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 |
|---|---|---|---|
|
Spencer Lee Scoville
1378 S 1600 W |
$47.70 | 12 | 12 |
|
Hayley Lundeen
700 W 800 N Ste 444 |
$47.91 | 13 | 12 |
|
Albert Pope
552 W 800 N |
$40.64 | 13 | 12 |
|
Aaron Kevin Andersen
835 E 1200 S |
$74.30 | 13 | 13 |
|
Christine D Roach
1215 S 1680 W |
$73.11 | 14 | 14 |
|
Jared Ben Hains
700 W 800 N Ste 444 |
$55.47 | 14 | 14 |
|
Thomas A. Hyatt
145 W University Pkwy |
$0.00 | 15 | 14 |
|
John Ryan Taylor
700 W 800 N Ste 100 |
$62.95 | 17 | 13 |
|
Thomas R Carn
575 S State St |
$48.38 | 17 | 15 |
|
Katherine Elizabeth Hill
1975 N State St |
$45.45 | 17 | 14 |
|
Carson Homer
1715 S 40 W |
$53.94 | 23 | 23 |
|
Allison Savanna Felshaw
700 W 800 N |
$71.12 | 27 | 24 |
|
Lisa Hall
153 N 400 W # B-6 |
$73.22 | 30 | 25 |
|
Karyn A Springer
1975 N State St |
$61.51 | 32 | 29 |
|
Conti-Care, Llc
1495 N 200 W |
$61.08 | 33 | 30 |
|
Scott Walden Yeates
700 W 800 N |
$93.78 | 37 | 37 |
|
Heidi Jensen
495 S 1100 W |
$11.36 | 41 | 40 |
|
Kelly Wosnik Inc
1125 W Center St |
$63.50 | 43 | 40 |
|
Kenneth Lyle Crump
811 N 900 W |
$56.35 | 43 | 36 |
|
Rodney S Badger
700 W 800 N Ste 444 |
$61.22 | 51 | 26 |
|
Kraig Jenson Pc
1385 E 750 N |
$58.47 | 56 | 55 |
|
Adam Mohsin Elhaddi
700 W 800 N Ste 444 |
$25.20 | 57 | 45 |
|
Valley Obstetrics And Gynecology, P.C.
700 W 800 N |
$50.06 | 64 | 56 |
|
Tammy Ting-Yu Shen Jacobs
159 N 400 W |
$101.80 | 66 | 57 |
|
Jeffrey Madsen
750 W 800 N |
$9.35 | 67 | 66 |
|
Kent G Marshall
700 W 800 N Ste 400 |
$27.22 | 76 | 52 |
|
William Preston Md, Inc
155 N 400 W |
$63.70 | 84 | 79 |
|
Andrew Chilberg Judd
1975 N State St |
$40.14 | 92 | 92 |
|
Papilion Integrated Recovery Centers
581 W 1600 N |
$25.87 | 93 | 67 |
|
Jeffrey G Ogden
421 N Orem Blvd |
$66.83 | 133 | 123 |
|
Ji Hwan Kim
505 W 400 N |
$56.21 | 135 | 110 |
|
Thomas Logan Bauer
505 W 400 N |
$73.90 | 141 | 129 |
|
Zachary Kirk Reese
700 W 800 N Ste 220 |
$72.23 | 143 | 128 |
|
Eric Weston Innes
700 W 800 N |
$59.30 | 179 | 149 |
|
Barbara J Rowley
505 W 400 N |
$79.32 | 186 | 173 |
|
Carly Sorenson
505 W 400 N |
$69.58 | 186 | 178 |
|
Reid J Robison
560 S State St Ste D1 |
$91.72 | 195 | 162 |
|
Joseph Gustave Mcgovern
700 W 800 N Ste 220 |
$61.61 | 214 | 160 |
|
Todd David Seamons
173 N 400 W Ste C-11 |
$62.04 | 235 | 204 |
|
Ihc Health Services Inc
1975 N State St |
$65.01 | 250 | 237 |
|
Steven Earl Baum
830 N 980 W |
$4.57 | 259 | 234 |
|
Barry W King
1472 E 820 N |
$65.02 | 269 | 131 |
|
Harli Faulkner
716 W 800 N # 300 |
$86.59 | 274 | 264 |
|
Luke Wendt
505 W 400 N |
$61.32 | 278 | 234 |
|
Robert G. Durrans
501 E 770 N |
$73.33 | 290 | 267 |
|
Kraig Krueger Jenson
1385 E 750 N |
$65.84 | 306 | 295 |
|
Mountain Peaks Family Practice Lc
501 E 770 N |
$67.46 | 329 | 304 |
|
Landon Robert Hendricks
848 N 980 W |
$65.77 | 341 | 327 |
|
Breanna Horito
505 W 400 N |
$47.54 | 353 | 310 |
|
Foot & Ankle Clinics Of Utah, P.C.
504 E 770 N |
$38.79 | 389 | 326 |
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