Average Medicaid Office Visit Payments in Pueblo, CO: $101.81
Avg. Paid
$101.81
Range
$0.00 – $345.83
Total Claims
1,279,905
Providers
499
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 Pueblo, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Richard Rivera
1080 Chinook Ln |
$70.11 | 49,622 | 42,769 |
|
Jade Bryant
1910 Lake Ave |
$75.61 | 35,471 | 22,593 |
|
Scott Alan Deruiter
109 S Burlington Dr |
$142.63 | 29,777 | 27,949 |
|
Jamie M. Pollock
509 Colorado Ave Ste C |
$110.90 | 24,282 | 11,785 |
|
Sergio Murillo Herrera
3676 Parker Blvd |
$64.85 | 21,199 | 16,379 |
|
Christopher Dean Trujillo
111 W Evans Ave |
$64.20 | 16,896 | 15,229 |
|
David C Krause
300 Colorado Ave |
$169.14 | 15,053 | 13,085 |
|
James E Simony
3934 Sandalwood Ln |
$63.17 | 13,315 | 10,457 |
|
Lauren M Gomez
300 Colorado Ave |
$215.11 | 12,913 | 11,941 |
|
Nicole Betts
1310 Fortino Blvd Ste D |
$76.60 | 12,874 | 11,107 |
|
Dana G Riley
300 Colorado Ave |
$186.40 | 12,212 | 10,964 |
|
Bryan A Hynes
41 Montebello Rd Ste 116 |
$56.19 | 10,659 | 9,675 |
|
James Richard Anderson
3676 Parker Blvd |
$67.93 | 10,397 | 9,604 |
|
Mallikarjuna Nallegowda
3676 Parker Blvd Ste 230 |
$40.62 | 10,322 | 9,067 |
|
Zsuzsa Glasscock
1128 Eagleridge Blvd |
$107.25 | 10,318 | 5,611 |
|
Richard N King
1302 E 5Th St |
$168.78 | 10,231 | 9,479 |
|
Michelle Leann Hartke
1619 N Greenwood St Ste 208 |
$73.18 | 10,074 | 8,405 |
|
Michele Z Pennington
300 Colorado Ave |
$181.74 | 9,752 | 8,676 |
|
Merilee Carol Briggs-Mead
3676 Parker Blvd |
$68.67 | 9,649 | 9,158 |
|
Sarah Elizabeth Bryant
1910 Lake Ave |
$82.26 | 9,516 | 8,349 |
|
Camille George Azar
1020 Lakeview Ave |
$76.66 | 9,214 | 8,903 |
|
Vanessa K Becerril
300 Colorado Ave |
$193.57 | 8,991 | 8,078 |
|
Sherry Hunter
300 Colorado Ave |
$27.65 | 8,915 | 7,721 |
|
Nancy Louise Moya
201 Lamkin St Apt 101 |
$68.23 | 8,910 | 7,322 |
|
Ashley Nichole Kirby
131 S Main St Ste 101 |
$68.69 | 8,490 | 7,263 |
|
Patrick Kevin Timms
3676 Parker Blvd |
$56.65 | 8,276 | 7,611 |
|
Michael A Ramos
216 W 13Th St |
$60.05 | 8,179 | 7,350 |
|
Patricia Susana Sabatini
3676 Parker Blvd |
$139.68 | 8,096 | 7,215 |
|
Bradley W Smith
44 Briargate Ter |
$77.55 | 8,064 | 7,019 |
|
Monica A Flynn
41 Montebello Rd |
$177.96 | 8,033 | 6,784 |
|
Stephanie A Parker
300 Colorado Ave |
$177.18 | 7,962 | 7,305 |
|
William Douglas Leusink
1012 W Abriendo Ave |
$237.46 | 7,951 | 6,658 |
|
Ganapathy Bala
1315 S Pueblo Blvd |
$70.42 | 7,824 | 7,370 |
|
Paulina Adjei
1302 E 5Th St |
$195.07 | 7,703 | 7,016 |
|
Elizabeth Ellen Skelly
902 Lakeview Ave |
$53.90 | 7,613 | 6,386 |
|
Anna Mae Martinez
416 Colorado Ave |
$82.91 | 7,353 | 6,238 |
|
Leanne Rae Gronemeyer
41 Montebello Rd |
$108.87 | 7,352 | 6,041 |
|
Havilah R. Spurlock
3676 Parker Blvd |
$62.92 | 7,341 | 6,855 |
|
Valerie Sue Lobato
300 Colorado Ave |
$189.74 | 7,318 | 6,580 |
|
Sheri Lynn Lazenby
1304 Chinook Ln |
$171.70 | 7,295 | 6,250 |
|
Tarah Sellner
3676 Parker Blvd |
$76.81 | 7,219 | 6,638 |
|
Joseph A Bulow
300 Colorado Ave |
$200.08 | 6,960 | 6,572 |
|
Katherine R Derossett
415 N Grand Ave |
$82.39 | 6,876 | 5,836 |
|
Nicole Boggs
900 Indiana Ave |
$69.65 | 6,840 | 5,278 |
|
Dawn Leslie Evert
900 Indiana Ave Ste D |
$52.74 | 6,822 | 5,886 |
|
Lisa Clough
3676 Parker Blvd |
$64.29 | 6,815 | 6,236 |
|
Arlene Viray Shanklin
1304 Chinook Ln |
$164.55 | 6,798 | 5,726 |
|
Ashlie Long
1301 E 7Th St |
$205.18 | 6,773 | 6,139 |
|
Jill Myrene Olvey
131 S Main St Ste 101 |
$74.54 | 6,714 | 5,594 |
|
John K Clayshulte
5700 N Elizabeth St |
$82.70 | 6,532 | 6,453 |
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 Pueblo, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pueblo, CO is $101.81 per claim, based on 1,279,905 claims from 499 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 Pueblo, CO?
There are 499 Medicaid providers offering Office Visit related services in Pueblo, CO according to public payment data.
What is the price range for Office Visit in Pueblo, CO?
Medicaid reimbursement for Office Visit in Pueblo, CO ranges from $0.00 to $345.83 per claim, with an average of $101.81. 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 Pueblo, CO
Home Health Visit
Avg $47.13
1,248,913 claims
Substance Abuse Treatment
Avg $90.02
582,607 claims
Emergency Room Visit
Avg $95.35
452,056 claims
Dental Cleaning & Exam
Avg $33.66
440,836 claims
Physical Therapy
Avg $53.13
400,827 claims
Personal Care Services
Avg $24.99
400,782 claims
Durable Medical Equipment (DME)
Avg $46.98
342,180 claims
Blood Work & Lab Tests
Avg $6.07
299,816 claims