Average Medicaid Office Visit Payments in Orem, UT: $67.17
Avg. Paid
$67.17
Range
$0.00 – $112.82
Total Claims
86,502
Providers
90
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 Orem, UT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jonathen Bartholomew
171 N 400 W |
$69.50 | 6,443 | 6,089 |
|
Anthony Davis Browning
1790 N State St |
$72.04 | 6,156 | 5,506 |
|
Pomarri Llc
1472 E 820 N |
$67.51 | 5,775 | 2,013 |
|
Anne E Vincent
159 N 400 W # B8 |
$112.82 | 5,429 | 3,624 |
|
Daniel G Simmons
171 N 400 W |
$70.70 | 5,000 | 4,447 |
|
Promise Medical Pllc
159 N 400 W Unit B-8 |
$79.46 | 3,767 | 1,673 |
|
Gregory Scott Wynn
716 W 800 N Ste 300 |
$71.64 | 3,218 | 2,987 |
|
Jay Dee Kerr
145 W University Pkwy |
$68.84 | 2,767 | 1,943 |
|
Lisa Jane Olsen
361 E 1200 S Ste 201 |
$92.51 | 2,309 | 1,946 |
|
Melissa Ann Kendall
716 W 800 N Ste 300 |
$82.19 | 2,240 | 2,126 |
|
Ihc Health Services Inc
505 W 400 N |
$57.83 | 2,220 | 2,081 |
|
Ernest Andrew Bailey
716 W 800 N |
$74.12 | 2,203 | 2,095 |
|
Ihc Health Services Inc
412 W 800 N |
$59.98 | 2,058 | 1,897 |
|
Talena Kerr
11 E 200 N |
$45.93 | 2,023 | 1,924 |
|
Abraham R Tomco
700 W 800 N |
$66.95 | 1,964 | 1,516 |
|
Lida J Ogden
145 W University Pkwy |
$64.97 | 1,802 | 1,564 |
|
Steven L Berry
173 N 400 W |
$64.49 | 1,785 | 1,512 |
|
John R Wynn
171 N 400 W |
$64.24 | 1,683 | 1,595 |
|
Randall Wells Pace
173 N 400 W Ste C11 |
$64.95 | 1,681 | 1,394 |
|
Hautoa Enterprises Llc
234 N Orem Blvd |
$34.34 | 1,527 | 1,100 |
|
Discovery House Uc, Inc
714 S State St |
$14.46 | 1,463 | 1,014 |
|
Donald Neal Harline
423 N Orem Blvd |
$55.98 | 1,399 | 1,123 |
|
Ihc Health Services Inc
1975 N State St |
$28.84 | 1,260 | 1,173 |
|
Benjamin Henry Greenfield
505 W 400 N |
$54.92 | 1,207 | 1,139 |
|
Aaron Keith Starbuck
575 S State St |
$68.59 | 1,128 | 896 |
|
Kathleen Bentley
1788 N State St |
$15.48 | 1,076 | 982 |
|
Jeffrey Penman
505 W 400 N |
$57.04 | 1,047 | 979 |
|
Marie Shelton
505 W 400 N |
$65.52 | 1,024 | 903 |
|
Riverwood Spine & Pain, Llc
861 N 980 W |
$54.01 | 976 | 769 |
|
Ihc Health Services Inc
505 W 400 N |
$57.74 | 905 | 798 |
|
Christine Heninger Broken Leg
716 W 800 N # 300 |
$79.20 | 866 | 834 |
|
Peter Duros
700 W 800 N Ste 400 |
$37.78 | 844 | 676 |
|
Vernon L Christenson
1975 N State St |
$43.93 | 839 | 823 |
|
Thomas Fjeldsted
1975 N State St |
$63.74 | 755 | 662 |
|
Shane Michael Hawthorne
155 W 400 N |
$60.75 | 753 | 677 |
|
Scott David Peterson
575 S State St |
$50.67 | 654 | 519 |
|
Sean R Curzon
700 W 800 N Ste 400 |
$43.43 | 540 | 409 |
|
Samuel Greg Heywood
505 W 400 N |
$75.73 | 516 | 301 |
|
Katherine Marie Hadlock
527 W 400 N |
$63.80 | 482 | 465 |
|
Deanna Rae Tolman
1972 W Golden Pond Way |
$97.87 | 473 | 436 |
|
Foot & Ankle Clinics Of Utah, P.C.
504 E 770 N |
$38.79 | 389 | 326 |
|
Breanna Horito
505 W 400 N |
$47.54 | 353 | 310 |
|
Landon Robert Hendricks
848 N 980 W |
$65.77 | 341 | 327 |
|
Mountain Peaks Family Practice Lc
501 E 770 N |
$67.46 | 329 | 304 |
|
Kraig Krueger Jenson
1385 E 750 N |
$65.84 | 306 | 295 |
|
Robert G. Durrans
501 E 770 N |
$73.33 | 290 | 267 |
|
Luke Wendt
505 W 400 N |
$61.32 | 278 | 234 |
|
Harli Faulkner
716 W 800 N # 300 |
$86.59 | 274 | 264 |
|
Barry W King
1472 E 820 N |
$65.02 | 269 | 131 |
|
Steven Earl Baum
830 N 980 W |
$4.57 | 259 | 234 |
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 Orem, UT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Orem, UT is $67.17 per claim, based on 86,502 claims from 90 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 Orem, UT?
There are 90 Medicaid providers offering Office Visit related services in Orem, UT according to public payment data.
What is the price range for Office Visit in Orem, UT?
Medicaid reimbursement for Office Visit in Orem, UT ranges from $0.00 to $112.82 per claim, with an average of $67.17. 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 Orem, UT
Substance Abuse Treatment
Avg $15.84
261,285 claims
Dental Cleaning & Exam
Avg $53.56
83,601 claims
Blood Work & Lab Tests
Avg $28.69
73,522 claims
Psychiatric Evaluation
Avg $71.06
59,991 claims
Emergency Room Visit
Avg $48.96
46,635 claims
Behavioral & Mental Health Therapy
Avg $83.75
44,522 claims
Vaccines & Immunizations
Avg $6.05
39,272 claims
Eye Exam
Avg $50.34
17,323 claims