Average Medicaid Office Visit Payments in Provo, UT: $69.85
Avg. Paid
$69.85
Range
$0.00 – $1,050
Total Claims
507,964
Providers
307
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 Provo, UT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Thomas A Dickinson
1055 N 500 W |
$57.71 | 12 | 12 |
|
Leslie Divall
589 S State St |
$55.59 | 12 | 12 |
|
Jaron Thaddeus Abbott
395 W Cougar Blvd Ste 501 |
$31.86 | 12 | 12 |
|
Travis J Hunter
750 N Freedom Blvd |
$7.93 | 12 | 12 |
|
Jefforey R. Thorpe
585 N 500 W |
$56.42 | 13 | 13 |
|
Brittney Marianno
1959 N State St |
$51.06 | 13 | 12 |
|
Ihc Health Services Inc
395 W Cougar Blvd |
$56.95 | 13 | 12 |
|
David Alan Nichols
1034 N 500 W Ste 101 |
$65.87 | 13 | 13 |
|
Randy Garr
1355 N University Ave |
$87.86 | 13 | 13 |
|
Isaac Rand Rasmussen
475 W 940 N |
$48.84 | 14 | 13 |
|
Seth Allred Riddle
1055 N 300 W |
$97.28 | 14 | 12 |
|
Trevor Scott Butler
395 W Cougar Blvd Ste 101 |
$20.85 | 14 | 12 |
|
Raga S Guthula
1034 N 500 W |
$100.20 | 14 | 14 |
|
Health Clinics Of Utah
150 E. Center St. |
$2.91 | 14 | 12 |
|
Gerald B Stephanz
1055 N 500 W |
$36.73 | 14 | 13 |
|
Tyler Hobbs
3650 N University Ave |
$68.68 | 14 | 13 |
|
Rebecca Isaacson
1034 N 500 W |
$28.33 | 14 | 12 |
|
Molly Brotherson
1055 N 500 W |
$5.48 | 14 | 12 |
|
William T. Stephenson
395 W Bulldog Blvd Ste 103 |
$40.12 | 15 | 13 |
|
Travis Lee Dimond
395 W Cougar Blvd Ste 803 |
$73.12 | 15 | 13 |
|
Ihc Health Services Inc
1034 N 500 W |
$45.18 | 15 | 13 |
|
Ihc Health Services Inc
395 W Cougar Blvd Ste 503 |
$41.35 | 16 | 15 |
|
Toby Johnson
1055 N 500 W Ste 207 |
$84.89 | 17 | 14 |
|
Roy C Hammond
1034 N 500 W |
$0.00 | 17 | 12 |
|
Aaron Bennion
1055 N 500 W Ste 101 |
$46.12 | 18 | 15 |
|
Jonathan Alexander Benfield
395 W Cougar Blvd Ste 803 |
$26.15 | 18 | 15 |
|
Jonathan Holbrook
395 W Bulldog Blvd |
$33.32 | 18 | 16 |
|
Mckay Platt
1055 N 500 W |
$35.93 | 19 | 12 |
|
David Rubin Sandweiss
1034 N 500 W |
$719.00 | 19 | 19 |
|
Ashley Lynne Cardenas
1034 N 500 W |
$0.00 | 19 | 19 |
|
Carl William Bacon
1055 N 500 W |
$34.74 | 19 | 14 |
|
Riverwoods Urgent Care Center Lc
280 West River Park Dr |
$59.44 | 21 | 12 |
|
David C Wang
1055 N 500 W |
$31.28 | 21 | 14 |
|
Kay C Whittaker
1300 E Center St |
$60.16 | 22 | 13 |
|
Marvin R Allen
1055 N 500 W |
$50.17 | 22 | 16 |
|
Natalie Brooke Hall
475 W 940 N |
$70.64 | 26 | 25 |
|
Lisa Marie Stubbs
1900 N State St |
$74.11 | 27 | 25 |
|
James D Sutton
1750 N Wymount Terrace Drive |
$0.00 | 27 | 26 |
|
Jakob Mrozewski
395 W Cougar Blvd |
$25.11 | 28 | 24 |
|
Bryce Hancock
1055 N 500 W |
$60.35 | 28 | 26 |
|
Garr Foot & Ankle Pllc
1355 N University Ave |
$53.50 | 29 | 27 |
|
Holly Marie Anderson
475 W 940 N |
$73.60 | 29 | 26 |
|
Donna Dizon-Townson
1034 N 500 W |
$2.16 | 30 | 26 |
|
Clarene Townsend Hansen
1055 N 500 W Ste 212 |
$54.21 | 30 | 26 |
|
Michole Deesing
1300 E Center St |
$112.58 | 30 | 26 |
|
Scott Shipley
1055 N 300 W Ste 401 |
$133.45 | 31 | 29 |
|
Christopher Michael Williams
1055 N 500 W Bldg A |
$63.40 | 31 | 25 |
|
Jordan Eatough
1034 N 500 W |
$57.68 | 32 | 31 |
|
Jordan Len Mecham
1055 N 500 W |
$68.75 | 32 | 32 |
|
Andrea Turner Hollingsworth
1055 N 500 W |
$36.07 | 33 | 30 |
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 Provo, UT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Provo, UT is $69.85 per claim, based on 507,964 claims from 307 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 Provo, UT?
There are 307 Medicaid providers offering Office Visit related services in Provo, UT according to public payment data.
What is the price range for Office Visit in Provo, UT?
Medicaid reimbursement for Office Visit in Provo, UT ranges from $0.00 to $1,050 per claim, with an average of $69.85. 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 Provo, UT
Psychiatric Evaluation
Avg $107.81
594,211 claims
Behavioral & Mental Health Therapy
Avg $86.86
305,453 claims
Case Management Services
Avg $66.10
270,369 claims
Blood Work & Lab Tests
Avg $17.40
270,145 claims
Vaccines & Immunizations
Avg $5.67
194,312 claims
Emergency Room Visit
Avg $63.83
133,845 claims
X-Ray
Avg $11.10
129,607 claims
Dental Cleaning & Exam
Avg $50.83
97,982 claims