Average Medicaid Office Visit Payments in Englewood, CO: $71.68
Avg. Paid
$71.68
Range
$0.00 – $544.48
Total Claims
277,077
Providers
236
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 Englewood, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bipin Kumar
3515 S Delaware St |
$82.80 | 22,190 | 19,784 |
|
Rodric D Falcon
8835 American Way |
$44.89 | 19,129 | 18,086 |
|
Christopher James Brian Frandrup
799 E Hampden Ave Ste 305 |
$66.46 | 16,097 | 13,728 |
|
Robert Paul Schiermeyer
5102 S Broadway |
$85.95 | 11,175 | 9,958 |
|
Kathryn Ann Harrison
3701 S Clarkson St Ste 400 |
$58.51 | 8,886 | 8,041 |
|
Suzy Ann Lim
2955 S Broadway |
$1.95 | 8,157 | 5,010 |
|
Heather Kelly
3701 S Broadway |
$162.23 | 6,162 | 5,462 |
|
John Edward Marquez
3330 S Broadway |
$79.88 | 5,937 | 5,148 |
|
Patrick Anthony Tellez
3701 S Broadway |
$0.99 | 5,907 | 5,488 |
|
Alexis Barrere
4107B S Federal Blvd |
$200.30 | 5,876 | 4,755 |
|
Tara Gene O'Connor
799 E Hampden Ave Ste 300 |
$60.54 | 5,717 | 3,963 |
|
Kenyon Joseph Weidle
601 E Hampden Ave Ste 470 |
$65.86 | 5,344 | 4,931 |
|
Amber Koch-Laking
2955 S Broadway |
$102.20 | 4,798 | 3,692 |
|
Lisa Rose Rothlein-Naron
601 E Hampden Ave Ste 470 |
$66.22 | 4,671 | 4,338 |
|
Mia Wallin Roberts
4107 S Federal Blvd Ste B |
$196.31 | 4,496 | 3,707 |
|
Judy Kay Chiang
601 E Hampden Ave |
$69.32 | 4,172 | 3,987 |
|
Giancarlo Checa
10700 E Geddes Ave Ste 100 |
$35.43 | 4,068 | 3,453 |
|
Jennifer G Burke
3701 S Clarkson St Ste 400 |
$58.76 | 3,602 | 3,260 |
|
Eric Franklin Steen
3601 S Clarkson St Ste 535 |
$33.54 | 3,472 | 2,364 |
|
Lauren Claire Mclaughlin-Abrams
145 Inverness Dr E Ste 350 |
$65.26 | 3,242 | 2,698 |
|
Andrew J Ross
701 E Hampden Ave |
$79.25 | 3,168 | 2,766 |
|
Richard G Asarch
3701 S Clarkson St Ste 400 |
$64.13 | 3,010 | 2,844 |
|
Donald Jonathan Bernardini
10700 E Geddes Ave Ste 100 |
$35.28 | 2,898 | 2,451 |
|
Roberto A Belli
3701 S Clarkson St Ste 400 |
$86.31 | 2,843 | 2,701 |
|
Meagan Murgel
499 E Hampden Ave |
$85.20 | 2,793 | 2,596 |
|
Leah Marie Cooper
221 E Hampden Ave |
$43.52 | 2,726 | 2,357 |
|
Shawna Rae Mitchell
2955 S Broadway |
$47.80 | 2,709 | 2,492 |
|
Michael Simones
9785 Maroon Cir Ste G104 |
$70.73 | 2,687 | 2,482 |
|
Phillis Jewell Rutt
799 E Hampden Ave Ste 300 |
$61.41 | 2,667 | 1,906 |
|
David Foster Eastlund
3277 S Lincoln St |
$82.03 | 2,589 | 2,252 |
|
Kellie Sperduto
750 W Hampden Ave Ste 350 |
$68.95 | 2,578 | 2,253 |
|
Michael E Mccleery
799 E Hampden Ave Ste 305 |
$79.07 | 2,564 | 2,311 |
|
Yonatan Bitton-Faiwiszewski
499 E Hampden Ave Ste 200 |
$29.91 | 2,468 | 2,202 |
|
Victoria L Tuttle
8401 S Chambers Rd |
$26.23 | 2,236 | 1,890 |
|
Denis Newman
3701 S Broadway |
$180.84 | 2,210 | 1,929 |
|
Samir Ezzeldin Witta
3501 S Corona St Ste 1 |
$57.96 | 2,191 | 1,808 |
|
Christopher Huser
10700 E Geddes Ave Ste 100 |
$33.13 | 2,161 | 1,729 |
|
Meryl Ann Singer
195 Inverness Dr W Ste 200 |
$27.40 | 2,141 | 1,884 |
|
Rachel Nicole Cornell
2955 S Broadway |
$94.84 | 2,069 | 1,413 |
|
Katherine Mary Wehlage
3701 S Clarkson St Ste 400 |
$75.00 | 2,037 | 1,773 |
|
Richard W Jolly
799 E Hampden Ave |
$70.16 | 2,000 | 1,790 |
|
Amanda Parker
3535 S Lafayette St Ste 100 |
$56.27 | 1,963 | 1,271 |
|
Paul Alvord
701 E Hampden Ave Ste 420 |
$92.44 | 1,914 | 1,913 |
|
Melissa L. Sinkus
155 Inverness Dr W |
$45.35 | 1,785 | 1,558 |
|
Justin Merkow
10700 E Geddes Ave Ste 100 |
$48.37 | 1,674 | 1,595 |
|
Samantha Matney
901 W Hampden Ave Unit 103 |
$79.36 | 1,641 | 1,538 |
|
Clinton Fay Holland
601 E Hampden Ave |
$44.10 | 1,603 | 1,188 |
|
Oliver J Jeffery
499 E Hampden Ave Ste 360 |
$55.78 | 1,485 | 1,459 |
|
Melanie Diprofio
901 W Hampden Ave Unit 103 |
$96.96 | 1,404 | 1,288 |
|
Lexi Johnson
88 Inverness Cir E Unit A106 |
$35.33 | 1,358 | 1,135 |
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 Englewood, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Englewood, CO is $71.68 per claim, based on 277,077 claims from 236 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 Englewood, CO?
There are 236 Medicaid providers offering Office Visit related services in Englewood, CO according to public payment data.
What is the price range for Office Visit in Englewood, CO?
Medicaid reimbursement for Office Visit in Englewood, CO ranges from $0.00 to $544.48 per claim, with an average of $71.68. 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 Englewood, CO
Blood Work & Lab Tests
Avg $12.41
2,896,363 claims
Urinalysis & Urine Tests
Avg $6.37
429,690 claims
X-Ray
Avg $7.35
405,759 claims
Culture & Microbiology Tests
Avg $8.87
318,388 claims
CT Scan (Computed Tomography)
Avg $43.55
303,255 claims
Emergency Room Visit
Avg $95.08
250,627 claims
Home Health Visit
Avg $47.25
193,279 claims
Physical Therapy
Avg $28.27
141,906 claims