Average Medicaid Office Visit Payments in Eagle Mountain, UT: $68.05
Avg. Paid
$68.05
Range
$7.36 – $80.51
Total Claims
12,768
Providers
16
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 Mountain, UT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
William Paul Berg
4095 E Pony Express Pkwy Ste 1 |
$80.51 | 4,051 | 3,111 |
|
Steven Len Embley
4095 E Pony Express Pkwy |
$68.96 | 3,546 | 2,693 |
|
Derek Joseph Davenport
4095 E Pony Express Pkwy Ste 1 |
$68.21 | 2,917 | 2,519 |
|
Troy Robinson Baker
3943 E Pony Express Pkwy |
$43.47 | 1,007 | 895 |
|
Lorin Leithead
4095 E Pony Express Pkwy |
$63.69 | 295 | 262 |
|
Premier Family Medical - Eagle Mountain
3943 E Pony Express Pkwy Ste 120 |
$7.36 | 264 | 210 |
|
Jay Cannon Lambert
4095 E Pony Express Pkwy |
$53.72 | 192 | 148 |
|
Angela Salveson
4095 E Pony Express Pkwy Ste 1 |
$51.55 | 120 | 107 |
|
Cedar Valley Family & Foot Llc
3435 E Pony Express Pkwy Ste 140 |
$54.10 | 101 | 84 |
|
Elizabeth A Pritt
4095 E Pony Express Parkway |
$58.66 | 67 | 57 |
|
Cheryl Scholes
3714 East Campus Drive S |
$46.75 | 57 | 52 |
|
Logan Kupitz
4095 E Pony Express Pkwy Ste 1 |
$54.57 | 43 | 39 |
|
Brian J Pontius
4095 E Pony Express Pkwy |
$63.74 | 32 | 26 |
|
Brian Lee Simmons
3943 E Pony Express Pkwy Ste 120 |
$23.49 | 30 | 27 |
|
Cherokee Carrillo
4095 E Pony Express Parkway |
$20.78 | 30 | 29 |
|
Cami Jo Watt
3943 E Pony Express Pkwy Ste 120 |
$25.51 | 16 | 14 |
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 Mountain, UT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Eagle Mountain, UT is $68.05 per claim, based on 12,768 claims from 16 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 Mountain, UT?
There are 16 Medicaid providers offering Office Visit related services in Eagle Mountain, UT according to public payment data.
What is the price range for Office Visit in Eagle Mountain, UT?
Medicaid reimbursement for Office Visit in Eagle Mountain, UT ranges from $7.36 to $80.51 per claim, with an average of $68.05. 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
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Eagle Mountain, UT
Dental Cleaning & Exam
Avg $33.60
6,076 claims
Physical Therapy
Avg $72.62
2,355 claims
Dental Filling
Avg $62.75
2,031 claims
Psychiatric Evaluation
Avg $109.21
1,967 claims
Speech Therapy
Avg $28.80
1,729 claims
Vaccines & Immunizations
Avg $13.80
904 claims
Blood Work & Lab Tests
Avg $4.00
750 claims
Tooth Extraction
Avg $86.07
654 claims