Average Medicaid Office Visit Payments in Heber City, UT: $57.82
Avg. Paid
$57.82
Range
$6.15 – $90.62
Total Claims
16,222
Providers
22
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 Heber City, UT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Heber Valley Medical Llc
380 E 1500 S Ste 201 |
$77.93 | 14 | 14 |
|
David C. Larson
345 E Gateway Dr Ste 150 |
$90.62 | 15 | 15 |
|
Chaoyu Irvin
454 E Medical Way |
$50.40 | 27 | 26 |
|
Jessica Jean Judd
998 E Mill Rd |
$57.48 | 27 | 26 |
|
Erik Mcclure
899 E 200 S |
$42.04 | 28 | 28 |
|
Steven Wesley Webster
1469 S Highway 40 # C |
$77.64 | 32 | 26 |
|
Tyson Jensen Tidwell
454 E Medical Way |
$65.49 | 42 | 41 |
|
Gregory P Tayler
1469 S Highway 40 # C |
$37.21 | 74 | 57 |
|
Todd M Haderlie
1485 S Highway 40 Ste E |
$32.20 | 82 | 66 |
|
Kathryn M. Murray
380 E 1500 S |
$86.86 | 95 | 87 |
|
Erick Reece Christensen
454 E Medical Way |
$58.10 | 111 | 92 |
|
Peter S Leavitt
1473 S Highway 40 Ste E |
$6.15 | 135 | 126 |
|
Jaclyn Michelle Knight
454 E Medical Way |
$58.84 | 201 | 188 |
|
George D Pitts
35 S 500 E |
$43.25 | 390 | 264 |
|
Jamar Romanceles Grayson
1485 Us-40 Ste G, Heber City, Ut 84032 |
$47.92 | 490 | 438 |
|
Gordon S Olsen
454 E Medical Way |
$62.69 | 623 | 571 |
|
Katherine Jennifer Shepard
454 E Medical Way |
$90.10 | 655 | 486 |
|
Wayne R Graham
1473 S Highway 40 |
$36.79 | 1,250 | 1,085 |
|
Stanton Mcdonald
345 W 600 S Ste 120 |
$77.33 | 2,355 | 1,763 |
|
Ihc Health Services Inc
454 E Medical Way |
$48.09 | 2,436 | 2,200 |
|
Cady Mcanally
454 E Medical Way |
$59.59 | 3,445 | 3,331 |
|
Ihc Health Services Inc
454 E Medical Way |
$55.33 | 3,695 | 3,392 |
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 Heber City, UT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Heber City, UT is $57.82 per claim, based on 16,222 claims from 22 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 Heber City, UT?
There are 22 Medicaid providers offering Office Visit related services in Heber City, UT according to public payment data.
What is the price range for Office Visit in Heber City, UT?
Medicaid reimbursement for Office Visit in Heber City, UT ranges from $6.15 to $90.62 per claim, with an average of $57.82. 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
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Heber City, UT
Psychiatric Evaluation
Avg $73.67
41,323 claims
Podiatry (Foot Care)
Avg $3.80
28,606 claims
Behavioral & Mental Health Therapy
Avg $36.28
16,184 claims
Dental Cleaning & Exam
Avg $56.87
14,670 claims
Vaccines & Immunizations
Avg $11.82
13,715 claims
Blood Work & Lab Tests
Avg $33.97
11,710 claims
Emergency Room Visit
Avg $50.62
9,546 claims
Nursing Facility Care
Avg $18.45
6,716 claims