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 |
|---|---|---|---|
|
Debra Erin Edelson
1000 Alpine Ave |
$21.16 | 9,102 | 6,795 |
|
Erin Kathleen Atkinson
2525 13Th St |
$143.38 | 7,891 | 6,706 |
|
Anthony S. Barber
4895 Riverbend Rd |
$86.54 | 7,411 | 6,490 |
|
Mark D Schwartz
2525 13Th St |
$176.69 | 6,721 | 6,355 |
|
Eleanor C Walker
2525 13Th St |
$53.48 | 6,301 | 5,777 |
|
Jeffrey G Stoll
2525 13Th St |
$160.41 | 6,264 | 5,447 |
|
Christine Marie Obermaier
1755 48Th St Ste 200 |
$63.29 | 5,925 | 3,400 |
|
Kevin James Dryden
2525 13Th St |
$132.07 | 5,654 | 4,934 |
|
Karen Bant-Kreutzer
2750 Broadway St |
$79.74 | 5,645 | 3,221 |
|
Emily Lynn Barnak
2525 13Th St |
$154.69 | 5,613 | 4,899 |
|
Dana J.H. Benner
5495 Arapahoe Ave Ste 100 |
$159.23 | 5,479 | 4,911 |
|
Landrey Fagan
3434 47Th St Ste 225 |
$152.64 | 4,992 | 4,083 |
|
Michelle L Drury
2525 13Th St |
$134.08 | 4,777 | 4,164 |
|
Katherine Chesney Kennedy
4745 Arapahoe Ave Ste 200 |
$142.58 | 4,512 | 3,768 |
|
Rachel E Hess
2525 13Th St |
$170.27 | 4,342 | 3,658 |
|
Kristine Marie Hoffman
3000 Center Green Dr |
$15.46 | 4,305 | 3,279 |
|
Ira Freedman
2525 13Th St |
$140.39 | 4,111 | 3,514 |
|
Zachary D Kahn
2750 Broadway St |
$35.18 | 4,108 | 3,094 |
|
Kari Stemm-Wolf
1333 Iris Ave |
$73.24 | 4,000 | 3,089 |
|
Andrew Todd Pitts
4745 Arapahoe Ave Ste 310 |
$78.79 | 3,937 | 3,830 |
|
Amy Alper
2525 13Th St |
$133.32 | 3,854 | 3,462 |
|
David Eric Tanner
5387 Manhattan Cir |
$66.70 | 3,644 | 1,826 |
|
Shannon Barbara Ross
2525 13Th St |
$174.44 | 3,526 | 3,109 |
|
Pamela Cross Guthrie
2525 13Th St |
$152.41 | 3,427 | 3,021 |
|
Barbara Jo Franklin
805 S Broadway St Ste 103 |
$9.27 | 3,336 | 2,999 |
|
Elizabeth Huebner
2525 13Th St |
$100.97 | 3,321 | 2,832 |
|
Elizabeth Bhargava
1333 Iris Ave |
$12.11 | 3,192 | 2,246 |
|
Joanna Nowakowski
1900 Wardenburg Drive |
$71.26 | 3,163 | 2,259 |
|
Camilo Andres Ortega
5495 Arapahoe Ave Ste 100 |
$39.78 | 2,977 | 2,383 |
|
Zachary A Campbell
6685 Gunpark Dr |
$85.32 | 2,892 | 2,489 |
|
James Travis Kuster
1100 Balsam Ave Fl 3 |
$121.99 | 2,596 | 2,212 |
|
Sarah D Curry
5495 Arapahoe Ave |
$63.82 | 2,433 | 2,179 |
|
Jeffrey Lee Almony
1333 Iris Avenue |
$39.82 | 2,419 | 1,596 |
|
Jennifer Harrod
1333 Iris Avenue |
$18.00 | 2,374 | 1,608 |
|
Christa Elizabeth Ambrose
2525 13Th St |
$165.42 | 2,198 | 1,873 |
|
Sarah Elizabeth Curzon
4745 Arapahoe Ave Ste 110 |
$159.37 | 2,068 | 1,787 |
|
Alison Kate Alter
2525 13Th St |
$89.41 | 2,036 | 1,747 |
|
Sarit Schneider
1054 Rosehill Dr |
$69.92 | 2,011 | 1,465 |
|
Alison Van Voorhees Davis
4820 Riverbend Rd Ste 100 |
$194.82 | 1,996 | 1,727 |
|
Susan Renae Hudson
5277 Manhattan Cir Ste 220 |
$94.86 | 1,889 | 1,643 |
|
Edith Helena Presler
2525 13Th St |
$191.85 | 1,806 | 1,563 |
|
William R. Shaffer
4801 Riverbend Rd Ste 200 |
$87.49 | 1,781 | 1,614 |
|
Shiraz Moinuddin
2503 Walnut St Ste 200 |
$65.13 | 1,759 | 1,520 |
|
Palpasa Ghimire
2525 13Th St |
$65.21 | 1,662 | 1,534 |
|
Breanna Tomlin
2525 13Th St |
$185.40 | 1,659 | 1,491 |
|
Leah Musch
4743 Arapahoe Ave Ste 202 |
$79.62 | 1,552 | 1,225 |
|
Tanja Elana Johnson
4450 Arapahoe Ave Ste 100 |
$86.12 | 1,540 | 1,287 |
|
Christie Bean Blanton
2750 Broadway St |
$61.10 | 1,536 | 1,338 |
|
Carissa Reanna Martinez
4800 Baseline Rd Ste D106 |
$78.61 | 1,522 | 1,404 |
|
Erin M Pilger
1900 Wardenburg Dr |
$68.23 | 1,496 | 1,298 |
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.
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 Boulder, CO
Psychiatric Evaluation
Avg $80.57
165,246 claims
Physical Therapy
Avg $32.09
155,683 claims
Emergency Room Visit
Avg $96.18
132,331 claims
Speech Therapy
Avg $11.05
120,510 claims
Blood Work & Lab Tests
Avg $6.12
116,278 claims
Ambulance Transport
Avg $85.20
98,483 claims
Home Health Visit
Avg $31.98
81,049 claims
Dental Cleaning & Exam
Avg $34.80
61,130 claims