Average Medicaid Office Visit Payments in Commerce City, CO: $103.84
Avg. Paid
$103.84
Range
$0.82 – $183.04
Total Claims
85,844
Providers
41
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 Commerce City, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jason E Twardzik-Heine
6255 Quebec Parkway |
$126.05 | 12,453 | 10,829 |
|
Layne C Bracy
6255 Quebec Pkwy |
$125.26 | 11,335 | 10,347 |
|
Jacquelyne S Hilston
6255 Quebec Pkwy |
$183.04 | 6,434 | 5,998 |
|
Rebecca Ann Lusk
4675 E 69Th Ave |
$47.82 | 5,178 | 3,926 |
|
Ann E Dominguez
6255 Quebec Pkwy |
$130.21 | 4,777 | 4,156 |
|
Lauren Jane Thomas
6255 Quebec Pkwy |
$70.05 | 4,631 | 3,994 |
|
Diana Kessel
6255 Quebec Pkwy |
$156.15 | 4,318 | 4,169 |
|
Peter Yu
5996 E 64Th Ave |
$0.84 | 3,925 | 3,251 |
|
Erin Mclean
6255 Quebec Pkwy |
$127.83 | 3,776 | 3,381 |
|
Josina R O'Connell
6255 Quebec Pkwy |
$74.13 | 3,583 | 2,199 |
|
Sarah Oung
6255 North Quebec Parkway |
$118.71 | 3,072 | 2,803 |
|
Sonia Graber
6255 Quebec Pkwy |
$39.24 | 2,315 | 2,069 |
|
Kristin M Reck
6075 E Parkway Dr |
$62.42 | 2,165 | 1,990 |
|
Esther Soojin Shin
6255 Quebec Pkwy |
$72.59 | 2,055 | 1,612 |
|
Eric J William Meiklejohn
6255 Quebec Pkwy |
$67.90 | 2,029 | 1,775 |
|
Arian Hilsendager
6255 Quebec Pkwy |
$181.66 | 1,979 | 1,679 |
|
Natalie Johnson
6255 Quebec Pkwy |
$83.69 | 1,766 | 1,578 |
|
Deanna T Romero
6255 N Quebec Pkwy |
$162.51 | 1,577 | 1,437 |
|
Laura Keyes
13611 E 104Th Ave Unit 500 |
$77.99 | 1,382 | 1,207 |
|
Deborah L Crennen
4675 E 69Th Ave |
$38.21 | 1,335 | 901 |
|
Jennifer Lynn Flores
5996 E 64Th Ave |
$119.25 | 1,017 | 676 |
|
Troy Matthew Russell
9444 E 108Th Ave Apt 203 |
$1.66 | 732 | 641 |
|
Kids First Health Care
7190 Colorado Blvd Ste 450 |
$0.86 | 595 | 475 |
|
Catherine Lee Schurger
4675 E 69Th Ave |
$61.78 | 512 | 430 |
|
Mary Elizabeth Allshouse
4675 E 69Th Ave |
$46.90 | 469 | 348 |
|
Natalie Kathleen Aguilar
4675 E 69Th Ave |
$62.67 | 408 | 328 |
|
Brianne Carruthers
9282 E 108Th Ave |
$47.61 | 373 | 362 |
|
Nina Galia Mcneill
4675 E 69Th Ave |
$31.77 | 368 | 273 |
|
Kaylie M Dau
6255 Quebec Pkwy Ste 1100 |
$136.81 | 297 | 272 |
|
Michele Hinneberg
4675 E 69Th Ave |
$47.15 | 164 | 138 |
|
Jose Amador
9748 Ventura St |
$95.32 | 152 | 146 |
|
Anne Michelle Richter
4371 E 72Nd Ave |
$0.82 | 137 | 137 |
|
Madison Beagley
6075 E Parkway Dr Ste 160 |
$45.71 | 115 | 107 |
|
Robert Knutson
6900 E 47Th Avenue Dr Ste 100 |
$105.22 | 97 | 90 |
|
Steffanie Mae Durkin
10537 Salida St |
$28.97 | 87 | 51 |
|
Esther Min
10569 Chambers Rd Unit 103 |
$67.13 | 78 | 75 |
|
Rebekah Hershey
7190 Colorado Blvd Ste 450 |
$28.63 | 51 | 46 |
|
Meghan Aileen Mahoney
10569 Chambers Rd Ste 100 |
$65.10 | 40 | 37 |
|
Sarah Louise Macdonald
10569 Chambers Rd Unit 102 |
$100.74 | 32 | 31 |
|
Salud Family Health
6255 Quebec Pkwy |
$15.12 | 21 | 21 |
|
Rilee Amador
9748 Ventura St |
$92.81 | 14 | 14 |
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 Commerce City, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Commerce City, CO is $103.84 per claim, based on 85,844 claims from 41 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 Commerce City, CO?
There are 41 Medicaid providers offering Office Visit related services in Commerce City, CO according to public payment data.
What is the price range for Office Visit in Commerce City, CO?
Medicaid reimbursement for Office Visit in Commerce City, CO ranges from $0.82 to $183.04 per claim, with an average of $103.84. 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 Commerce City, CO
Dental Cleaning & Exam
Avg $35.03
74,162 claims
Personal Care Services
Avg $0.00
59,327 claims
Speech Therapy
Avg $11.86
47,237 claims
Home Health Visit
Avg $39.23
43,127 claims
Physical Therapy
Avg $16.56
35,146 claims
Ambulance Transport
Avg $75.71
31,726 claims
Non-Emergency Medical Transportation
Avg $0.29
27,516 claims
Vaccines & Immunizations
Avg $15.34
24,632 claims