Average Medicaid Office Visit Payments in Delta, UT: $74.35
Avg. Paid
$74.35
Range
$42.07 – $86.62
Total Claims
19,040
Providers
11
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 Delta, UT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nathan Bliss
140 White Sage Ave |
$64.78 | 15 | 15 |
|
Robert Preston Keel
130 White Sage Ave |
$42.07 | 82 | 67 |
|
Jacob Donald Bailey
130 White Sage Ave |
$69.91 | 229 | 205 |
|
Mandy Lynn Lemmon
140 White Sage Ave |
$67.33 | 585 | 542 |
|
Joshua Arjaan Dekker
130 White Sage Ave |
$63.91 | 721 | 640 |
|
Spencer Gordon Nielson
140 White Sage Ave |
$66.43 | 804 | 739 |
|
Ihc Health Services Inc
130 White Sage Ave |
$77.86 | 1,109 | 1,024 |
|
Rhett Foster Crapo
130 White Sage Ave |
$62.00 | 2,466 | 2,195 |
|
Steven W Shamo
140 White Sage Ave |
$66.23 | 2,687 | 2,356 |
|
Alan Ross Smith
140 White Sage Ave |
$66.62 | 2,837 | 2,409 |
|
Central Utah Counseling Center
51 North Center Street |
$86.62 | 7,505 | 6,651 |
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 Delta, UT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Delta, UT is $74.35 per claim, based on 19,040 claims from 11 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 Delta, UT?
There are 11 Medicaid providers offering Office Visit related services in Delta, UT according to public payment data.
What is the price range for Office Visit in Delta, UT?
Medicaid reimbursement for Office Visit in Delta, UT ranges from $42.07 to $86.62 per claim, with an average of $74.35. 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 Delta, UT
Psychiatric Evaluation
Avg $120.38
68,439 claims
Behavioral & Mental Health Therapy
Avg $117.77
54,172 claims
Blood Work & Lab Tests
Avg $46.08
5,507 claims
Physical Therapy
Avg $18.64
5,265 claims
Case Management Services
Avg $118.54
4,584 claims
Substance Abuse Treatment
Avg $176.37
4,448 claims
Emergency Room Visit
Avg $39.22
3,587 claims
Vaccines & Immunizations
Avg $8.55
868 claims