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
Michael Emile Guillette 2577 Main Ave	$85.05	8,347	8,001
Nicholas Leland Hugentobler 270 E 8Th Ave	$49.47	6,902	5,217
Daniel Seth Caplin 72 Suttle St Unit M	$91.91	6,686	4,560
Southwest Colorado Mental Health Center, Inc 150 Mercury Village Dr	$153.27	6,512	4,264
Kelly Lang Miller 810 East 3Rd St, Suite #301	$63.34	6,483	5,851
Martha Cecile Fraley 810 East 3Rd St, Suite #301	$59.59	6,387	5,641
Vitina Marie Cosse 1125 S Camino Del Rio	$86.05	6,163	5,541
Amy Leigh Hurley 810 East 3Rd St, Suite #301	$62.29	6,093	5,368
Jessica Rensner 555 Rivergate Ste B1-109	$67.80	6,059	4,563
Melinda Jean Jordeth 575 Rivergate Ln Unit 95	$202.71	6,038	5,212
Krista Lynn Ault 316 Sawyer Dr	$20.99	5,927	4,800
Jill S Rimmey 1970 E 3Rd Ave Ste 1	$208.17	5,681	4,971
Maria Danette Housley-Kolter 1010 Three Springs Blvd	$49.58	5,314	4,274
Southwest Colorado Mental Health Center, Inc 281 Sawyer Dr	$223.16	5,168	4,471
David Alexander Maclaurin 810 E 3Rd St Unit 301	$61.62	4,896	4,446
Jessica Marsh 810 E 3Rd St Unit 301	$63.95	4,568	3,878
Janelle R Stewart 523 S Camino Del Rio, Ste B	$77.32	4,358	4,161
Kimberly J Caruso 810 East 3Rd St, Suite #301	$65.41	4,338	3,895
Justin L Curtis 1266 Escalante Dr	$63.53	4,288	3,928
Kayse Lee Lake 1266 Escalante Dr	$56.46	4,285	3,717
Shaina Nawrocki 2577 Main Ave	$144.86	4,188	3,941
Alexander William Schermer 1010 Three Springs Blvd	$40.84	3,683	3,514
Sean Roche 14 Calico Trl	$88.56	3,347	3,058
Patrick Ely 2577 Main Ave	$74.96	3,334	3,171
Mark A Braunstein 2855 Main Ave Suite A105	$78.28	3,326	2,744
Pakhi Chaudhuri 1199 Main Ave	$77.43	3,281	2,276
Devon C Daney 1 Mercado St Ste 160	$104.41	3,166	2,734
Joanna Beth Dominick 72 Suttle St	$96.31	3,057	2,702
Heidi S. Mcmillan 215 E 12Th St	$75.03	3,001	2,563
Robert H Hill 450 S Camino Del Rio	$53.64	2,682	2,031
Arthur M Zemach 810 East 3Rd St, Suite #301	$72.53	2,635	2,252
Melissa Jane Briggs 150 Mercury Village Dr	$185.88	2,625	2,136
Kelsey Marie Hocker 1 Mercado St Ste 160	$64.00	2,557	2,101
Justin M Possner 316 Sawyer Dr	$122.45	2,534	1,990
Lexi Kathryn Querio 810 E 3Rd St	$54.25	2,420	1,856
Christine Amanda Koch 2577 Main Ave	$140.63	2,411	2,254
Erika R Stensen 2 Burnett Court	$58.78	2,399	2,170
Zane Alexander Downs 2577 Main Ave	$79.75	2,254	2,056
Patrick J Kearney 1 Mercado St Ste 160	$59.22	2,237	1,843
Trevor G Wall 1 Mercado St	$60.76	2,190	1,911
Katherine Suzanne Mccrea 810 E 3Rd St	$47.24	2,133	1,438
Carrie Lynne Radding 108 Conejo Pl	$80.11	2,085	1,468
William Joel Karls 281 Sawyer Dr	$36.29	2,052	1,278
Jordan Womack 270 E 8Th Ave	$49.68	2,038	1,573
Morgan James Manulik 1010 Three Springs Blvd Ste 290	$31.65	1,923	1,040
Randy W Ash 765 E College Dr	$133.86	1,913	1,872
Charlotte L Barry 810 E 3Rd St Unit 201	$120.30	1,908	1,660
Sylvia Joanna Rozek 1 Mercado St Ste 202	$63.03	1,791	1,653
Emily Ruckman 611 Pleasant Dr	$44.08	1,788	1,531
Patti Lynn Snodgrass 281 Sawyer Dr	$40.07	1,778	1,007

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

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Other Procedures in Durango, CO

Psychiatric Evaluation

Substance Abuse Treatment

Dental Cleaning & Exam

Emergency Room Visit

Behavioral & Mental Health Therapy

Blood Work & Lab Tests

Vaccines & Immunizations

Physical Therapy