Average Medicaid Office Visit Payments in Monument, CO: $128.27
Avg. Paid
$128.27
Range
$4.24 – $344.76
Total Claims
35,016
Providers
31
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 Monument, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Warren Jaeger
550 Highway 105 |
$74.83 | 14 | 13 |
|
Matthew L Earl
17230 Jackson Creek Pkwy Ste 300 |
$35.60 | 21 | 18 |
|
Kendra D Robison
15909 Jackson Creek Pkwy |
$60.34 | 30 | 27 |
|
Patrick Shahan
550 Highway 105 |
$78.40 | 38 | 36 |
|
Michelle Marie Klismith
15909 Jackson Creek Pkwy |
$83.46 | 44 | 42 |
|
Kathy Jean Peterson
192 Front St |
$41.49 | 56 | 56 |
|
Colleen Margarete Mcmanaman
15909 Jackson Creek Pkwy |
$39.15 | 70 | 54 |
|
Laurie Anne Coryell
17230 Jackson Creek Pkwy |
$55.26 | 96 | 89 |
|
David W Colling
15854 Jackson Creek Pkwy Unit 120 |
$4.24 | 119 | 115 |
|
Erin Hilton Sandy
629 Saber Creek Dr |
$118.66 | 134 | 113 |
|
Ross Ledgerwood
550 W Highway 105 Ste 100 |
$69.00 | 166 | 131 |
|
Shannon Wright
1864 Woodmoor Dr Ste 217 |
$100.00 | 189 | 169 |
|
Lori Wertheimer
192 Front St |
$57.45 | 221 | 212 |
|
Laura Dobbs Carson
17230 Jackson Creek Pkwy Monument Pediatrics |
$63.69 | 234 | 220 |
|
Jeannee L. Sanders
17230 Jackson Creek Pkwy Ste 260 |
$42.28 | 256 | 252 |
|
Kathleen Reed Foote
15909 Jackson Creek Pkwy |
$56.19 | 275 | 259 |
|
Kristin Scott
17230 Jackson Creek Pkwy |
$75.89 | 342 | 285 |
|
Tara Marie Nordberg
17230 Jackson Creek Pkwy Ste 300 |
$72.78 | 345 | 326 |
|
Timothy Michael Reese
1180 Village Ridge Pt |
$46.50 | 432 | 350 |
|
Dara D Lowe
17230 Jackson Creek Pkwy |
$63.89 | 499 | 456 |
|
Diana Michaela Tapay
15909 Jackson Creek Pkwy |
$90.37 | 1,254 | 1,181 |
|
Kori L Schulte
550 W Highway 105 |
$86.20 | 1,321 | 1,217 |
|
Melissa Ann Voutsalath
15854 Jackson Creek Pkwy |
$48.98 | 1,661 | 1,525 |
|
Steven Clay Decoud
17230 Jackson Creek Pkwy Ste 120 |
$55.10 | 1,778 | 1,470 |
|
Gayleen Rachele Prausa
550 W Highway 105 |
$57.32 | 1,823 | 1,687 |
|
Monica Williams Stanton
15854 Jackson Creek Pkwy Unit 120 |
$120.16 | 2,227 | 1,959 |
|
Brian Paul Baker
17230 Jackson Creek Pkwy |
$75.89 | 2,433 | 2,106 |
|
Melissa Devalon
15909 Jackson Creek Parkway |
$344.76 | 3,297 | 2,367 |
|
Michael James Oneill
240 Beacon Lite Rd |
$62.51 | 4,097 | 3,631 |
|
Forrest Kyle Stewart
15909 Jackson Creek Pkwy |
$167.89 | 5,205 | 4,937 |
|
Alexis Chryse Michopoulos
17230 Jackson Creek Pkwy |
$163.61 | 6,339 | 5,829 |
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 Monument, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Monument, CO is $128.27 per claim, based on 35,016 claims from 31 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 Monument, CO?
There are 31 Medicaid providers offering Office Visit related services in Monument, CO according to public payment data.
What is the price range for Office Visit in Monument, CO?
Medicaid reimbursement for Office Visit in Monument, CO ranges from $4.24 to $344.76 per claim, with an average of $128.27. 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 Monument, CO
Physical Therapy
Avg $60.80
55,507 claims
Speech Therapy
Avg $41.04
26,884 claims
Dental Cleaning & Exam
Avg $36.87
17,516 claims
Tooth Extraction
Avg $199.52
10,193 claims
Emergency Room Visit
Avg $87.83
9,919 claims
Psychiatric Evaluation
Avg $107.55
7,544 claims
Blood Work & Lab Tests
Avg $6.93
6,999 claims
Home Health Visit
Avg $0.00
4,667 claims