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
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 Denver, CO
Non-Emergency Medical Transportation
Avg $26.40
71,876,674 claims
Ambulance Transport
Avg $23.52
11,577,287 claims
Blood Work & Lab Tests
Avg $6.48
3,027,459 claims
Substance Abuse Treatment
Avg $93.12
2,728,510 claims
Home Health Visit
Avg $313.41
1,547,478 claims
Emergency Room Visit
Avg $97.09
1,116,435 claims
Dental Cleaning & Exam
Avg $31.66
1,066,803 claims
Psychiatric Evaluation
Avg $80.53
905,608 claims