Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Durango, CO: $86.23

Avg. Paid

$86.23

Range

$0.00 – $615.05

Total Claims

262,459

Providers

216

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 Durango, CO

Provider	Avg. Paid	Claims	Patients
Haley Marie Yerxa 1 Mercado St Ste 145	$94.05	12	12
Domenic Paul Esposito 575 Rivergate Unit 105	$74.70	13	13
Mark Wesley Turpen 450 Prospector Ave	$92.18	13	12
Kristen C Roessler 281 Sawyer Dr Ste 100	$228.15	13	13
Paige Rebecca Mallette 1 Mercado St	$40.27	13	12
John Phillip Brach 575 Rivergate	$82.00	14	12
James A Santos 1 Mercado St	$57.48	14	12
Cameron Levi Clarke 1266 Escalante Drive Suite 301	$105.76	15	13
Ashley Irene Vanderloop 575 Rivergate Unit 105	$57.19	16	15
Nicholas L Hugentobler Pc 575 Rivergate	$26.07	17	16
Susie C Kim 1 Mercado St	$40.23	17	12
Durango Urgent Care Llc 2577 Main Ave	$19.35	18	16
Rachel K. Chaney 1970 E 3Rd Ave Ste 1	$45.94	18	15
Moss Jacob Fenberg 1266 Escalante Dr Ste 301	$63.74	18	16
Brandon Messerli 1 Mercado St Ste 200	$81.10	21	16
Sara Joy Haug 1266 Escalante Dr Ste 301	$55.27	25	25
Kim L Furry 1 Mercado St	$67.82	25	25
John C Piccaro 1970 E 3Rd Ave Ste 1	$179.77	26	25
David M Greenberg 274 Iron King	$329.81	26	25
Valerie Mehaffie 1800 E 3Rd Ave	$39.03	29	24
Susan Grayson 303 Blue Spruce Trl	$0.00	31	30
Stephen Andrew Breeding 1010 Three Springs Blvd Ste 270	$44.81	31	28
Emily Jeanne Havener Billstein 1 Mercado St	$58.17	33	26
Erin Michelle Crowley 1010 Three Springs Blvd Ste 110	$42.77	36	32
Isaac Eli Hall 1010 Three Springs Blvd Ste 255	$26.22	36	25
Mandy Janine Morford 316 Sawyer Dr	$59.37	39	25
Andrew James Wagner 1010 Three Springs Blvd	$34.87	39	16
Amanda Worsham Dunaway 1 Mercado St Ste 130	$75.57	40	37
Southwest Colorado Mental Health Center, Inc 1125 Three Springs Blvd	$264.28	43	43
Mark D Gaughan 523B South Camino Del Rio	$35.09	44	39
James Abram Mcbride 1010 Three Springs Blvd Ste 270	$26.07	44	41
Megan Cleveland 1 Mercado St Ste 145	$56.65	50	39
Joseph M Murphy 1 Mercado St Ste 160	$31.42	51	39
Wiley Smart Mccreedy 1 Mercado St Ste 202	$57.06	52	50
Megan Kinney 1010 Three Springs Blvd	$76.21	53	47
Betsy S. Kastak 810 E 3Rd St Unit 301	$66.43	53	48
Animas Surgical Hospital, Llc 450 S Camino Del Rio	$0.00	55	53
Amber L Price 1 Mercado St Ste 200	$56.02	58	50
Tushar Nandlal Shah 1 Mercado St	$23.39	59	38
W Donald Cooke 1800 East 3Rd Ave #104	$80.97	59	54
Linda Rose 575 Rivergate Unit 212	$38.87	60	55
William Lewis Marr 810 E 3Rd St Unit 201	$64.50	62	59
Elizabeth H Baca 1 Mercado Street	$56.55	67	62
Jennifer Lizabeth Manganello 175 Mercado St Ste 131	$34.63	69	67
Kiley Ann Berry 1165 S. Camino Del Rio	$40.40	73	57
Erin R Hamlin 1 Mercado St	$82.75	80	73
Kelly Brennan 150 Mercury Village Dr	$0.89	80	53
Anita R Kumar 281 Sawyer Dr Ste 100	$47.27	80	36
Grant Gebhard 1266 Escalante Dr Ste 301	$54.01	83	76
Andrea Charmayne Cameron 1 Mercado St Ste 200	$102.40	85	78

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 Durango, CO?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Durango, CO is $86.23 per claim, based on 262,459 claims from 216 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 Durango, CO?

There are 216 Medicaid providers offering Office Visit related services in Durango, CO according to public payment data.

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

Medicaid reimbursement for Office Visit in Durango, CO ranges from $0.00 to $615.05 per claim, with an average of $86.23. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Durango, CO: $86.23

Providers Offering Office Visit in Durango, CO

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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