Average Medicaid Office Visit Payments in Pagosa Springs, CO: $113.15
Avg. Paid
$113.15
Range
$3.44 – $228.58
Total Claims
47,657
Providers
34
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 Pagosa Springs, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Roy Tinguely
95 S Pagosa Blvd |
$175.72 | 12 | 12 |
|
Kristine A Terry
27B Talisman Dr # U-3 |
$49.70 | 16 | 12 |
|
Jeremiah Steed
95 S Pagosa Blvd |
$150.54 | 16 | 12 |
|
Kerri Renee Voigts
95 S Pagosa Blvd |
$34.24 | 34 | 33 |
|
Rebekah K Munnikhuysen
95 S Pagosa Blvd |
$228.58 | 52 | 45 |
|
Carole Nasralla
27 B Talisman Dr. |
$72.43 | 122 | 108 |
|
Michelle S. Janowsky
27B Talisman Dr Unit 3 |
$67.09 | 125 | 118 |
|
Upper San Juan Health Service District
95 S Pagosa Blvd |
$68.27 | 147 | 119 |
|
Kaela Mashburn
95 S Pagosa Blvd |
$187.39 | 208 | 188 |
|
David Scott Shaeffer
95 S Pagosa Blvd |
$48.25 | 371 | 293 |
|
Joy Aileen Norris
95 S Pagosa Blvd |
$62.99 | 380 | 341 |
|
Heather Dahm Nobles
95 S Pagosa Blvd |
$68.37 | 405 | 368 |
|
Calvin Edgar Newsome
46 Eaton Dr Ste 1 |
$192.87 | 446 | 405 |
|
Susan Carol Kuhns
103 Pagosa Street |
$61.42 | 480 | 429 |
|
Sara Perkins
27B Talisman Dr Unit 3 |
$62.02 | 537 | 487 |
|
Jason Ross Immertreu
52 Village Dr |
$3.44 | 599 | 475 |
|
Rachel Anne Liverett
95 S Pagosa Blvd |
$216.09 | 825 | 755 |
|
William F Webb
95 S Pagosa Blvd |
$160.75 | 944 | 850 |
|
David E Drake
52 Village Dr |
$91.76 | 985 | 769 |
|
Barry Wayne Holcomb
95 S Pagosa Blvd |
$62.46 | 1,030 | 881 |
|
Corinne Reed
95 S Pagosa Blvd |
$171.56 | 1,075 | 945 |
|
Jason R Wallace
95 S Pagosa Blvd |
$153.75 | 1,140 | 954 |
|
Emily Catherine Barber
52 Village Dr |
$61.87 | 1,259 | 1,137 |
|
Barton Elgin Giessel
52 Village Dr |
$65.89 | 1,945 | 1,618 |
|
Phillip Andrew Zappone
95 S Pagosa Blvd |
$171.11 | 1,945 | 1,478 |
|
Mary Tracey
52 Village Dr |
$190.30 | 1,992 | 1,757 |
|
Robert Farrington Brown
95 S Pagosa Blvd |
$172.72 | 2,102 | 1,921 |
|
Ryan David Stopher-Mitchell
95 S Pagosa Blvd |
$185.42 | 2,248 | 2,049 |
|
Amber C Reiss-Holt
27B Talisman Dr Unit 3 |
$53.64 | 2,416 | 1,978 |
|
Kaitlin Dolores Wert
27B Talisman Dr Unit 3 |
$63.12 | 3,573 | 3,046 |
|
Gary Scott Smith
95 S Pagosa Blvd |
$63.12 | 3,637 | 3,407 |
|
Brittiany Michelle Newsome
46 Eaton Dr Ste 1 |
$148.73 | 4,845 | 4,065 |
|
Julie Buchner
95 S Pagosa Blvd |
$194.09 | 5,258 | 4,646 |
|
Sara Elizabeth Shively
52 Village Dr |
$33.79 | 6,488 | 6,287 |
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 Pagosa Springs, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pagosa Springs, CO is $113.15 per claim, based on 47,657 claims from 34 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 Pagosa Springs, CO?
There are 34 Medicaid providers offering Office Visit related services in Pagosa Springs, CO according to public payment data.
What is the price range for Office Visit in Pagosa Springs, CO?
Medicaid reimbursement for Office Visit in Pagosa Springs, CO ranges from $3.44 to $228.58 per claim, with an average of $113.15. 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 Pagosa Springs, CO
Emergency Room Visit
Avg $105.46
22,168 claims
Blood Work & Lab Tests
Avg $10.37
15,481 claims
Physical Therapy
Avg $30.68
12,937 claims
Psychiatric Evaluation
Avg $81.37
12,119 claims
Dental Cleaning & Exam
Avg $33.05
6,141 claims
EKG / ECG (Electrocardiogram)
Avg $8.81
3,993 claims
Echocardiogram
Avg $56.27
2,158 claims
Eye Exam
Avg $56.30
2,053 claims