Average Medicaid Office Visit Payments in Leadville, CO: $83.21
Avg. Paid
$83.21
Range
$32.53 – $174.09
Total Claims
13,346
Providers
11
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 Leadville, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
William L Bradshaw
822 W 4Th St |
$32.53 | 58 | 24 |
|
Joette S Eyser
508 W 8Th St |
$39.09 | 333 | 229 |
|
Sarah R Cohn
223 Harrison Ave |
$48.45 | 607 | 521 |
|
Taryn Barrette
825 W 6Th St |
$174.09 | 615 | 533 |
|
Kathryn Moulton
735 Us Highway 24 |
$65.83 | 630 | 535 |
|
Tyler J Norton
735 Us Highway 24 |
$67.31 | 637 | 487 |
|
Amy Marie King
735 Us Highway 24 |
$70.39 | 1,206 | 1,072 |
|
Jennifer Pence
735 Us Highway 24 |
$79.99 | 1,485 | 1,317 |
|
Lauren Huffman
735 Us Highway 24 |
$64.79 | 1,772 | 1,514 |
|
Charles Warren Lackey
822 W 4Th St |
$140.18 | 2,362 | 1,846 |
|
Lisa P. Zwerdlinger
735 Us Highway 24 |
$61.86 | 3,641 | 3,114 |
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 Leadville, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Leadville, CO is $83.21 per claim, based on 13,346 claims from 11 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 Leadville, CO?
There are 11 Medicaid providers offering Office Visit related services in Leadville, CO according to public payment data.
What is the price range for Office Visit in Leadville, CO?
Medicaid reimbursement for Office Visit in Leadville, CO ranges from $32.53 to $174.09 per claim, with an average of $83.21. 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 Leadville, CO
Durable Medical Equipment (DME)
Avg $66.59
19,233 claims
Emergency Room Visit
Avg $134.85
9,334 claims
Blood Work & Lab Tests
Avg $5.29
5,983 claims
Speech Therapy
Avg $0.00
5,876 claims
Psychiatric Evaluation
Avg $113.21
4,235 claims
Vaccines & Immunizations
Avg $18.08
1,087 claims
Urinalysis & Urine Tests
Avg $2.90
853 claims
Substance Abuse Treatment
Avg $4.53
785 claims