Average Medicaid Office Visit Payments in Pueblo West, CO: $70.31
Avg. Paid
$70.31
Range
$0.00 – $257.71
Total Claims
30,842
Providers
21
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 West, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amanda C Fadenrecht
141 S Purcell Blvd Ste 140 |
$67.40 | 8,072 | 6,615 |
|
Sherri M Butler
332 S Orchard Springs Dr Ste 150 |
$66.02 | 6,238 | 5,599 |
|
Daphne Dawn Bradley
332 S Orchard Springs Dr Ste 150 |
$57.57 | 2,963 | 2,775 |
|
Steven James Simerville
109 S Burlington Dr |
$61.52 | 2,742 | 2,321 |
|
Noah Stephan Zimbelman
50 E Dunlap Dr |
$64.49 | 2,453 | 2,243 |
|
Abner Fernandez
121 S. Crescent Drive |
$65.10 | 1,488 | 1,390 |
|
Julie Marie Keehn
141 S Purcell Blvd Ste 140 |
$73.30 | 1,114 | 948 |
|
Brooke Nicole Deweese
121 S. Crescent Drive |
$78.00 | 891 | 801 |
|
Jodi Ann Kurz
577 E Hahns Peak Ave |
$257.71 | 778 | 716 |
|
Daniel Vaught
1216 N Rising Sun Pl |
$79.00 | 688 | 547 |
|
Michael Joseph Ramos
121 S Crescent Dr |
$77.94 | 651 | 587 |
|
John Todd White
729 E Spaulding Ave |
$37.75 | 629 | 514 |
|
Ryan Stanton Morris
270 West John Powell Blvd |
$127.73 | 563 | 290 |
|
James W Mccullough
729 E Spaulding Ave |
$50.66 | 497 | 437 |
|
Amy M Valdez
501 S Putter Dr |
$0.00 | 329 | 324 |
|
Jack E Hall
121 S Crescent Dr |
$53.68 | 297 | 261 |
|
Preston Scott Heinen
141 S Purcell Blvd Ste 140 |
$72.12 | 206 | 176 |
|
Sylvia King
44 E. Spaulding Ave, Bldg 3, Ste 4 |
$65.02 | 76 | 49 |
|
Debra J Mccormack
729 E Spaulding Ave |
$28.04 | 73 | 44 |
|
Andrew B Emmerman
729 E Spaulding Ave |
$56.93 | 50 | 43 |
|
Pueblo West Primary Care Llc
141 S Purcell Blvd Ste 140 |
$0.00 | 44 | 28 |
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 West, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pueblo West, CO is $70.31 per claim, based on 30,842 claims from 21 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 West, CO?
There are 21 Medicaid providers offering Office Visit related services in Pueblo West, CO according to public payment data.
What is the price range for Office Visit in Pueblo West, CO?
Medicaid reimbursement for Office Visit in Pueblo West, CO ranges from $0.00 to $257.71 per claim, with an average of $70.31. 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 West, CO
Physical Therapy
Avg $63.30
53,554 claims
Non-Emergency Medical Transportation
Avg $58.41
28,222 claims
Ambulance Transport
Avg $164.79
26,708 claims
Dental Cleaning & Exam
Avg $32.52
14,221 claims
Vaccines & Immunizations
Avg $19.28
10,504 claims
Hearing Test (Audiometry)
Avg $10.69
1,084 claims
Psychiatric Evaluation
Avg $91.09
1,008 claims
Dental Filling
Avg $137.59
527 claims