Average Medicaid Office Visit Payments in Fort Lupton, CO: $118.05
Avg. Paid
$118.05
Range
$36.50 – $192.93
Total Claims
66,381
Providers
18
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 Fort Lupton, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Teresa Vasquez
1450 Dexter St |
$66.80 | 33 | 33 |
|
Andrea Vigil
203 S Rollie Ave |
$171.60 | 145 | 106 |
|
Linda Jean Nelson
1115 2Nd St |
$78.72 | 431 | 393 |
|
Aisling Aletta Ryan-Abbott
327 Park Ave |
$93.30 | 461 | 413 |
|
Deborah Green
315 Park Ave |
$56.01 | 606 | 554 |
|
Anabel Ruiz
1115 2Nd St |
$62.32 | 862 | 777 |
|
Haley Marilyn Houtchens
1450 Dexter St # 160 |
$66.65 | 902 | 824 |
|
Nicole Danielle Noble
1115 2Nd St |
$36.50 | 2,379 | 2,189 |
|
Susan Hayes
1450 Dexter St |
$54.23 | 2,665 | 2,111 |
|
Elizabeth Gutierrez
1115 2Nd St |
$192.93 | 3,899 | 3,460 |
|
Hannah Meyer
1115 2Nd St |
$189.93 | 4,164 | 3,703 |
|
Barbara A Pivonka
1115 2Nd St |
$92.89 | 4,526 | 3,704 |
|
Stephanie N Miller
1115 2Nd St |
$113.04 | 4,646 | 4,119 |
|
Brian P Boley
1115 2Nd St |
$71.30 | 5,472 | 3,647 |
|
Kalina Ehrenreich-Piot
1115 2Nd St |
$181.86 | 7,198 | 6,466 |
|
Martin Daniel Mcdermott
327 Park Ave |
$67.18 | 7,592 | 6,697 |
|
Tillman Farley
1115 2Nd St |
$130.95 | 7,862 | 6,956 |
|
Katherine Rufner
1115 2Nd St |
$129.65 | 12,538 | 9,857 |
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 Fort Lupton, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fort Lupton, CO is $118.05 per claim, based on 66,381 claims from 18 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 Fort Lupton, CO?
There are 18 Medicaid providers offering Office Visit related services in Fort Lupton, CO according to public payment data.
What is the price range for Office Visit in Fort Lupton, CO?
Medicaid reimbursement for Office Visit in Fort Lupton, CO ranges from $36.50 to $192.93 per claim, with an average of $118.05. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Fort Lupton, CO
Blood Work & Lab Tests
Avg $2.68
15,116 claims
Vaccines & Immunizations
Avg $13.06
10,274 claims
Psychiatric Evaluation
Avg $34.26
5,665 claims
Urinalysis & Urine Tests
Avg $1.03
1,671 claims
Substance Abuse Treatment
Avg $16.77
1,283 claims
Dental Cleaning & Exam
Avg $27.83
1,053 claims
Eye Exam
Avg $15.81
788 claims
Nursing Facility Care
Avg $9.83
682 claims