Average Medicaid Office Visit Payments in Eagle, CO: $59.53
Avg. Paid
$59.53
Range
$54.27 – $100.15
Total Claims
15,029
Providers
10
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 Eagle, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Crystal Walden Roney
377 Sylvan Lake Rd |
$60.56 | 6,201 | 5,095 |
|
Rebecca C Urquhart
377 Sylvan Lake Rd |
$54.27 | 4,112 | 3,358 |
|
Angela Ammon
377 Sylvan Lake Rd Ste 220 |
$59.02 | 3,216 | 2,623 |
|
Jona S Nykreim
377 Sylvan Lake Rd Ste 210 |
$66.55 | 517 | 364 |
|
Janet M Engle
377 Sylvan Lake Rd |
$87.45 | 418 | 349 |
|
Kristen M Vandenberg-Harrison
137 Howard St |
$62.82 | 329 | 281 |
|
Sarah Wilson
377 Sylvan Lake Rd Ste 210 |
$61.19 | 131 | 127 |
|
Miles Henson
377 Sylvan Lake Rd Ste 210 |
$56.89 | 81 | 72 |
|
Tessa M. Beal
377 Sylvan Lake Road |
$100.15 | 12 | 12 |
|
Edward Dent
377 Sylvan Lake Rd |
$65.80 | 12 | 12 |
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 Eagle, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Eagle, CO is $59.53 per claim, based on 15,029 claims from 10 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 Eagle, CO?
There are 10 Medicaid providers offering Office Visit related services in Eagle, CO according to public payment data.
What is the price range for Office Visit in Eagle, CO?
Medicaid reimbursement for Office Visit in Eagle, CO ranges from $54.27 to $100.15 per claim, with an average of $59.53. 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 Eagle, CO
Speech Therapy
Avg $0.00
26,813 claims
Home Health Visit
Avg $0.00
12,623 claims
Vaccines & Immunizations
Avg $15.88
11,283 claims
Blood Work & Lab Tests
Avg $2.87
3,659 claims
Physical Therapy
Avg $0.00
3,044 claims
Personal Care Services
Avg $0.00
2,102 claims
Substance Abuse Treatment
Avg $0.00
1,941 claims
Eye Exam
Avg $20.55
688 claims