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 |
|---|---|---|---|
|
Mary E Moody
10400 E Alameda Ave |
$61.66 | 12 | 12 |
|
Wheaton H Brewer
1835 Franklin St |
$104.12 | 12 | 12 |
|
Steven P. Aaronson
1719 E 19Th Ave |
$51.74 | 12 | 12 |
|
William G Wright
10350 E Dakota Ave |
$63.67 | 12 | 12 |
|
Graham S Ingalsbe
777 Bannock St |
$44.57 | 12 | 12 |
|
Glenn T. Foust
2055 High St |
$55.92 | 12 | 12 |
|
Jacob Krause
700 Delaware St |
$0.00 | 12 | 12 |
|
Ping S Chu
2555 S Downing St Ste 240 |
$79.04 | 12 | 12 |
|
Angie N Martinez
10350 E Dakota Ave |
$93.27 | 12 | 12 |
|
Eric K France
10065 E Harvard Ave |
$74.98 | 12 | 12 |
|
Kathleen Dorsey Saxon
1375 E 19Th Ave |
$86.14 | 12 | 12 |
|
Matthew Mcgraw
1400 Jackson St |
$97.91 | 12 | 12 |
|
Nardos Workneh
6850 E Evans Ave |
$69.37 | 12 | 12 |
|
David Robert Thomas
10350 E Dakota Ave |
$63.26 | 12 | 12 |
|
Laura R Dickinson
2045 N Franklin St |
$65.34 | 12 | 12 |
|
Gabrielle Eileen Mykoniatis
10400 E Alameda Ave |
$62.92 | 12 | 12 |
|
Cynthia Gayle Mueller
2055 High St |
$66.18 | 12 | 12 |
|
Jason Christian Forsythe
2535 S Downing St |
$39.03 | 12 | 12 |
|
Carolyn F. Munro
4100 E Mississippi Ave Ste 600 |
$0.00 | 12 | 12 |
|
Joshua Brian Katz
1245 S Beach Ct |
$0.00 | 12 | 12 |
|
Jay Michael Straight
850 E Harvard Ave Ste 265 |
$87.26 | 12 | 12 |
|
Olivia Marie Allore
2045 N Franklin St |
$54.77 | 12 | 12 |
|
Benjamin Aaron Pallant
777 Bannock St |
$0.00 | 12 | 12 |
|
Kathleen T Wagner
4545 E 9Th Ave |
$67.49 | 12 | 12 |
|
Southeast Denver Pediatrics, Pc
2121 S Oneida St |
$0.00 | 12 | 12 |
|
Megan L Stephenson
2045 N Franklin St |
$53.17 | 12 | 12 |
|
Mallory Moss Katz
4455 E 12Th Ave |
$21.95 | 12 | 12 |
|
Melanie M Wong
10350 E Dakota Ave |
$29.30 | 12 | 12 |
|
Urgent Care Solutions Glendale, P.C.
760 S Colorado Blvd Unit A |
$74.27 | 12 | 12 |
|
Emily Leann Aaron
4545 E 9Th Ave Ste 240 |
$80.35 | 12 | 12 |
|
Kristina A Lewis
1601 E 19Th Ave Ste 5000 |
$88.87 | 12 | 12 |
|
Jon Mackay Scriver
15556 Olmsted Pl |
$89.50 | 12 | 12 |
|
Melissa Anne Decelles
1800 N Williams St Ste 200 |
$73.52 | 12 | 12 |
|
Paul L Neustedter
1375 E 19Th Ave |
$77.54 | 12 | 12 |
|
Brooke Garcia
2535 S Downing St Ste 100 |
$54.43 | 12 | 12 |
|
Cara E Bergamo
777 Bannock St |
$14.44 | 12 | 12 |
|
Estee-Lina Tran
777 Bannock St |
$64.28 | 12 | 12 |
|
Orthopedic Centers Of Colorado, Llc
8101 E Lowry Blvd Ste 120 |
$0.00 | 12 | 12 |
|
Ari Z Melmed
1375 E 19Th Ave |
$51.05 | 12 | 12 |
|
Katherine Virginia Senkosky
1601 E 19Th Ave Ste 3300 |
$17.92 | 12 | 12 |
|
Julie Nguyen
9878 W Belleview Ave Ste 2242 |
$80.50 | 13 | 13 |
|
James Kevin Robinett
3520 W Oxford Ave |
$45.19 | 13 | 12 |
|
Angela Marchin
7155 E 38Th Ave |
$67.55 | 13 | 12 |
|
Aubre Kathryn Tompkins
7155 E 38Th Ave |
$40.22 | 13 | 12 |
|
Christopher T North
1375 E 19Th Ave |
$81.77 | 13 | 12 |
|
Adriel J. Malave
1400 Jackson St |
$93.49 | 13 | 13 |
|
Michael Joseph Stevenson
1830 N Franklin St Ste 340 |
$127.78 | 13 | 13 |
|
David A Craigie
10350 E Dakota Ave |
$62.92 | 13 | 13 |
|
Jeffrey R Jockel
2045 N Franklin St |
$93.82 | 13 | 12 |
|
Menachem Yonah Weiss
3900 E Mexico Ave Ste 102 |
$94.80 | 13 | 13 |
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