Average Medicaid Office Visit Payments in Longmont, CO: $81.40
Avg. Paid
$81.40
Range
$0.00 – $210.66
Total Claims
312,768
Providers
272
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 Longmont, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael W Allen
220 E Rogers Rd |
$134.55 | 14,945 | 13,286 |
|
Matthew S Brett
220 E Rogers Rd |
$124.22 | 11,757 | 10,670 |
|
Joshua F. Bailey
220 E Rogers Rd |
$120.01 | 8,260 | 7,425 |
|
Daniel H Norton
220 E Rogers Rd |
$106.94 | 7,520 | 6,833 |
|
Grishma S Shah
220 E Rogers Rd |
$131.39 | 7,510 | 7,065 |
|
Ugorji Ihuarulam Chiemeka Okorie
1630 Dry Creek Dr Ste 200 |
$44.31 | 7,458 | 6,749 |
|
Elisabeth Mercedes Merrill
220 E Rogers Rd |
$127.31 | 6,971 | 6,085 |
|
Erin Manak
2101 Main St |
$133.03 | 6,874 | 6,098 |
|
Melissa H Lowe
6609 Mccall Dr |
$78.05 | 5,797 | 3,706 |
|
Konoy Mandal
1750 E Ken Pratt Blvd |
$50.62 | 5,520 | 2,552 |
|
Samantha Gehring
1308 Vivian St |
$77.77 | 5,174 | 3,895 |
|
Morgan Ruskay
220 E Rogers Rd |
$120.68 | 5,155 | 4,711 |
|
Hans D Elzinga
220 E Rogers Rd |
$141.28 | 5,065 | 4,758 |
|
Michael O Beer
220 E Rogers Rd |
$130.50 | 4,988 | 4,784 |
|
Amy Hulstrom
1925 Mountain View Ave |
$67.33 | 4,897 | 4,520 |
|
Christopher Jon Keenan
601 S Main St |
$165.17 | 4,822 | 4,383 |
|
Corinne Mary Brock
1925 Mountain View Ave |
$68.37 | 4,797 | 3,868 |
|
Dwayne Strong
1925 Mountain View Ave |
$64.37 | 4,675 | 3,730 |
|
Timothy William Ray
421 21St Ave |
$0.00 | 4,669 | 1,628 |
|
Sara C Ruwitch
834 S Sherman St |
$21.45 | 4,562 | 3,230 |
|
Christine E Cork
635 Gooseberry Dr Unit 1905 |
$14.60 | 4,350 | 2,915 |
|
Rhina Rodriguez-Cernak
220 E Rogers Rd |
$138.36 | 4,101 | 3,748 |
|
Stephen Walter Haskew
1351 Collyer St |
$69.68 | 3,815 | 3,496 |
|
James W Sampson
1925 Mountain View Ave |
$70.34 | 3,787 | 3,169 |
|
Alessandro Testori
1551 Professional Ln Unit 170 |
$40.54 | 3,644 | 3,460 |
|
Iratxe Eskurza Garcia
1925 Mountain View Ave |
$64.48 | 3,624 | 3,105 |
|
Deborah M Archer
2345 Bent Way |
$150.78 | 3,554 | 3,279 |
|
Janet S Gelman
1925 Mountain View Ave |
$61.83 | 3,521 | 2,921 |
|
Megan Pinkerton
820 Bowen St |
$81.95 | 3,514 | 2,390 |
|
Katie Ann Wenzel
2101 Main St |
$66.28 | 3,437 | 3,197 |
|
James David Yakel
1551 Professional Ln Unit 160 |
$36.38 | 3,146 | 2,658 |
|
Lesley Erin Moak
2101 Ken Pratt Blvd Ste 200 |
$70.19 | 3,028 | 2,531 |
|
Charles James Vanhook
2030 Mountain View Ave |
$43.91 | 2,966 | 2,211 |
|
Colleen Anne Kilcullen
2101 Ken Pratt Blvd Ste 104A |
$65.18 | 2,834 | 2,225 |
|
Stacy Marie Atherton
1305 Sumner St |
$71.47 | 2,718 | 2,558 |
|
Paul Andrew Sykes
1925 Mountain View Ave |
$72.08 | 2,653 | 2,522 |
|
Jeanine R Snyder
1058 Ponderosa Cir |
$129.93 | 2,509 | 1,576 |
|
Robert George Ruegg
529 Coffman St |
$7.87 | 2,501 | 1,773 |
|
Elisha P. Tilton
1400 Dry Creek Dr |
$47.98 | 2,432 | 2,189 |
|
Leah T Brown
1925 Mountain View Ave |
$71.95 | 2,419 | 2,267 |
|
Shantell M Twobears
1551 Professional Ln Unit 170 |
$68.83 | 2,315 | 2,093 |
|
Jonathan Hugh Manto
220 E. Rogers Rd |
$166.78 | 2,184 | 1,919 |
|
Rebekah Harvey
2101 Ken Pratt Blvd |
$79.23 | 2,178 | 2,028 |
|
Claudia Marie Martin-Williams
1925 Mountain View Ave |
$62.59 | 2,171 | 1,715 |
|
Karissa Anne Sampson
1950 Mountain View Ave |
$140.09 | 2,169 | 1,921 |
|
Jason D Schmidthuber
1079 S Hover St Ste 200 |
$66.42 | 2,052 | 1,889 |
|
Ryan Landis Brown
1630 Dry Creek Dr Ste 100-B |
$46.27 | 2,045 | 1,578 |
|
James Mccarrey
1925 Mountain View Ave |
$68.41 | 2,024 | 1,803 |
|
Charles Porter Sloan
2101 Ken Pratt Blvd Ste 200 |
$59.33 | 1,978 | 1,795 |
|
Leila Wing
1925 Mountain View Ave |
$67.24 | 1,976 | 1,853 |
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 Longmont, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Longmont, CO is $81.40 per claim, based on 312,768 claims from 272 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 Longmont, CO?
There are 272 Medicaid providers offering Office Visit related services in Longmont, CO according to public payment data.
What is the price range for Office Visit in Longmont, CO?
Medicaid reimbursement for Office Visit in Longmont, CO ranges from $0.00 to $210.66 per claim, with an average of $81.40. 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 Longmont, CO
Substance Abuse Treatment
Avg $22.73
169,528 claims
Behavioral & Mental Health Therapy
Avg $77.23
141,917 claims
Dental Cleaning & Exam
Avg $33.13
131,082 claims
Physical Therapy
Avg $34.06
126,996 claims
Home Health Visit
Avg $46.47
123,767 claims
Psychiatric Evaluation
Avg $72.91
89,463 claims
Non-Emergency Medical Transportation
Avg $51.61
83,788 claims
Blood Work & Lab Tests
Avg $6.01
82,114 claims