Average Medicaid Office Visit Payments in Grand Jct, CO: $53.85
Avg. Paid
$53.85
Range
$29.34 – $94.66
Total Claims
8,554
Providers
14
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 Grand Jct, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Melissa A Schmalz
743 Horizon Ct Ste 100 |
$55.71 | 3,275 | 2,703 |
|
Roy Odem Mears
743 Horizon Ct Ste 100 |
$58.13 | 1,036 | 936 |
|
Emily Crenshaw
1060 Orchard Ave Unit N |
$40.30 | 764 | 687 |
|
Merri May
1060 Orchard Ave Unit N |
$64.96 | 704 | 652 |
|
Todd Michael James
2373 G Rd Ste 280 |
$53.20 | 536 | 483 |
|
Aaron Moore
2373 G Rd Ste 160 |
$48.31 | 525 | 493 |
|
Zebulon Friedly
603 28 1/4 Rd |
$29.34 | 435 | 414 |
|
Ivan S Alkes
2345 N 7Th St |
$60.55 | 399 | 303 |
|
Elizabeth Moyle Carlson
735 White Ave |
$62.69 | 285 | 240 |
|
William J. Waterhouse
2478 Patterson Rd |
$30.10 | 268 | 233 |
|
Adam Lee Baker
2373 G Rd Ste 270 |
$94.66 | 146 | 135 |
|
Matthew M Langston
2373 G Rd Ste 160 |
$58.66 | 121 | 115 |
|
Christopher Lee Blair
603 28 1/4 Rd |
$68.25 | 45 | 42 |
|
Sue E Hanson
2373 G Rd Ste 240 |
$49.80 | 15 | 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 Grand Jct, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Grand Jct, CO is $53.85 per claim, based on 8,554 claims from 14 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 Grand Jct, CO?
There are 14 Medicaid providers offering Office Visit related services in Grand Jct, CO according to public payment data.
What is the price range for Office Visit in Grand Jct, CO?
Medicaid reimbursement for Office Visit in Grand Jct, CO ranges from $29.34 to $94.66 per claim, with an average of $53.85. 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 Grand Jct, CO
Psychiatric Evaluation
Avg $97.35
24,085 claims
Eye Exam
Avg $16.77
3,307 claims
Pathology & Lab Services
Avg $44.16
2,800 claims
Behavioral & Mental Health Therapy
Avg $51.07
1,762 claims
Case Management Services
Avg $38.14
1,191 claims
EKG / ECG (Electrocardiogram)
Avg $8.27
1,055 claims
Blood Work & Lab Tests
Avg $5.85
395 claims
Echocardiogram
Avg $75.18
194 claims