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 |
|---|---|---|---|
|
Ada Margaret Gillis
2955 S Broadway |
$63.50 | 12 | 12 |
|
Felipe Hernandez
2955 S Broadway |
$59.82 | 12 | 12 |
|
Valerie Lynn Ackman
3600 S Logan St Ste 100 |
$88.73 | 13 | 13 |
|
Michael David Wade
799 E Hampden Ave |
$126.91 | 13 | 13 |
|
Anna Elizabeth Bray
180 E Hampden Ave Ste 100 |
$36.09 | 13 | 12 |
|
Corey Jewell
601 E Hampden Ave Ste 310 |
$65.00 | 13 | 12 |
|
Kristen Hertzler
7887 E Belleview Ave Ste 1100 |
$58.39 | 14 | 13 |
|
Steve E Horan
799 E Hampden Ave |
$147.02 | 14 | 14 |
|
Natalie S Mul
499 E Hampden Ave Ste 420 |
$78.81 | 14 | 13 |
|
Mark Edward John Magner
500 E Hampden Ave Ste 425B |
$115.36 | 14 | 14 |
|
Kenneth Alan Moss
701 E Hampden Ave |
$61.05 | 14 | 14 |
|
Daine Thompson Bennett
401 W Hampden Pl Ste 210 |
$82.15 | 15 | 14 |
|
David L Sobel
799 E Hampden Ave |
$109.10 | 15 | 12 |
|
James C Lukban
601 E Hampden Ave Ste 460 |
$39.72 | 15 | 12 |
|
Taryn Snyder
799 E Hampden Ave |
$61.18 | 15 | 14 |
|
Samantha Kelley Mauck
7887 E Belleview Ave Ste 1100 |
$79.83 | 16 | 12 |
|
Christianne Abigail Tasho
799 E Hampden Ave Ste 430 |
$72.59 | 16 | 16 |
|
Kaitlyn A Lee
499 E Hampden Ave Ste 360 |
$76.91 | 16 | 13 |
|
Steven M Atkins
799 E Hampden Ave |
$90.76 | 17 | 16 |
|
Arapahoe Mental Health Center, Inc
155 Inverness Dr W |
$87.18 | 17 | 14 |
|
Nicole Kristen Poskochil
701 E Hampden Ave Ste 415 |
$73.78 | 17 | 16 |
|
Lisa Reyes
180 E Hampden Ave Ste 200 |
$55.75 | 17 | 14 |
|
Shannon Galbreath Converse
2955 S Broadway |
$67.84 | 19 | 19 |
|
Alvaro A Nieto
10700 E Geddes Ave Ste 100 |
$27.71 | 19 | 18 |
|
Summit Primary Care
799 E Hampden Ave Ste 315 |
$0.00 | 19 | 16 |
|
Herbert J Thomas
499 E Hampden Ave |
$49.45 | 19 | 14 |
|
Kathleen M. Hayhurst
501 E Hampden Ave |
$37.67 | 20 | 12 |
|
Nathan S Persoff
701 E Hampden Ave |
$63.98 | 22 | 16 |
|
Angela Han Choi
750 W Hampden Ave Ste 105 |
$132.35 | 23 | 18 |
|
Rudy Kovachevich
601 E Hampden Ave |
$21.36 | 24 | 13 |
|
Amy K Nguyen
601 E Hampden Ave Ste 310 |
$36.16 | 25 | 12 |
|
Claire Rundell
701 E Hampden Ave Ste 130 |
$56.59 | 28 | 27 |
|
Seamus Martin
10520 El Diente Ct Ste A |
$63.45 | 30 | 25 |
|
Margaret Wade Jones
3425 S Clarkson St |
$25.98 | 32 | 31 |
|
Neva Jean Jarvis
4107B S Federal Blvd |
$62.56 | 35 | 32 |
|
Rocky Mountain Urgent Care, Llc
730 W Hampden Ave Ste 200 |
$86.60 | 36 | 15 |
|
Allison Marie Pascale
180 E Hampden Ave Ste 180 |
$54.39 | 39 | 32 |
|
Brittany N Kudrna
180 E Hampden Ave Ste 100 |
$50.98 | 41 | 36 |
|
Rebecca Morrill
701 E Hampden Ave Ste 110 |
$50.45 | 41 | 37 |
|
David C Kelsall
601 E Hampden Avenue |
$65.52 | 42 | 40 |
|
Daniel P. Jones
2955 S Broadway |
$39.52 | 43 | 41 |
|
Sharon Miller Martin
701 E Hampden Ave |
$71.98 | 45 | 44 |
|
Trevor Jordan Wait
175 Inverness Dr W |
$55.53 | 45 | 41 |
|
William Jared Scott
501 E. Hampden Avenue |
$12.17 | 46 | 14 |
|
Monica Ramstad
4107B S Federal Blvd |
$257.52 | 47 | 43 |
|
John Richard Schwappach
499 E Hampden Ave |
$47.51 | 48 | 40 |
|
Morel Laronn
1610 E Girard Pl |
$69.26 | 49 | 41 |
|
Englewood Surgery Center, Llc
3277 S Lincoln Ave |
$0.52 | 50 | 44 |
|
John S Sabel
499 E Hampden Ave |
$42.47 | 51 | 51 |
|
Lindsey R Jankowski
601 E Hampden Ave Ste 310 |
$133.01 | 52 | 52 |
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