Average Medicaid Office Visit Payments in Avon, CO: $97.51
Avg. Paid
$97.51
Range
$0.00 – $245.16
Total Claims
17,485
Providers
30
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 Avon, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Debra Elaine Burns
230 Chapel Sq Unit D-102 |
$186.41 | 3,555 | 3,119 |
|
Guy J. Kovacevich
142 Beaver Creek Place |
$38.03 | 3,438 | 3,015 |
|
Laurel Reinhart Stearns
50 Buck Creek Road |
$69.06 | 2,416 | 2,003 |
|
Jared R Seibert
50 Buck Creek Rd Ste 200 |
$51.35 | 1,608 | 1,542 |
|
Rachel L Hickman
850 West Beaver Creek Blvd |
$245.16 | 974 | 874 |
|
Ryan Winkelhorst
50 Buck Creek Rd Ste 100 |
$82.71 | 882 | 748 |
|
Monica Grafals
50 Buck Creek Rd Ste 200 |
$53.32 | 640 | 527 |
|
Wilber L. Mendez
82 E Beaver Creek Blvd |
$120.70 | 627 | 364 |
|
Leslie E Fishman
50 Buck Creek Road |
$66.07 | 606 | 469 |
|
Meegan Elise Leve
50 Buck Creek Rd Ste 200 |
$69.32 | 582 | 526 |
|
Brian Thomas Maurer
50 Buck Creek Road |
$23.58 | 423 | 180 |
|
Marta Gruntmane
230 Chapel Sq Unit D-102 |
$221.97 | 386 | 334 |
|
Irina Pratt
50 Buck Creek Rd Ste 200 |
$41.55 | 276 | 220 |
|
Rebecca Ruth Novak
50 Buck Creek Rd Ste 100 |
$57.43 | 199 | 179 |
|
Jonathan C Feeney
50 Buck Creek Road |
$0.18 | 149 | 88 |
|
Lauren Philmus
50 Buck Creek Rd Ste 100 |
$78.25 | 116 | 109 |
|
Lindsey Ann Larson
50 Buck Creek Road |
$61.25 | 110 | 108 |
|
Regan C. Pyle
50 Buck Creek Rd Ste 300 |
$59.90 | 97 | 86 |
|
Connie K Wolf
50 Buck Creek Road |
$4.12 | 75 | 70 |
|
Julie Tollefson
50 Buck Creek Rd Ste 200 |
$58.44 | 69 | 65 |
|
Kaleesha Glowinsky
50 Buck Creek Rd Ste 100 |
$59.76 | 55 | 51 |
|
Diane Voytko
50 Buck Creek Road |
$56.45 | 42 | 38 |
|
Jean Susan Hadley
50 Buck Creek Road |
$92.75 | 32 | 30 |
|
Colorado Mountain Medical, Pc
50 Buck Creek Road |
$0.00 | 29 | 28 |
|
Eric E Olson
50 Buck Creek Road |
$52.98 | 27 | 26 |
|
Lydia Sprouse
850 West Beaver Creek Blvd |
$129.18 | 16 | 15 |
|
Allisa Rae Corsbie
50 Buck Creek Rd Ste 200 |
$46.98 | 16 | 13 |
|
Tania Erika Engle
50 Buck Creek Road |
$75.55 | 14 | 14 |
|
Andrea P Hutchinson
50 Buck Creek Road |
$66.78 | 14 | 13 |
|
Kendrick Mcdonald Adnan
50 Buck Creek Rd Ste 100 |
$61.59 | 12 | 12 |
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 Avon, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Avon, CO is $97.51 per claim, based on 17,485 claims from 30 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 Avon, CO?
There are 30 Medicaid providers offering Office Visit related services in Avon, CO according to public payment data.
What is the price range for Office Visit in Avon, CO?
Medicaid reimbursement for Office Visit in Avon, CO ranges from $0.00 to $245.16 per claim, with an average of $97.51. 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 Avon, CO
Dental Cleaning & Exam
Avg $28.37
5,062 claims
Blood Work & Lab Tests
Avg $3.05
4,162 claims
Emergency Room Visit
Avg $85.06
2,902 claims
Vaccines & Immunizations
Avg $11.68
2,872 claims
Nursing Facility Care
Avg $6.41
1,767 claims
Dental Filling
Avg $133.23
1,008 claims
Physical Therapy
Avg $28.65
943 claims
Tooth Extraction
Avg $94.10
784 claims