Average Medicaid Office Visit Payments in Loveland, CO: $92.13
Avg. Paid
$92.13
Range
$0.00 – $263.45
Total Claims
281,108
Providers
221
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 Loveland, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jeffrey Wayne Luther
2020 Blue Mesa Ct |
$83.64 | 12 | 12 |
|
Michael Bregenzer
1863 Halfmoon Cir |
$72.09 | 12 | 12 |
|
Regina Thompson Loveley
2500 Rocky Mountain Ave Ste 300 |
$59.58 | 12 | 12 |
|
Shivanshu Madan
2500 Rocky Mountain Ave Ste 100 |
$149.09 | 12 | 12 |
|
Spencer K Hansen
2500 Rocky Mountain Ave Ste 100 |
$14.71 | 12 | 12 |
|
Sophia Rangwala
3451 Mountain Lion Dr |
$69.09 | 13 | 12 |
|
Thomas C Mueller
2500 Rocky Mountain Ave Ste 2300 |
$13.76 | 13 | 12 |
|
Banner Urgent Care Colorado
2555 E 13Th St Ste 110 |
$0.00 | 13 | 13 |
|
Jason Michael West
1615 Foxtrail Dr Ste 230 |
$2.81 | 14 | 13 |
|
Lauren Rudolph
2555 E 13Th St Ste 105 |
$84.11 | 14 | 13 |
|
Julie A Hoffmann
3880 N Grant Ave |
$69.66 | 14 | 13 |
|
Jessica Lynn James
302 3Rd St Se Ste 150 |
$263.45 | 15 | 15 |
|
Nichole Phillips
2500 Rocky Mountain Ave Ste 2100 |
$108.61 | 15 | 13 |
|
Summitstone Health Partners
1250 N Wilson Ave |
$261.31 | 16 | 14 |
|
Erica Post
2500 Rocky Mountain Ave Ste 100 |
$8.09 | 17 | 12 |
|
Jack M. Haley
2000 N. Boise Ave. |
$54.13 | 18 | 12 |
|
Alison Cottrell
2000 Boise Ave |
$0.00 | 19 | 19 |
|
Phillip W Rhoads
239 W 67Th Ct |
$71.41 | 20 | 17 |
|
Audrey Brynn Rush
2500 Rocky Mountain Ave |
$45.48 | 25 | 25 |
|
Poudre Valley Medical Group, Llc
2695 Rocky Mountain Ave |
$0.00 | 26 | 15 |
|
Peter Charles Smith
2500 Rocky Mountain Ave |
$14.60 | 26 | 14 |
|
Anthony J Cabrera
914 W 6Th St |
$73.85 | 26 | 25 |
|
Michaela Paige Sullivan
1708 Boise Ave |
$100.11 | 28 | 24 |
|
John D Kirk
3650 E 15Th St |
$25.77 | 29 | 24 |
|
Thomas Jacob Corson
2000 Boise Ave |
$89.13 | 29 | 27 |
|
Victoria L Moffatt
2555 E 13Th St |
$87.12 | 29 | 28 |
|
Nicholaus Mize
221 E 29Th St Ste 202 |
$61.35 | 30 | 26 |
|
Joseph William Schmitt
2923 Ginnala Dr |
$42.20 | 37 | 25 |
|
Julie M Noffsinger
3520 E 15Th St |
$66.96 | 37 | 29 |
|
Nathan Russell Ayer
2500 Rocky Mountain Ave |
$40.72 | 40 | 29 |
|
Neal Edward Mckimpson
2555 E 13Th St Ste 105 |
$78.45 | 43 | 41 |
|
James Edward Mccarthy
2500 Rocky Mountain Ave Ste 330 |
$88.36 | 46 | 45 |
|
Emily Kathleen Martin Scott
4575 Byrd Dr |
$178.56 | 47 | 42 |
|
Joseph Ballent
1880 Fall River Dr |
$50.76 | 47 | 47 |
|
Thomas M Blomquist
1900 Boise Ave |
$33.49 | 47 | 38 |
|
Andrea Wilson Mead
3520 E 15Th St |
$59.94 | 47 | 46 |
|
Richard J Milchak
2500 Rocky Mountain Ave |
$38.46 | 50 | 40 |
|
Ann T Davies
1625 Foxtrail Dr Ste 190 |
$53.29 | 51 | 45 |
|
Eric Stevens
2500 Rocky Mountain Ave |
$41.08 | 52 | 44 |
|
Erin Elizabeth Griffin
1813 Cheyenne Ave |
$77.47 | 54 | 53 |
|
Mallory Jo Arthun
3320 W Eisenhower Blvd |
$70.36 | 54 | 40 |
|
Danielle Lauren King
2500 Rocky Mountain Ave Ste 340 |
$58.21 | 56 | 45 |
|
Melford Allan C Lazarte
2500 Rocky Mountain Ave Ste 360 |
$0.00 | 58 | 51 |
|
Aaron David Jarrett
1230 14Th St Sw |
$64.68 | 69 | 59 |
|
Amman James Starr
114 14Th St Sw |
$48.44 | 70 | 68 |
|
Sonya S Wakil
221 E 29Th St Ste 101 |
$24.23 | 75 | 75 |
|
Kimberly M Newcomb
2500 Rocky Mountain Ave Ste 300 |
$40.18 | 77 | 51 |
|
Linda Leigh Davidson
1900 Boise Ave |
$53.81 | 79 | 75 |
|
Steven M Dubs
2500 Rocky Mountain Ave |
$78.31 | 79 | 76 |
|
Samuel A Shelanski
2000 N Boise Ave |
$57.54 | 85 | 78 |
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 Loveland, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Loveland, CO is $92.13 per claim, based on 281,108 claims from 221 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 Loveland, CO?
There are 221 Medicaid providers offering Office Visit related services in Loveland, CO according to public payment data.
What is the price range for Office Visit in Loveland, CO?
Medicaid reimbursement for Office Visit in Loveland, CO ranges from $0.00 to $263.45 per claim, with an average of $92.13. 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 Loveland, CO
Pathology & Lab Services
Avg $38.24
148,127 claims
Blood Work & Lab Tests
Avg $4.70
129,262 claims
Physical Therapy
Avg $30.07
126,921 claims
Home Health Visit
Avg $36.96
122,984 claims
Substance Abuse Treatment
Avg $88.45
113,395 claims
Psychiatric Evaluation
Avg $89.89
96,791 claims
Dental Cleaning & Exam
Avg $33.13
80,683 claims
Speech Therapy
Avg $12.21
79,749 claims