Average Medicaid Office Visit Payments in Montrose, CO: $75.58
Avg. Paid
$75.58
Range
$0.00 – $329.55
Total Claims
235,506
Providers
154
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 Montrose, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cedar Point Health Llc
3330 S Rio Grande Ave Ste 300 |
$74.91 | 25,477 | 11,564 |
|
Voans Senior Community Care Of Colorado, Inc.
2377 Robins Way |
$0.00 | 12,400 | 7,289 |
|
Olathe Community Clinic Inc.
1010 Rio Grande Ave |
$271.47 | 10,082 | 8,007 |
|
Community Dental Clinic Inc.
87 Merchant Dr |
$87.71 | 8,764 | 7,348 |
|
Isaac J Klostermann
1550 E. Niagara Road |
$67.07 | 6,876 | 5,276 |
|
Gregory Paul Suchon
947 So Fifth St |
$73.73 | 6,787 | 6,293 |
|
Cedar Point Health Llc
836 S Townsend Ave Ste C |
$78.71 | 6,668 | 5,760 |
|
Teal Stephen Warthen
947 S 5Th St |
$79.30 | 5,892 | 5,522 |
|
Romeo Gonzaga Icasiano
947 So 5Th St |
$76.93 | 5,476 | 5,087 |
|
Thomas C Miller
947 S 5Th St |
$76.40 | 5,452 | 5,147 |
|
Lynette M Moore
605 Miami Rd |
$6.52 | 5,241 | 3,367 |
|
Mary Louise Vader
947 So 5Th St |
$82.92 | 4,853 | 4,537 |
|
William E. Faragher
5 Hillcrest Plaza Way |
$55.20 | 4,749 | 3,698 |
|
Michael F Hehmann
815 S 3Rd St |
$55.59 | 4,513 | 3,697 |
|
Libuse K Engelbach
947 So 5Th St |
$82.96 | 4,192 | 3,879 |
|
Jody Mack
947 S 5Th St |
$81.95 | 3,898 | 3,691 |
|
Jean C Mccalmont
1010 S Rio Grande Ave |
$2.09 | 3,852 | 3,378 |
|
Christopher O Cook
1825 E Main St Ste A |
$46.11 | 3,781 | 3,417 |
|
Lacey R Estes
1010 Rio Grande Ave |
$102.81 | 3,545 | 2,939 |
|
Elizabeth Ashley Singleton
836 S Townsend Ave Ste C |
$74.01 | 3,353 | 3,094 |
|
Nicholas Glen Riley
1550 E Niagara Rd |
$45.12 | 3,259 | 2,396 |
|
John Ribadeneyra
1804 E Pavilion Pl Unit A |
$56.63 | 3,094 | 2,435 |
|
Kelly Virginia Troutman
947 S 5Th St |
$80.06 | 3,033 | 2,897 |
|
Chris K Polsley
836 S Townsend Ave Ste C |
$89.65 | 2,969 | 2,236 |
|
Michael Owen Esplin
300 N Cascade Ave Ste A |
$32.58 | 2,906 | 2,391 |
|
Tiffany Joy Bermudez
1550 E Niagara Rd |
$54.67 | 2,569 | 2,011 |
|
Norman Lee Dockins
300 S Nevada Ave |
$87.21 | 2,532 | 2,100 |
|
Jesus M Ochoa
1010 S Rio Grande Ave |
$104.03 | 2,508 | 1,938 |
|
Kelly Louise Cyr
2770 Woodgate Rd |
$20.80 | 2,337 | 1,935 |
|
Barbara Ann Budagher
836 S Townsend Ave Ste C |
$69.71 | 2,317 | 2,133 |
|
Lisa Anne Boffa
715 S 1St St |
$59.21 | 2,188 | 1,920 |
|
Alicia Geary
69382 Highway 50 |
$123.82 | 2,029 | 962 |
|
Edward Medina
816 S 5Th St Ste B |
$60.62 | 1,965 | 1,670 |
|
Hauna Rene Payne
1550 East Niagara Rd |
$49.97 | 1,954 | 1,433 |
|
Kyle S Nay
1825 E Main St Ste A |
$54.47 | 1,913 | 1,655 |
|
Craig Arthur Peterson
3330 S Rio Grande Ave Ste 140 |
$53.00 | 1,903 | 1,197 |
|
Stephen Leroy Adams
1550 E Niagara Road |
$37.00 | 1,869 | 1,325 |
|
Nikki Steele
3330 S Rio Grande Ave Ste 300 |
$102.49 | 1,839 | 1,568 |
|
Greta Mae Hoffman
3330 S Rio Grande Ave Ste 300 |
$77.46 | 1,828 | 1,414 |
|
Donna Yun Jin
1010 S Rio Grande Ave |
$107.49 | 1,772 | 1,492 |
|
Alyssa Janae Fedel
947 South 5Th Street |
$77.69 | 1,711 | 1,645 |
|
Jonathan I Osorio-Mckenna
3330 S Rio Grande Ave Ste 300 |
$49.02 | 1,697 | 1,292 |
|
Karie S Long
1010 S Rio Grande Ave |
$157.29 | 1,664 | 1,368 |
|
Erica J Burns
3330 S Rio Grande Ave Ste 300 |
$236.37 | 1,603 | 1,365 |
|
Charles E Harper
231 S Nevada Ave |
$52.94 | 1,563 | 1,349 |
|
Thomas Dawson Wiard
947 S 5Th St |
$74.30 | 1,426 | 1,277 |
|
Karl August Kamm
1010 S Rio Grande Ave |
$80.03 | 1,379 | 1,083 |
|
Briana Jean Muzic
1010 Rio Grande Ave |
$87.08 | 1,256 | 1,021 |
|
Mark David Noel
100 Tessitore Ct |
$66.60 | 1,144 | 1,062 |
|
Alexander Van Kruysman
605 Miami Rd |
$3.21 | 1,122 | 604 |
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 Montrose, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Montrose, CO is $75.58 per claim, based on 235,506 claims from 154 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 Montrose, CO?
There are 154 Medicaid providers offering Office Visit related services in Montrose, CO according to public payment data.
What is the price range for Office Visit in Montrose, CO?
Medicaid reimbursement for Office Visit in Montrose, CO ranges from $0.00 to $329.55 per claim, with an average of $75.58. 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 Montrose, CO
Home Health Visit
Avg $23.64
326,990 claims
Dental Cleaning & Exam
Avg $32.45
216,232 claims
Non-Emergency Medical Transportation
Avg $20.33
119,133 claims
Substance Abuse Treatment
Avg $81.04
105,998 claims
Personal Care Services
Avg $24.35
87,515 claims
Blood Work & Lab Tests
Avg $5.56
67,159 claims
Emergency Room Visit
Avg $110.30
65,162 claims
Physical Therapy
Avg $20.27
59,829 claims