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 |
|---|---|---|---|
|
Drew D. Ritter
3676 Parker Blvd |
$86.35 | 12 | 12 |
|
Armine Avanesyan
311 W 14Th St |
$53.44 | 12 | 12 |
|
Samantha Kelly
4036 Ridge Dr |
$3.32 | 13 | 13 |
|
Benton F Murphy
27 Montebello Rd |
$57.69 | 13 | 13 |
|
Christopher Gerard Vialpando
916 Indiana Ave |
$38.65 | 13 | 12 |
|
Christopher Traut
1600 N Grand Ave |
$65.04 | 13 | 13 |
|
Phebe Golden
3670 Parker Blvd Ste 101 |
$72.52 | 14 | 14 |
|
Sara L Crowner
1304 Chinook Ln |
$90.17 | 14 | 13 |
|
Daniel Mirshamsi
1600 W 24Th St |
$57.67 | 14 | 14 |
|
Amber Doss
3670 Parker Blvd |
$71.17 | 14 | 12 |
|
Logan Reimer
400 W 16Th St |
$73.40 | 14 | 14 |
|
Stewart Kite
1619 N Greenwood St Ste 300 |
$25.00 | 14 | 13 |
|
Donald A Schlomer
27 Montebello Rd |
$30.21 | 15 | 12 |
|
Michael Todd Duzan
401 W Northern Ave |
$87.92 | 15 | 12 |
|
Damian Gradisar
1919 W Us Highway 50 |
$25.11 | 15 | 14 |
|
Maritza Proano
1600 N Grand Ave |
$128.50 | 15 | 15 |
|
Vincent Vaughn
311 W 14Th St |
$72.32 | 15 | 13 |
|
Bradley W. Smith, D.O., Pllc
44 Briargate Ter |
$0.00 | 15 | 15 |
|
Stephen M Girard
1925 E Orman Ave |
$81.89 | 16 | 13 |
|
William Murchison
1600 N. Grand Ave. |
$68.69 | 16 | 16 |
|
Anak K Shrestha
27 Montebello Rd |
$31.54 | 16 | 15 |
|
Brandon George Dmytruk
400 W 16Th St |
$47.88 | 18 | 12 |
|
Michael Tysen Nickle
902 Lakeview Ave |
$194.10 | 21 | 17 |
|
Adult Medicine Specialists Pc
314 W 16Th St |
$0.00 | 23 | 16 |
|
Sara M Tonsing
1501 Court St |
$59.61 | 25 | 24 |
|
Lilian Onyinye Onwuka
803 W 4Th St Ste U |
$82.95 | 26 | 12 |
|
Gregory J Haubrich
400 W 16Th St |
$93.98 | 26 | 26 |
|
Carlotta J Fendrich
401 Michigan St |
$58.84 | 26 | 25 |
|
Sylvia Lysandra Young
902 Lakeview Ave |
$63.58 | 26 | 23 |
|
Kelli Chapman
400 W 16Th St |
$52.69 | 27 | 27 |
|
Grace J Kim
902 Lakeview Ave |
$23.53 | 27 | 25 |
|
Thomas Alexander Herzog
1600 N Grand Ave |
$53.17 | 28 | 25 |
|
China Leiggi
1401 Court St |
$28.32 | 29 | 27 |
|
Roger W. Narvaez
1320 Fortino Blvd |
$26.06 | 29 | 29 |
|
Carlton Sherman Pearse
1501 Court St |
$56.68 | 29 | 28 |
|
Terry Lee Schwartz
3676 Parker Blvd |
$60.29 | 32 | 31 |
|
Aparna Seetharama
400 W 16Th St |
$55.98 | 33 | 28 |
|
Gina Isabel Jimenez-Santiago
2625 W Pueblo Blvd |
$14.00 | 37 | 27 |
|
Gary L Cohen
1619 N Greenwood St |
$29.18 | 39 | 35 |
|
Elizabeth Louise Stuyt
1600 W 24Th St |
$101.65 | 39 | 25 |
|
Jacy Gansz-Torres
1301 E 7Th St |
$311.03 | 40 | 38 |
|
Ali K Murad
1600 North Grand Ave |
$123.20 | 44 | 42 |
|
Lindsey Longfellow
400 W 16Th St |
$52.23 | 45 | 42 |
|
Donald Ross Patrick
400 W 16Th St |
$97.63 | 45 | 43 |
|
Aakriti Shrestha-Schumann
1501 Court St |
$73.08 | 47 | 42 |
|
Neil A Banga
1600 N Grand Ave |
$81.95 | 49 | 48 |
|
Dharmista Ramjibhai Chaudhary
311 W 14Th St |
$69.14 | 49 | 47 |
|
Matthew P. Simonich
1919 W Us Highway 50 |
$40.99 | 50 | 45 |
|
Olufunmilola Ogunmodede
3937 Ivywood Ln |
$81.08 | 50 | 49 |
|
Alanna Michele Fenlon
401 Michigan St |
$0.00 | 50 | 17 |
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