Average Medicaid Office Visit Payments in Gunnison, CO: $68.86
Avg. Paid
$68.86
Range
$0.00 – $569.43
Total Claims
22,484
Providers
35
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 Gunnison, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amanda Elizabeth Hill
707 N Iowa St |
$68.74 | 3,403 | 2,894 |
|
Nickolas Evangelos Poulos
711 N Taylor St |
$83.23 | 2,678 | 2,526 |
|
Brandon G. Bentz
711 N Taylor St |
$51.37 | 2,118 | 2,006 |
|
Nicol Campbell Talbert
130 E Virginia Ave |
$72.71 | 1,628 | 1,402 |
|
Bonnie Strickland
707 N Iowa St |
$112.94 | 1,260 | 1,137 |
|
Laura Elizabeth Rogers
710 N Taylor St |
$114.27 | 1,122 | 941 |
|
Jillian Margaret Grzeskiewicz
710 N Taylor St |
$3.85 | 1,066 | 628 |
|
Erica Lyn Eaton
707 N Iowa St |
$58.58 | 1,063 | 919 |
|
Samuel Elzay
711 N Taylor St |
$73.25 | 789 | 773 |
|
Jeffrey A Oster
711 N Taylor St |
$51.11 | 719 | 670 |
|
Paulette M Blanchet
711 N Taylor St |
$36.22 | 709 | 620 |
|
Jodi Handrich Bauer
707 N Iowa St |
$56.89 | 708 | 614 |
|
Jay Mcmurren
130 E Virginia Ave |
$55.52 | 691 | 592 |
|
Kenneth Robert Anderson
707 N Iowa St |
$65.50 | 631 | 571 |
|
Willa Rose Shields
300 E Denver Ave |
$0.00 | 604 | 263 |
|
Kira Kitchens
707 N Iowa St |
$102.75 | 518 | 478 |
|
Aline Lina Jatulis-Wight
711 N Taylor St |
$140.23 | 316 | 265 |
|
Maija Jean Alexander Swanson
707 N Iowa St |
$18.93 | 312 | 295 |
|
Megan Tucker
130 E Virginia Ave |
$88.26 | 261 | 218 |
|
Emily Ferrell
130 E Virginia Ave |
$71.07 | 250 | 221 |
|
John E Holder
130 E Virginia Ave |
$72.78 | 236 | 206 |
|
Gloria M Beim
112 W Spencer Ave |
$75.26 | 212 | 173 |
|
Timothy C. Gueramy
104 W Ruby Ave |
$43.19 | 186 | 164 |
|
Lauretta F Garren
130 E Virginia Ave |
$62.21 | 151 | 121 |
|
Dusty V Hamilton
707 N Iowa St |
$76.68 | 138 | 128 |
|
Brigid Heckel
707 N Iowa St |
$59.89 | 135 | 123 |
|
Jennifer Sherburne
711 N Taylor St |
$88.70 | 125 | 115 |
|
Charles Clifton Barnhart
710 N Taylor St |
$77.41 | 116 | 81 |
|
Laura A Villanueva
130 E Virginia Ave |
$95.58 | 89 | 71 |
|
William Scott Timothy
711 N Taylor St |
$40.43 | 81 | 64 |
|
Michelle Hinton
707 N Iowa St |
$569.43 | 49 | 45 |
|
David Henry Elfenbein
103 W Tomichi Ave Ste B |
$56.23 | 49 | 38 |
|
Ann Elizabeth Treisman
711 N Taylor St |
$227.05 | 32 | 32 |
|
Matthew G Wark
711 N Taylor St |
$156.71 | 25 | 24 |
|
Gunnison Valley Hospital
707 N Iowa St |
$0.00 | 14 | 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 Gunnison, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gunnison, CO is $68.86 per claim, based on 22,484 claims from 35 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 Gunnison, CO?
There are 35 Medicaid providers offering Office Visit related services in Gunnison, CO according to public payment data.
What is the price range for Office Visit in Gunnison, CO?
Medicaid reimbursement for Office Visit in Gunnison, CO ranges from $0.00 to $569.43 per claim, with an average of $68.86. 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 Gunnison, CO
Durable Medical Equipment (DME)
Avg $51.33
10,940 claims
Vaccines & Immunizations
Avg $15.95
8,328 claims
Blood Work & Lab Tests
Avg $5.90
7,661 claims
Physical Therapy
Avg $42.66
5,928 claims
Emergency Room Visit
Avg $88.69
4,892 claims
Psychiatric Evaluation
Avg $115.62
1,748 claims
Non-Emergency Medical Transportation
Avg $107.94
1,687 claims
Ambulance Transport
Avg $88.63
1,298 claims