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
73
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 |
|---|---|---|---|
|
Stephany Reese
119 S Pacific Dr Ste 102 |
$62.70 | 12 | 12 |
|
Ihc Health Services Inc
98 N 1100 E |
$40.27 | 12 | 12 |
|
Hang Turner
98 N 1100 E Ste 101 |
$7.66 | 13 | 13 |
|
Wesley Robert Clegg
1175 E 50 S # 211 |
$35.74 | 19 | 15 |
|
Jeffrey Dallin Wilcox
98 N 1100 E Ste 203 |
$42.90 | 20 | 17 |
|
Erica Card
412 S 700 W |
$14.87 | 25 | 16 |
|
Tanya Bidstrup Przybyla
226 N 1100 E |
$56.71 | 25 | 25 |
|
Brian Grier
1184 E 80 N |
$30.33 | 27 | 27 |
|
Jennifer Krebs
1248 E 90 N |
$102.97 | 28 | 27 |
|
Ihc Health Services Inc
98 N 1100 E |
$25.43 | 28 | 13 |
|
David J Frantz
1175 E 50 S Ste 221 |
$86.80 | 34 | 32 |
|
Sanford Todd Hamilton
1175 E 50 S Ste 211 |
$69.86 | 34 | 25 |
|
Casey Ray Owens
1175 E 50 S |
$45.36 | 34 | 26 |
|
Taylor Allan Crowther
476 N 900 W Ste C |
$0.00 | 38 | 36 |
|
Heidi Heras
482 W 50 N |
$62.62 | 40 | 38 |
|
Ihc Health Services Inc
1159 E 200 N |
$59.82 | 45 | 40 |
|
Steven Monson
895 N 900 E |
$8.54 | 54 | 48 |
|
Michael L Cosgrave
226 N 1100 E |
$60.17 | 57 | 52 |
|
Dawn Thi Thuy Ngo
1175 E 50 S Ste 221 |
$52.36 | 58 | 46 |
|
Gregory Carl Chipman
48 N 1100 E |
$42.36 | 60 | 41 |
|
Nicholas Thomson
1152 E 200 N |
$46.23 | 63 | 49 |
|
Andrew Benjamin Ward
1184 E 80 N |
$22.24 | 65 | 64 |
|
Clinton Daniel Lauridsen
98 N 1100 E Ste 102 |
$42.94 | 91 | 77 |
|
Douglas R Mower
226 N 1100 E |
$27.16 | 96 | 81 |
|
Jodi B Wimmer
150 N 1100 E |
$47.83 | 102 | 100 |
|
John D. Weipert
212 S 1100 E |
$62.66 | 105 | 95 |
|
Mohamed Dafalla
1175 E 50 S Ste 241 |
$110.33 | 105 | 93 |
|
Kimberly Ann Pettit
98 N 1100 E |
$40.73 | 130 | 125 |
|
Premier Family Medical - American Fork
226 N 1100 E |
$7.84 | 140 | 119 |
|
Adrienne Shaver
1175 E 50 S |
$50.66 | 143 | 119 |
|
Christopher Jay Reynolds
52 N 1100 E |
$44.31 | 146 | 134 |
|
Ryan B Wilcox
1159 E 200 N |
$61.05 | 151 | 139 |
|
Spencer C. Jasper
98 N 1100 E Ste 205 |
$103.87 | 153 | 143 |
|
James Nguyen
98 N 1100 E Ste 203 |
$48.77 | 163 | 160 |
|
Tomeika Ulett-Garcia
1175 E 50 S |
$47.76 | 172 | 134 |
|
Marsena E Conner
1159 E 200 N |
$70.77 | 187 | 169 |
|
Jennifer Sariah Gilbert
98 N 1100 E Ste 101 |
$42.66 | 189 | 188 |
|
Ihc Health Services Inc
98 N 1100 E |
$75.60 | 211 | 205 |
|
Rogers Foot & Ankle Institute Inc
1248 E 90 N |
$35.86 | 231 | 217 |
|
Steven Michael Ruiz
226 N 1100 E |
$46.05 | 245 | 222 |
|
Mohammad M Alsolaiman
1175 E 50 S Ste 221 |
$58.94 | 270 | 219 |
|
Paul Hepworth
98 N 1100 E Ste 101 |
$45.51 | 309 | 288 |
|
Utah State Developmental Center
895 N. 900 E. |
$14.30 | 371 | 338 |
|
Andrew Reid Smith
98 N 1100 E Ste 101 |
$127.30 | 395 | 375 |
|
Roscoe S Nelson
1159 E 200 N Ste 300 |
$43.27 | 400 | 361 |
|
Neurological Associates Llc
212 S 1100 E |
$65.54 | 414 | 390 |
|
Ryan Albert Slater
98 N 1100 E Ste 103 |
$70.53 | 417 | 356 |
|
Orrin Blake Hansen
1175 E 50 S Ste 241 |
$69.06 | 492 | 422 |
|
Alliance Youth Services
995 E 1100 N |
$90.30 | 500 | 467 |
|
Jesse Lucinda James
98 B. 1100 E. Suite #102 |
$40.01 | 541 | 507 |
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.
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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in American Fork, UT
Dental Cleaning & Exam
Avg $54.33
74,062 claims
Blood Work & Lab Tests
Avg $17.58
55,361 claims
Emergency Room Visit
Avg $51.02
52,983 claims
Home Health Visit
Avg $5.55
24,948 claims
Psychiatric Evaluation
Avg $88.88
20,037 claims
Vaccines & Immunizations
Avg $3.93
15,180 claims
Physical Therapy
Avg $9.19
14,736 claims
Speech Therapy
Avg $0.30
14,126 claims