Average Medicaid Office Visit Payments in Edwards, CO: $148.85
Avg. Paid
$148.85
Range
$0.00 – $238.32
Total Claims
21,698
Providers
26
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 Edwards, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kerry Brown
2205 Cordillera Way |
$0.00 | 16 | 12 |
|
Scott J Ziporin
1140 Edwards Village Blvd Unit B204 |
$43.58 | 27 | 25 |
|
Rebecca Adochio
322 Beard Creek Rd |
$67.84 | 30 | 27 |
|
Barry Ira Sandler
439 Edwards Access Rd # B204 |
$19.83 | 56 | 17 |
|
Jessica M. Tse
439 Edwards Access Rd |
$47.40 | 96 | 82 |
|
Katie Jones
322 Beard Creek Rd |
$52.69 | 116 | 91 |
|
Kyler Rae Hijmans
439 Edwards Access Rd |
$201.58 | 119 | 99 |
|
Sabrina Ste-Marie
322 Beard Creek Rd Ste 1300 |
$56.60 | 148 | 124 |
|
Marina Pitsilos
2205 Cordillera Way |
$48.20 | 178 | 99 |
|
Christopher K Thiagarajah
1140 Edwards Village Blvd Unit B206 |
$67.58 | 201 | 172 |
|
Brandon M Smith
439 Edwards Access Rd |
$1.35 | 229 | 145 |
|
Carol Susan Conger
320 Beard Creek Rd |
$222.20 | 258 | 165 |
|
Joshua Nichols
105 Edwards Village Blvd |
$27.29 | 322 | 171 |
|
Joseph Drew
439 Edwards Access Rd |
$4.41 | 374 | 248 |
|
Colleen Deirdre Ihnken
322 Beard Creek Rd |
$145.74 | 421 | 365 |
|
Benjamin Nissen
439 Edwards Access Rd |
$46.72 | 545 | 376 |
|
Alexander Urquhart
322 Beard Creek Rd |
$28.83 | 693 | 578 |
|
Joshua Joseph Rodgers
2205 Cordillera Way |
$26.51 | 1,072 | 801 |
|
Kent A Petrie
320 Beard Creek Rd Ste 200 |
$189.26 | 1,230 | 945 |
|
Joshua Steven Rusk
320 Beard Creek Rd |
$143.59 | 1,266 | 1,046 |
|
Noreen Maria Woods
320 Beard Creek Rd |
$186.58 | 1,393 | 1,034 |
|
Adriana Melissa Meyer
320 Beard Creek Rd |
$238.32 | 1,882 | 1,311 |
|
Zackary Jacob Kent
320 Beard Creek Rd |
$202.52 | 2,188 | 1,671 |
|
Diane Purse
320 Beard Creek Road |
$233.17 | 2,761 | 2,379 |
|
Rebecca Kate Percy
320 Beard Creek Rd |
$56.92 | 2,893 | 2,333 |
|
Maria Roques Escolar
128 Legacy Trail |
$182.92 | 3,184 | 2,236 |
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 Edwards, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Edwards, CO is $148.85 per claim, based on 21,698 claims from 26 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 Edwards, CO?
There are 26 Medicaid providers offering Office Visit related services in Edwards, CO according to public payment data.
What is the price range for Office Visit in Edwards, CO?
Medicaid reimbursement for Office Visit in Edwards, CO ranges from $0.00 to $238.32 per claim, with an average of $148.85. 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 Edwards, CO
Vaccines & Immunizations
Avg $2.70
13,524 claims
Blood Work & Lab Tests
Avg $8.95
12,657 claims
Emergency Room Visit
Avg $94.33
11,457 claims
Ambulance Transport
Avg $120.50
8,851 claims
Chiropractic Care
Avg $17.12
6,526 claims
Psychiatric Evaluation
Avg $27.84
5,957 claims
Physical Therapy
Avg $21.96
4,334 claims
Eye Exam
Avg $74.54
2,494 claims