Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Boulder, CO: $96.83

Avg. Paid

$96.83

Range

$0.00 – $679.96

Total Claims

244,107

Providers

277

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 Boulder, CO

Provider	Avg. Paid	Claims	Patients
Quality Urgent Care Professional Corporation 2795 Pearl St Ste 106	$0.00	12	12
Lisa M Balduf 4743 Arapahoe Ave Ste 100	$79.10	12	12
Karin Dejong Vanbaak 5495 Arapahoe Ave	$45.12	12	12
John R Mcneil 4743 Arapahoe Ave Ste 201	$41.55	12	12
Lindsay Nicole Boyers 2750 Broadway St	$62.57	12	12
David H. Kruger 1100 Balsam Ave.	$92.11	12	12
Jamie Jonathan Doucet 4743 Arapahoe Ave	$49.82	12	12
Diana Carol Tanney 4745 Arapahoe Ave Ste 310	$59.08	13	13
Sara M Pope 5495 Arapahoe Ave	$53.22	13	12
Stephanie Rae Traver 4745 Arapahoe Ave Ste 320	$61.59	13	12
Rebecca Ann Kasperbauer 2575 Spruce St	$117.58	13	12
Robert Leland 4740 Pearl Pkwy Ste 200	$78.49	13	12
James Logan Machin 1900 Wardenburg Drive	$53.19	13	12
Mark A Birmingham 2750 Broadway St	$65.79	13	12
Frances I Hamilton 1155 Alpine Ave	$51.99	13	13
Eric Moore Cutti 1900 Wardenburg Drive Ucb 119	$66.24	14	14
Ibrahim Bulent Cetindag 4743 Arapahoe Ave Ste 100	$101.38	14	14
Mark D King 4800 Riverbend Rd	$62.34	14	12
Michelle J Steiner 1155 Alpine Ave	$89.29	14	13
Brian Nichols 4745 Arapahoe Ave	$94.14	14	14
Jill Siegfried 2750 Broadway St	$75.40	14	12
Jose Edmundo Manrique Mercado 4747 Arapahoe Ave	$75.06	14	12
David E Mccarty 4895 Riverbend Rd	$43.37	15	13
Anna M Rooney 6685 Gunpark Dr	$53.44	15	14
Michael D Jones 3645 Endicott Dr	$679.96	15	15
Michael Repine 2750 Broadway St	$47.58	15	14
Sherrie Lynn Ballantine-Talmadge 2150 Stadium Dr	$77.67	15	14
Sepeideh Sebryna Nouhi 580 Mohawk Dr	$54.53	15	14
Dillon Duval 4743 Arapahoe Ave Ste 202	$95.07	15	15
Scott David Parker 6685 Gunpark Dr Ste 102	$38.97	15	13
Tamara Kay Lester 2855 Valmont Rd	$43.60	15	13
Jessica Boydston 4743 Arapahoe Ave Ste 201	$81.70	16	13
David J Davis 580 Mohawk Dr	$63.75	16	14
Vanessa R Oren 580 Mohawk Dr	$42.08	16	15
Brian N Bailey 1230 Chambers Dr	$53.98	16	16
Kevin Herbert Cuevas 4745 Arapahoe Ave	$88.67	17	13
Holly Lynn Saracco 4715 Arapahoe Avenue	$86.71	17	15
Patricia Zishka 2750 Broadway St	$77.01	17	17
Scott E Clemensen 580 Mohawk Dr	$56.60	17	14
Dawn Renee Hutchinson 2575 Spruce St	$64.05	18	17
Jose M Delgado 2750 Broadway St	$57.86	18	13
Adriana L Lorenzo 4743 Arapahoe Ave Ste 201	$44.31	22	14
Ilya Igolnikov 4740 Pearl Pkwy Ste 200	$58.08	23	21
Lindsey Stuart 1900 Wardenburg Drive	$67.24	25	25
Michael Terence Stanger 4801 Riverbend Rd Ste 120A	$55.38	25	16
Satish C Rao 4801 Riverbend Rd Ste 200	$71.39	26	26
Chirag Ambaram Chauhan 4743 Arapahoe Ave Ste 201	$48.09	26	25
Ian Villanueva 1900 Wardenburg Drive	$53.16	28	27
Jamie Hale 5365 Spine Rd	$59.18	28	28
Jon Erik Hammarstedt 4740 Pearl Pkwy Ste 200	$86.32	28	24

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 Boulder, CO?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Boulder, CO is $96.83 per claim, based on 244,107 claims from 277 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 Boulder, CO?

There are 277 Medicaid providers offering Office Visit related services in Boulder, CO according to public payment data.

What is the price range for Office Visit in Boulder, CO?

Medicaid reimbursement for Office Visit in Boulder, CO ranges from $0.00 to $679.96 per claim, with an average of $96.83. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Boulder, CO: $96.83

Providers Offering Office Visit in Boulder, CO

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Boulder, CO

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Emergency Room Visit

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Blood Work & Lab Tests

Ambulance Transport

Home Health Visit

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