Average Medicaid Office Visit Payments in Evans, CO: $152.92
Avg. Paid
$152.92
Range
$17.56 – $677.22
Total Claims
154,350
Providers
45
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 Evans, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sunrise Community Health
2930 11Th Ave |
$168.04 | 14,482 | 12,782 |
|
Hannah Elizabeth Sellnow
2930 11Th Ave |
$172.21 | 9,505 | 8,615 |
|
Felicia Marie Doherty
2930 11Th Ave |
$100.70 | 9,085 | 6,361 |
|
Tyler A Weigang
2930 11Th Ave |
$134.46 | 9,044 | 7,618 |
|
Christina Louise Dunn
2930 11Th Ave |
$143.46 | 8,220 | 7,103 |
|
Nikki Montoya Sides
2930 11Th Ave |
$171.01 | 7,572 | 6,657 |
|
Hannah Beth Dunn
2930 11Th Ave |
$125.72 | 7,126 | 5,902 |
|
Emily E Will
2930 11Th Ave |
$177.44 | 6,713 | 5,937 |
|
Lauren Marie Siewert
2930 11Th Ave |
$122.25 | 6,608 | 4,842 |
|
Kelly Dineen Scott-Kitzman
2930 11Th Ave |
$182.39 | 6,486 | 5,858 |
|
Justin James Walker
2930 11Th Ave |
$124.23 | 6,122 | 5,097 |
|
Harlan David
2930 11Th Ave |
$148.29 | 5,266 | 4,535 |
|
Sean Thomas Filipovitz
2930 11Th Ave |
$120.54 | 5,198 | 4,384 |
|
Amy Renee Brodeur
2930 11Th Ave |
$140.72 | 4,445 | 4,086 |
|
Steven Ponicsan
2930 11Th Ave |
$155.93 | 4,427 | 3,931 |
|
Lydia Battaglia
2930 11Th Ave |
$156.19 | 4,257 | 3,687 |
|
Breeann Rael Coffman
2930 11Th Ave |
$173.07 | 3,904 | 3,460 |
|
John W Volk
2930 11Th Ave |
$63.59 | 3,874 | 3,187 |
|
Madeline Wallace
2930 11Th Ave |
$170.94 | 3,432 | 3,118 |
|
Ciani Kate Sosa
2930 11Th Ave |
$155.96 | 3,409 | 2,962 |
|
April Stengel
2930 11Th Ave |
$164.07 | 3,192 | 2,837 |
|
Shannon Taylor Heimann
2930 11Th Ave |
$177.60 | 2,858 | 2,561 |
|
Sojeong Esther Santana
2930 11Th Ave |
$182.75 | 2,383 | 2,128 |
|
Mary Winifred Davis-Pranke
1400 37Th St |
$184.98 | 2,156 | 1,972 |
|
Jonathan Edmunds
2930 11Th Ave |
$192.95 | 1,877 | 1,743 |
|
Jesse Hines
2930 11Th Ave |
$181.42 | 1,606 | 1,427 |
|
Brittany Elizabeth Driscoll
2930 11Th Ave |
$79.12 | 1,274 | 1,182 |
|
Mattie Guelinas
2930 11Th Ave |
$181.43 | 1,246 | 1,102 |
|
Amanda Bridge
2930 11Th Ave |
$223.09 | 1,228 | 1,119 |
|
Chelsea Rene Vanhorn Prater
2930 11Th Ave |
$176.37 | 1,104 | 961 |
|
Hannah Olson
2930 11Th Ave |
$204.68 | 955 | 857 |
|
Rachael Jo Schultheis
2930 11Th Ave |
$241.77 | 851 | 791 |
|
Jessica Susana Nedom
2930 11Th Ave |
$65.42 | 593 | 520 |
|
David James Sosa
2930 11Th Ave |
$198.90 | 584 | 532 |
|
Ronald Jack Johnston
2930 11Th Ave |
$677.22 | 578 | 505 |
|
Maria Meyers
1400 37Th St # Ave |
$247.03 | 499 | 477 |
|
Thomas Lee Dickey
2930 11Th Ave |
$99.88 | 479 | 431 |
|
Sarah Florence Hodack
2930 11Th Ave |
$68.32 | 423 | 390 |
|
Elizabeth Sewczak
2930 11Th Ave |
$163.01 | 412 | 385 |
|
Allyssa Funk
2930 11Th Ave |
$258.03 | 351 | 331 |
|
Gregory Finnoff
2930 11Th Ave |
$64.09 | 235 | 146 |
|
Charles Gallegos
2930 11Th Ave |
$17.56 | 118 | 113 |
|
Sandra Gayle Hoyman
2930 11Th Ave |
$188.96 | 79 | 73 |
|
Jennifer A Caragol
2930 11Th Ave |
$65.78 | 67 | 64 |
|
Sunrise Community Health
1400 37Th St |
$180.74 | 27 | 27 |
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 Evans, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Evans, CO is $152.92 per claim, based on 154,350 claims from 45 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 Evans, CO?
There are 45 Medicaid providers offering Office Visit related services in Evans, CO according to public payment data.
What is the price range for Office Visit in Evans, CO?
Medicaid reimbursement for Office Visit in Evans, CO ranges from $17.56 to $677.22 per claim, with an average of $152.92. 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 Evans, CO
Case Management Services
Avg $78.79
55,654 claims
Vaccines & Immunizations
Avg $1.32
39,262 claims
Blood Work & Lab Tests
Avg $1.17
35,994 claims
Home Health Visit
Avg $52.22
31,401 claims
Personal Care Services
Avg $72.15
26,232 claims
Non-Emergency Medical Transportation
Avg $41.11
24,194 claims
Urinalysis & Urine Tests
Avg $0.20
15,107 claims
Physical Therapy
Avg $121.03
5,746 claims