Average Medicaid Office Visit Payments in Pleasant Grove, UT: $43.15
Avg. Paid
$43.15
Range
$19.12 – $94.56
Total Claims
59,971
Providers
38
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 Pleasant Grove, UT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Premier Family Medical
830 N 2000 W |
$19.12 | 25,256 | 22,644 |
|
Alpine Pediatrics, Pc
1912 W 930 N |
$63.07 | 14,621 | 13,404 |
|
Dustin Bryant Wise
1888 W 800 N |
$66.45 | 1,592 | 1,501 |
|
Kent Willis
830 N 2000 W |
$46.73 | 1,531 | 1,315 |
|
Mark B Rowan
1912 W 930 N |
$67.94 | 1,455 | 1,383 |
|
Jesse Aaron Alba
1912 W 930 N |
$68.63 | 1,448 | 1,354 |
|
Sean Cameron Doyle
830 N 2000 W |
$44.38 | 1,032 | 913 |
|
William R Francis
830 N 2000 W |
$54.88 | 978 | 891 |
|
Scott L Smith
830 N 2000 W |
$40.15 | 849 | 718 |
|
Heather Benally
1912 W 930 N |
$71.71 | 756 | 732 |
|
Weston E. Spencer
1912 W 930 N |
$71.53 | 713 | 689 |
|
Meadow Romney Summers
1064 S North County Blvd |
$43.97 | 713 | 674 |
|
Meagan Call
1912 W 930 N |
$50.22 | 709 | 695 |
|
Bradley Clark Arnold
1912 W 930 N |
$67.89 | 674 | 644 |
|
Monica Constanza Bruna
830 N 2000 W |
$42.19 | 632 | 561 |
|
William Foster Edwards
1912 W 930 N |
$73.06 | 535 | 499 |
|
Thad Joseph Barkdull
830 N 2000 W |
$37.30 | 534 | 450 |
|
Elwood J Corry
830 N 2000 W |
$41.01 | 470 | 418 |
|
Brett Kelsey Knorr
1912 W 930 N |
$62.49 | 452 | 427 |
|
Joseph Austin Cassidy
1912 W 930 N |
$68.85 | 429 | 395 |
|
Matthew Brent Clark
1886 W 800 N |
$60.42 | 414 | 367 |
|
David B Young
1886 W 800 N |
$59.30 | 409 | 367 |
|
Garth Mckean Cannon
1912 W 930 N |
$64.39 | 388 | 381 |
|
Jeffery H Abram
1912 W 930 N |
$67.95 | 375 | 363 |
|
David Todd Whiting
1912 W 930 N |
$61.26 | 352 | 325 |
|
Camber M Hess
830 N 2000 W |
$94.56 | 347 | 341 |
|
Roger D. Brockbank
830 N 2000 W |
$45.17 | 338 | 308 |
|
Cindy J. Brough
1912 W 930 N |
$72.56 | 304 | 292 |
|
Bryce Carter
1912 W 930 N |
$66.37 | 258 | 245 |
|
Douglas A Allen
1886 West 800 North |
$57.60 | 238 | 197 |
|
Alicia Anderson Hill
1912 W 930 N |
$73.08 | 235 | 232 |
|
Marshall F Willis
830 N 2000 W |
$41.17 | 232 | 205 |
|
Greg Matthew Pavich
1912 W 930 N |
$66.84 | 189 | 184 |
|
Catherine G. Caldwell
1912 W 930 N |
$71.82 | 175 | 172 |
|
Sarah Babcock Homer
1912 W 930 N |
$61.94 | 127 | 71 |
|
Ekaete Udodong
1886 W 800 N |
$54.89 | 117 | 92 |
|
Adam Wing
1886 W 800 N |
$46.81 | 81 | 69 |
|
Michael Douglas Lehnardt
830 N 2000 W |
$70.80 | 13 | 13 |
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 Pleasant Grove, UT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pleasant Grove, UT is $43.15 per claim, based on 59,971 claims from 38 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 Pleasant Grove, UT?
There are 38 Medicaid providers offering Office Visit related services in Pleasant Grove, UT according to public payment data.
What is the price range for Office Visit in Pleasant Grove, UT?
Medicaid reimbursement for Office Visit in Pleasant Grove, UT ranges from $19.12 to $94.56 per claim, with an average of $43.15. 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 Pleasant Grove, UT
Vaccines & Immunizations
Avg $4.36
41,061 claims
Psychiatric Evaluation
Avg $117.07
31,963 claims
Dental Cleaning & Exam
Avg $45.40
8,636 claims
Physical Therapy
Avg $16.36
4,942 claims
Blood Work & Lab Tests
Avg $2.96
4,478 claims
Speech Therapy
Avg $0.00
2,244 claims
Eye Exam
Avg $21.32
2,156 claims
Urinalysis & Urine Tests
Avg $2.04
2,071 claims