Average Medicaid Office Visit Payments in Fountain, CO: $131.67
Avg. Paid
$131.67
Range
$0.00 – $230.20
Total Claims
53,057
Providers
21
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 Fountain, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Andrea Verlare
6908 Mesa Ridge Pkwy |
$64.32 | 54 | 52 |
|
Arely Dominguez Gonzalez
350 Lyckman Pl |
$186.15 | 91 | 82 |
|
Comfort Care Family Practice, Inc.
6908 Mesa Ridge Pkwy |
$0.00 | 106 | 43 |
|
Stephanie L Bestwina
6310 S Us Highway 85-87 |
$107.09 | 198 | 192 |
|
Darren Kyle Dennis
350 Lyckman Pl |
$4.51 | 317 | 257 |
|
Megan T Corbett
6908 Mesa Ridge Pkwy |
$62.17 | 414 | 276 |
|
Richard A Miller
5115 Fontaine Blvd |
$65.07 | 424 | 381 |
|
Genevieve Giammo
6908 Mesa Ridge Pkwy |
$98.23 | 450 | 429 |
|
Jennifer Keys
6908 Mesa Ridge Pkwy |
$64.02 | 473 | 414 |
|
Malory Kay Splawn
350 Lyckman Pl |
$230.20 | 717 | 681 |
|
Front Range Urgent Care, Inc.
6908 Mesa Ridge Pkwy |
$0.40 | 1,057 | 800 |
|
Marie Regina Glasgow
6908 Mesa Ridge Pkwy |
$101.15 | 1,060 | 982 |
|
Patrick Michael Cassidy
350 Lyckman Pl |
$73.58 | 2,067 | 1,963 |
|
Jonathan Richard Meacham
6908 Mesa Ridge Pkwy |
$65.93 | 2,068 | 1,867 |
|
Ann-Marie Bourque-Koch
7955 Fountain Mesa Rd |
$67.42 | 2,510 | 2,375 |
|
Jennifer D Abbey
6908 Mesa Ridge Pkwy |
$66.17 | 4,275 | 3,833 |
|
Kayla Marchesani
350 Lyckman Pl |
$178.62 | 4,468 | 4,167 |
|
Adam Lee Randall
7415 Araia Dr |
$88.79 | 4,525 | 3,165 |
|
Jennifer Marie Berger-Vernace
350 Lyckman Drive |
$100.33 | 7,589 | 6,252 |
|
Cherie Marie Millirons
350 Lyckman Pl |
$199.34 | 8,372 | 7,775 |
|
Erin Luna
6161 Timber Rail Pt Ste 100 |
$183.70 | 11,822 | 10,843 |
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 Fountain, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fountain, CO is $131.67 per claim, based on 53,057 claims from 21 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 Fountain, CO?
There are 21 Medicaid providers offering Office Visit related services in Fountain, CO according to public payment data.
What is the price range for Office Visit in Fountain, CO?
Medicaid reimbursement for Office Visit in Fountain, CO ranges from $0.00 to $230.20 per claim, with an average of $131.67. 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 Fountain, CO
Physical Therapy
Avg $59.74
44,516 claims
Dental Cleaning & Exam
Avg $33.93
27,524 claims
Speech Therapy
Avg $59.31
26,142 claims
Non-Emergency Medical Transportation
Avg $27.55
18,001 claims
Eye Exam
Avg $55.20
12,932 claims
Dental Filling
Avg $121.57
9,663 claims
Ambulance Transport
Avg $103.45
9,093 claims
Psychiatric Evaluation
Avg $78.74
6,601 claims