Average Medicaid Office Visit Payments in Evergreen, CO: $71.79
Avg. Paid
$71.79
Range
$15.03 – $199.60
Total Claims
36,800
Providers
25
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 Evergreen, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kenneth John Kutalek
30960 Stagecoach Blvd |
$64.41 | 4,446 | 3,895 |
|
Kimberly Erin Bentrott
32214 Ellingwood Trl |
$58.82 | 4,399 | 3,399 |
|
Jordyn Johnson
30960 Stagecoach Blvd # 120 |
$60.91 | 4,245 | 3,388 |
|
Anne L. Brockman
1520 Evergreen Pkwy |
$60.60 | 4,171 | 3,393 |
|
David Mcqueen
3082 Evergreen Pkwy Ste D |
$112.30 | 3,936 | 3,208 |
|
Elizabeth Pleshe Neill
1520 Evergreen Pkwy |
$69.24 | 3,547 | 2,926 |
|
Troy Gavin Freedman
32214 Ellingwood Trl |
$59.14 | 2,976 | 2,187 |
|
Robert V Michael
32214 Ellingwood Trl |
$60.87 | 1,804 | 1,508 |
|
Emily Tracy
172 Siesta Cir |
$74.20 | 1,684 | 1,432 |
|
Leslie Brook Mckenna
3081 Bergen Peak Dr |
$99.89 | 1,155 | 1,050 |
|
Elaine Ann Sandler
30772 Southview Dr Ste 150 |
$56.03 | 1,026 | 613 |
|
Donna C Kautzman
8830 Blue Creek Rd |
$26.09 | 805 | 707 |
|
Michelle Porter
238 Hyland Dr |
$144.32 | 625 | 280 |
|
Jeannine Marie Ferrigno Randolph
32135 Castle Ct Ste 101 |
$110.76 | 619 | 553 |
|
Katie Marie Smith
32214 Ellingwood Trl |
$77.01 | 461 | 393 |
|
Quinn C Doyle
7643 Gartner Rd |
$199.60 | 172 | 162 |
|
Jeffrey S Sorensen
32135 Castle Ct Ste 101 |
$84.93 | 172 | 158 |
|
Brian L Vincent
952 Swede Gulch Rd |
$92.22 | 114 | 112 |
|
Neil Speer
952 Swede Gulch Rd |
$79.04 | 112 | 108 |
|
Richard Lyle Staller
30940 Stagecoach Blvd |
$46.90 | 88 | 75 |
|
Monica M Rabanal
28000 Meadow Dr |
$19.64 | 75 | 47 |
|
Mary Page Smith
30772 Southview Dr. Ste 120 |
$167.27 | 73 | 67 |
|
Kathie Elizabeth Mcalpine
30953 Ruby Ranch Rd |
$178.04 | 62 | 50 |
|
Kathleen Morrin May
32135 Castle Ct Ste 100 |
$85.02 | 20 | 15 |
|
William Sean Burke
2942 Evergreen Pkwy Ste 100 |
$15.03 | 13 | 13 |
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 Evergreen, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Evergreen, CO is $71.79 per claim, based on 36,800 claims from 25 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 Evergreen, CO?
There are 25 Medicaid providers offering Office Visit related services in Evergreen, CO according to public payment data.
What is the price range for Office Visit in Evergreen, CO?
Medicaid reimbursement for Office Visit in Evergreen, CO ranges from $15.03 to $199.60 per claim, with an average of $71.79. 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 Evergreen, CO
Dental Cleaning & Exam
Avg $35.10
15,825 claims
X-Ray
Avg $2.99
10,140 claims
Psychiatric Evaluation
Avg $75.34
8,652 claims
Vaccines & Immunizations
Avg $18.67
6,520 claims
Non-Emergency Medical Transportation
Avg $85.01
4,537 claims
Urinalysis & Urine Tests
Avg $4.43
2,794 claims
Eye Exam
Avg $46.80
2,745 claims
Physical Therapy
Avg $29.85
2,147 claims