Average Medicaid Office Visit Payments in Estes Park, CO: $131.76
Avg. Paid
$131.76
Range
$43.56 – $603.43
Total Claims
19,256
Providers
19
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 Estes Park, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Kevin Stanton
1950 Redtail Hawk Dr |
$168.11 | 4,253 | 3,066 |
|
Hannah Elena Schwartz Fields
1950 Redtail Hawk Dr |
$175.45 | 4,014 | 3,199 |
|
Lenaya Marie Martin
1950 Redtail Hawk Dr |
$158.53 | 1,703 | 1,525 |
|
Curtis P Weibel
131 Stanley Ave |
$62.55 | 1,629 | 1,328 |
|
Mark L Wiesner
555 Prospect Ave |
$59.60 | 1,596 | 1,395 |
|
Eileen Flaherty
1950 Redtail Hawk Dr |
$180.43 | 1,532 | 1,434 |
|
Cynthia L Di Lauro
555 Prospect Ave |
$46.38 | 1,258 | 1,144 |
|
Guy P Van Der Werf
131 Stanley Ave Ste 202 |
$72.24 | 774 | 713 |
|
Michelle K Chew
1950 Redtail Hawk Dr |
$164.29 | 695 | 546 |
|
Erika Jane Norris
131 Stanley Ave |
$54.51 | 680 | 565 |
|
Amber Galey
131 Stanley Ave |
$43.56 | 668 | 608 |
|
Paul W Fonken
131 Stanley Ave |
$60.74 | 107 | 71 |
|
Viktoriya Street
1950 Redtail Hawk Dr |
$69.42 | 105 | 94 |
|
Paxon Riding
555 Prospect Ave |
$603.43 | 85 | 71 |
|
Robyn A Zehr
555 Prospect Ave |
$72.02 | 65 | 55 |
|
Michael Brian Rountree
350 Far View Dr |
$177.09 | 35 | 32 |
|
Paige Dekker
555 Prospect Ave |
$70.72 | 31 | 30 |
|
Ashley Jean Mcmunigal
131 Stanley Ave |
$54.05 | 14 | 14 |
|
Bridget Ann Dunn
555 Prospect Ave |
$86.40 | 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 Estes Park, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Estes Park, CO is $131.76 per claim, based on 19,256 claims from 19 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 Estes Park, CO?
There are 19 Medicaid providers offering Office Visit related services in Estes Park, CO according to public payment data.
What is the price range for Office Visit in Estes Park, CO?
Medicaid reimbursement for Office Visit in Estes Park, CO ranges from $43.56 to $603.43 per claim, with an average of $131.76. 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 Estes Park, CO
Psychiatric Evaluation
Avg $176.34
9,333 claims
Substance Abuse Treatment
Avg $143.67
4,247 claims
Vaccines & Immunizations
Avg $23.63
3,591 claims
Nursing Facility Care
Avg $23.32
2,534 claims
Emergency Room Visit
Avg $142.79
2,410 claims
Blood Work & Lab Tests
Avg $13.51
1,552 claims
Behavioral & Mental Health Therapy
Avg $160.93
1,144 claims
Dental Cleaning & Exam
Avg $11.96
1,081 claims