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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Denver, CO: $89.80

Avg. Paid

$89.80

Range

$0.00 – $671.04

Total Claims

3,664,561

Providers

2,164

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 Denver, CO

Provider Avg. Paid Claims Patients
Nathaniel J Moore

895 S Logan St

$86.78 69,326 54,765
Total Longterm Care, Inc.

8950 E Lowry Blvd

$1.44 58,911 22,573
Naser K Kalani Yazd

6850 E Evans Ave

$50.95 32,954 22,537
Shaun Gabriel

63 N Quebec St Ste 300

$47.75 29,819 22,071
Augustine Ujunwa Obinnah

4809 Argonne St

$73.13 29,042 23,561
Teresa Robbins

777 Bannock St

$67.69 27,958 26,777
Constantine John Tsamasfyros

128 Steele St

$76.74 20,784 13,826
Wanda M Marshall

1001 Yosemite St

$103.31 20,391 13,784
Anna Kalogeropoulos

4545 E 9Th Ave Ste 300

$71.39 20,005 16,009
Scott Merenstein

8190 E 1St Ave

$75.50 19,720 17,607
Angela Dawkins

2000 S Colorado Blvd Bldg 1-2000

$47.95 17,225 15,436
Rosemary Andrianakos

4545 E 9Th Ave Ste 300

$77.08 16,408 12,853
Edward L Farrell

2130 Stout St

$200.36 16,262 12,937
Antony Nguyen Vanbang

1701 S Federal Blvd # D

$39.23 15,878 11,739
Kristin Jan Viren

10350 E Dakota Ave

$83.52 14,950 9,568
Jennifer K Ess

301 W 6Th Ave

$54.51 14,948 13,350
Gin-Ming Hsu

2480 S Downing St Ste 210

$57.95 14,867 10,747
Elena Anisimova

1260 S Parker Rd Ste 201

$27.17 14,118 12,594
Mariam Syed Ahmad

777 Bannock St # Mc0156

$25.65 14,099 11,572
Cirrusmd Medical Group Of Delaware, P.A.

3000 Lawrence St # 101

$56.46 13,961 12,206
Daniel Whiley Lewis

2130 Stout St

$243.86 13,761 11,182
Bradley A. Torok

777 Bannock St

$86.00 13,376 8,633
Deborah D Gilbert

2055 High Street

$47.57 13,224 12,717
Khoi Duy Albert Nguyen

1770 S Federal Blvd

$54.70 12,571 11,414
Michele A Lande

777 Bannock St

$94.82 12,555 8,668
Thuy Kim Ngo

1339 S Federal Blvd

$82.54 11,964 7,293
Lynn Khuu

1339 S Federal Blvd

$87.84 11,925 7,456
Samuel Douglas Richesin

501 28Th St

$82.96 11,885 8,578
Jenna Cohen

777 Bannock St

$109.78 11,798 8,692
Rollin Vaughn Oden

2130 Stout St

$220.86 11,722 7,785
Lauran Wirfs

5250 Leetsdale Dr

$32.73 11,622 5,750
Daniel Liebowitz

777 Bannock St

$106.13 11,407 8,707
Sara M Brownlee

777 Bannock St

$125.85 11,236 8,332
Bryn Alexandra Gonzales

777 Bannock St

$99.53 11,059 7,457
Ricardo Padilla

777 Bannock St

$68.87 10,832 7,271
Joseph Matarazzo

1214 S Sheridan Blvd

$47.43 10,642 8,563
Shaina Lisette Klackle

777 Bannock St

$99.74 10,607 6,979
Danelle Marie Habhab

2005 Franklin Street

$26.17 10,567 8,597
Amy M Quinones

777 Bannock St

$74.62 10,465 6,232
Ruth Finley Knight

10400 E Alameda Ave

$165.06 10,392 9,079
Alicia L Appel

777 Bannock St

$66.77 10,287 6,695
Daniel J Holligan

777 Bannock St

$97.10 10,273 7,067
Luz Maria Jimenez

777 Bannock St

$134.86 10,268 7,170
Zoran Vukadinovic

1620 Gaylord St

$93.76 10,201 7,618
Jessica Michelle Bull

777 Bannock St

$117.87 10,142 7,324
Daniel James White

1001 Yosemite St

$134.32 10,131 7,976
Yosuke Nomura

777 Bannock St

$120.71 10,021 7,747
Sara Vatan

5800 E Evans Ave Ste 101

$56.24 9,851 6,387
Hany M. Khattab

1100 Federal Blvd

$115.68 9,834 6,867
Jennifer E Hess

777 Bannock St Fl A1

$106.46 9,808 7,252

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 Denver, CO?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Denver, CO is $89.80 per claim, based on 3,664,561 claims from 2164 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 Denver, CO?

There are 2164 Medicaid providers offering Office Visit related services in Denver, CO according to public payment data.

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

Medicaid reimbursement for Office Visit in Denver, CO ranges from $0.00 to $671.04 per claim, with an average of $89.80. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Denver, CO