Average Medicaid Office Visit Payments in Roy, UT: $53.17
Avg. Paid
$53.17
Range
$28.12 – $120.80
Total Claims
29,913
Providers
34
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 Roy, UT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ihc Health Services Inc
1915 W 5950 S |
$50.66 | 9,137 | 8,453 |
|
Ihc Health Services Inc
1915 W 5950 S |
$33.70 | 5,724 | 5,190 |
|
Daniel Neumann
5682 S 3500 W |
$71.90 | 4,531 | 4,198 |
|
Darlene L Petersen
5640 S 3500 W |
$49.84 | 1,861 | 1,454 |
|
Enrique P Baires
3485 W 5200 S |
$65.53 | 930 | 865 |
|
Jared Don Hiatt
1915 W 5950 S |
$71.63 | 864 | 810 |
|
Critt Farr Aardema
3443 W 5600 S |
$56.16 | 764 | 621 |
|
Kelly R Amann
3485 W 5200 S |
$64.74 | 750 | 695 |
|
Chase Bailey
3485 W 5200 S |
$58.67 | 513 | 449 |
|
Archana Parmenter
1915 W 5950 S |
$56.64 | 503 | 461 |
|
Robert Calvin Westbrook
1915 W 5950 S |
$40.51 | 500 | 398 |
|
Emily Shanafelt
3485 W 5200 S |
$53.98 | 496 | 456 |
|
Joni Michelle Jones
5640 S 3500 W |
$44.42 | 435 | 349 |
|
Zachary Campbell
1915 W 5950 S |
$67.19 | 409 | 377 |
|
Kayleen Hall Wilson
3485 W 5200 S |
$59.57 | 335 | 310 |
|
Joshua Mcbride
5682 S 3500 W Ste A |
$45.52 | 280 | 269 |
|
Micheal Shawn Dawson
5640 S 3500 W |
$70.22 | 252 | 216 |
|
Mikio Obayashi
1915 W 5950 S |
$44.81 | 245 | 226 |
|
Renee Lee Brunner -Houser
1858 W 5150 S |
$56.64 | 240 | 219 |
|
Laura C Giove
1915 W 5950 S |
$67.67 | 235 | 207 |
|
Jill Woodring
3443 W 5600 S |
$65.78 | 174 | 162 |
|
Kurtis Don Ellis
1915 W 5950 S |
$62.26 | 142 | 132 |
|
John G Allred
3485 W 5200 S |
$57.22 | 116 | 104 |
|
Kevin Wendell Johnson
1915 W 5950 S |
$120.80 | 116 | 107 |
|
Stephen Craig Merrell
3443 W 5600 S |
$55.92 | 105 | 84 |
|
Tricia Ferrin
1915 W 5950 S |
$51.59 | 54 | 52 |
|
Brinton S Woods
5640 S 3500 W |
$46.76 | 54 | 45 |
|
Van J Aston
3485 W 5200 S |
$50.23 | 30 | 30 |
|
Brandon G Wintle
1915 W 5950 S |
$40.34 | 30 | 28 |
|
Shiloh C Manning
5640 S 3500 W |
$49.09 | 25 | 25 |
|
Russell S Doxey
3485 W 5200 S |
$36.77 | 21 | 21 |
|
Nicholas James Biggs
1915 W 5950 S |
$41.86 | 16 | 15 |
|
Michael Sean Harlan
4932 S 3425 W |
$28.12 | 14 | 14 |
|
Jerrica Elizabeth Stoddard
5640 S 3500 W |
$53.08 | 12 | 12 |
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 Roy, UT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Roy, UT is $53.17 per claim, based on 29,913 claims from 34 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 Roy, UT?
There are 34 Medicaid providers offering Office Visit related services in Roy, UT according to public payment data.
What is the price range for Office Visit in Roy, UT?
Medicaid reimbursement for Office Visit in Roy, UT ranges from $28.12 to $120.80 per claim, with an average of $53.17. 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 Roy, UT
Dental Cleaning & Exam
Avg $27.34
19,027 claims
Physical Therapy
Avg $32.55
9,078 claims
Ambulance Transport
Avg $290.25
6,705 claims
Vaccines & Immunizations
Avg $1.83
5,800 claims
Eye Exam
Avg $32.49
2,675 claims
Dental Filling
Avg $110.76
2,584 claims
Psychiatric Evaluation
Avg $84.76
1,588 claims
X-Ray
Avg $6.53
1,271 claims