Based on public Medicaid payment data.

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
Revere Health Pc 1055 N 500 W	$53.12	114,781	101,835
Wasatch Behavioral Health Special Service District 750 N Freedom Blvd	$100.53	99,077	79,507
Utah Valley Pediatrics L.L.C. 1355 N University Ave	$60.49	43,271	38,088
Ihc Health Services Inc 395 W Cougar Blvd Ste 205	$51.16	12,940	12,155
Justin Earl Jones 1055 N 500 W Bldg A	$52.50	12,776	10,004
Bruce Grover 589 South State Street	$108.27	11,620	10,289
Mountainlands Community Health Center, Inc 589 S State St	$51.01	10,578	9,797
Heather R Harrison 1055 N 500 W Bldg A	$64.73	7,763	6,732
Ronald Orie Browne 979 W 1700 N	$66.96	6,264	5,042
Ihc Health Services, Inc 475 W 940 N	$48.12	5,618	5,061
Jason W Rockwood 3152 N University Ave	$49.21	5,146	4,588
Michael Frank Gibson 1355 North University Ave	$72.88	4,806	4,518
Phillip Lee Chaffin 1055 N 300 W	$102.47	4,201	4,172
Leah Tatum Enright 1034 N 500 W	$56.25	4,119	3,942
Shelly Savage 1900 N State St	$66.97	3,922	3,502
Ross Mitchell Adams 1355 N University Ave	$71.16	3,636	3,434
Kaylene Elder 320 River Park Dr Ste 255	$49.55	3,582	3,323
Chase Benchley Brown 475 W 940 N	$2.77	3,468	2,880
Karmin Bell 299 E 900 S Ste 101	$132.60	3,395	2,982
Aaron M. Robinson 1959 N State St	$60.97	3,383	3,047
Timothy Lyle Sellers 395 W Cougar Blvd Ste 602	$27.05	3,238	2,960
Matthew Joseph Clayton 1675 N Freedom Blvd	$68.59	3,062	2,616
Joseph M Johnson 1675 N 200 W	$53.90	2,953	2,707
Douglas James Later 1055 N 300 W Ste 311	$74.14	2,946	2,720
Jeffrey L. Jensen 1355 N University Ave	$78.05	2,889	2,782
Peak Ent Associates 1055 N 300 W	$69.75	2,853	2,510
Joshua Darrell Fuller 1675 N Freedom Blvd Ste 3	$77.90	2,684	2,446
Arnold Brett Davis 1355 North University Ave	$69.95	2,671	2,589
Aaron Wise Mccoy 1355 N University Ave Ste 210	$75.90	2,611	2,497
Ruth Caldwell 1355 North University Ave Ste 210	$86.92	2,601	2,496
Bradley Wayne Anderson 1355 N University Ave	$71.60	2,487	2,367
Pediatric Care Inc 1675 N. Freedom Blvd.	$63.54	2,460	2,216
Utah Surgical Associates, Inc. 3550 N University Ave Ste 250	$67.85	2,424	2,328
Thomas Oil Yee 750 N Freedom Blvd Ste 300	$121.65	2,366	2,169
Brandon Warren Mitchell 1750 N Wymount Terrace Dr	$75.07	2,313	1,876
Viki Ann Bailey 1355 N University Ave Ste 210	$77.70	2,178	2,134
Arthur Tyson Boltz 1055 N 500 W Bldg A	$48.02	2,070	1,642
Megan Zitting Frandsen 1437 E 1270 S	$15.70	1,893	986
Cherie Marie Farnes 1355 N University Ave Ste 210	$83.19	1,874	1,818
Kenneth A Zollo 1675 N Freedom Blvd	$65.97	1,862	1,768
Stacy Ann Garnica 589 S State St	$90.43	1,845	1,660
Jared Hawkins 1034 N 500 W # 84604	$86.39	1,844	536
Jarle Zenoa Meservy 750 N Freedom Blvd Ste 300	$113.45	1,621	1,359
Sue Ann R Christensen 1055 N 300 W	$74.10	1,596	1,487
Marlin L Christianson 475 West 940 North	$62.70	1,581	1,475
Tao Li 3585 N University Ave	$28.35	1,553	1,131
Michael Henry Lauret 1355 N University Ave	$71.80	1,544	1,481
John K Staheli 1055 N 500 W	$56.07	1,542	1,361
Douglas Roy Langford 1055 N 500 W	$235.37	1,512	1,272
Jordan Carlton Schramm 1055 N 300 W Ste 401	$82.77	1,503	1,442

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.

Average Medicaid Office Visit Payments in Provo, UT: $69.85

Providers Offering Office Visit in Provo, UT

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Provo, UT

Psychiatric Evaluation

Behavioral & Mental Health Therapy

Case Management Services

Blood Work & Lab Tests

Vaccines & Immunizations

Emergency Room Visit

X-Ray

Dental Cleaning & Exam