Average Medicaid Office Visit Payments in Providence, UT: $50.47
Avg. Paid
$50.47
Range
$9.58 – $96.19
Total Claims
16,543
Providers
27
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 Providence, UT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ryan Allen
382 W 280 N |
$58.02 | 2,256 | 1,994 |
|
Advanced Spine Pain Specialists
286 N Gateway Dr Ste 201 |
$19.15 | 1,891 | 1,706 |
|
Richard T Stevens
382 W 280 N |
$63.58 | 1,568 | 1,350 |
|
Mountainstar Medical Group- Cache Valley, Llc
382 W 280 N |
$44.06 | 1,491 | 1,333 |
|
Kevin R Duke
382 W 280 N |
$56.87 | 1,271 | 1,196 |
|
James Dennis Mathews
382 W 280 N |
$61.46 | 1,174 | 1,000 |
|
Travis James
169 N Gateway Dr Ste 100 |
$59.83 | 1,033 | 1,007 |
|
Jeremy Broadhurst
190 S Highway 165 |
$54.19 | 854 | 725 |
|
Callin Passey
517 W 100 N Ste 110 |
$55.69 | 698 | 596 |
|
Jesse Charles Washburn
190 S Highway 165 |
$66.15 | 677 | 637 |
|
Thomas H Clark
595 W 465 N |
$67.41 | 661 | 571 |
|
Nathan Jay Zurcher
517 W 100 N Ste 110 |
$12.45 | 624 | 568 |
|
Health West, Inc.
517 W 100 N Ste 110 |
$25.79 | 496 | 424 |
|
Ben P Boyer
435 N Gateway Dr Ste 801 |
$56.53 | 355 | 322 |
|
Naomi Landry
517 W 100 N Ste 110 |
$60.98 | 351 | 318 |
|
Daniel J Huff Podiatry Dpm Pc
435 N Gateway Dr Ste 801 |
$22.80 | 189 | 153 |
|
Matthew Stephen Morrell
595 W 465 N |
$96.19 | 188 | 187 |
|
Providence Dermatology Llc
169 N Gateway Dr Ste 100 |
$65.18 | 187 | 176 |
|
James Thomas Willmore
435 N Gateway Dr Ste 801 |
$17.22 | 141 | 57 |
|
Andrew B Grose
382 W 280 N |
$46.97 | 95 | 85 |
|
Wholelife Family Wellness Clinic Of Providence Pllc
169 N Gateway Dr. Suite 170 |
$63.14 | 91 | 78 |
|
Riley Joseph Rampton
435 N Gateway Dr Ste 801 |
$59.63 | 82 | 75 |
|
Amy Fisher
286 N Gateway Dr Ste 201 |
$9.58 | 73 | 56 |
|
Lp Derm Llc
517 W 100 N Ste 103 |
$77.65 | 49 | 49 |
|
Brian A Vernon
595 W 465 N |
$75.53 | 18 | 15 |
|
Cory B Maughan
169 N Gateway Dr Ste 100 |
$46.30 | 16 | 13 |
|
Natalie Jean Gibson
169 N Gateway Dr Ste 170 |
$67.05 | 14 | 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 Providence, UT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Providence, UT is $50.47 per claim, based on 16,543 claims from 27 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 Providence, UT?
There are 27 Medicaid providers offering Office Visit related services in Providence, UT according to public payment data.
What is the price range for Office Visit in Providence, UT?
Medicaid reimbursement for Office Visit in Providence, UT ranges from $9.58 to $96.19 per claim, with an average of $50.47. 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 Providence, UT
Dental Cleaning & Exam
Avg $53.91
54,784 claims
Eye Exam
Avg $41.07
11,866 claims
Dental Filling
Avg $42.20
8,715 claims
Psychiatric Evaluation
Avg $69.49
5,375 claims
Behavioral & Mental Health Therapy
Avg $53.10
4,930 claims
Anesthesia Services
Avg $308.66
3,243 claims
Podiatry (Foot Care)
Avg $10.78
2,186 claims
Physical Therapy
Avg $68.47
2,097 claims