139
Christopher Jay Reynolds 52 N 1100 E	$44.31	146	134
Adrienne Shaver 1175 E 50 S	$50.66	143	119
Premier Family Medical - American Fork 226 N 1100 E	$7.84	140	119
Kimberly Ann Pettit 98 N 1100 E	$40.73	130	125
John D. Weipert 212 S 1100 E	$62.66	105	95
Mohamed Dafalla 1175 E 50 S Ste 241	$110.33	105	93
Jodi B Wimmer 150 N 1100 E	$47.83	102	100
Douglas R Mower 226 N 1100 E	$27.16	96	81

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 American Fork, UT?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in American Fork, UT is $50.69 per claim, based on 55,529 claims from 73 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 American Fork, UT?

There are 73 Medicaid providers offering Office Visit related services in American Fork, UT according to public payment data.

What is the price range for Office Visit in American Fork, UT?

Medicaid reimbursement for Office Visit in American Fork, UT ranges from $0.00 to $127.30 per claim, with an average of $50.69. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in American Fork, UT: $50.69

Providers Offering Office Visit in American Fork, UT

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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