Average Medicaid Office Visit Payments in Salt Lake City, UT: $79.84
Avg. Paid
$79.84
Range
$0.00 – $785.94
Total Claims
1,234,373
Providers
1,011
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 Salt Lake City, UT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
University Of Utah Community Physicians Group
1525 W 2100 S |
$68.06 | 159,030 | 144,804 |
|
Valley Behavioral Health Incorporated
4460 S Highland Dr |
$125.57 | 104,861 | 81,813 |
|
Julie S Day
127 S 500 E |
$82.42 | 33,749 | 31,494 |
|
Alexander Wojciech Pastuszak
30 N 1900 E Dept Of |
$20.52 | 25,410 | 21,246 |
|
Odyssey House Inc
743 E 300 S |
$94.32 | 20,371 | 15,582 |
|
Katherine Ann Mailey
81 N Mario Capecchi Dr |
$192.09 | 19,567 | 19,301 |
|
Wasatch Homeless Health Care, Inc.
409 W 400 S |
$161.78 | 13,917 | 11,914 |
|
Ihc Health Services Inc
389 S 900 E |
$44.48 | 11,964 | 11,227 |
|
Utah Carenow Urgent Care, Llc
441 S Redwood Rd |
$39.76 | 11,768 | 8,364 |
|
University Of Utah Behavioral Health Services
240 Morris Ave Ste 400 |
$1.68 | 11,172 | 8,855 |
|
Dermatology Division University Of Utah Medical Center
50 N Medical Dr |
$59.86 | 11,023 | 10,613 |
|
University Of Utah Adult Services
590 S Wakara Way |
$64.50 | 10,083 | 9,622 |
|
Robert L. Speakman
555 Foothill Dr |
$80.43 | 10,024 | 9,561 |
|
Nancy Pham
1140 E 3900 S Ste 340 |
$0.20 | 9,363 | 8,631 |
|
Bernadette O. Kiraly
1138 Wilmington Ave |
$82.07 | 8,940 | 7,498 |
|
Christopher Belknap
409 W 400 S |
$38.91 | 8,937 | 7,927 |
|
Timothy S Grange
4052 Pioneer Pkwy |
$53.43 | 8,286 | 7,013 |
|
University Of Utah Specialty Services
50 N Medical Dr |
$71.07 | 8,008 | 7,723 |
|
Carmelo O Diaz
660 S 200 E |
$71.70 | 7,853 | 7,730 |
|
Ann Elizabeth Lapolla
82 S 1100 E Ste 403 |
$50.06 | 7,797 | 6,588 |
|
Ihc Health Services Inc
389 S 900 E |
$55.25 | 7,569 | 7,131 |
|
University Of Utah Pediatric Services
50 N Medical Dr |
$65.50 | 7,493 | 7,018 |
|
Kim Marie Zeh
275 East 200 South |
$39.11 | 7,330 | 6,923 |
|
Margaret Hope Solomon
1525 W 2100 S |
$72.43 | 7,141 | 6,224 |
|
Utah Healthcare Institute Inc
1250 E 3900 S |
$42.01 | 6,967 | 6,345 |
|
Jessica Arbogast
315 N Virginia St |
$278.90 | 6,885 | 5,613 |
|
Omega Interventional Pain Pllc
3838 S 700 E |
$47.72 | 6,786 | 5,932 |
|
Kim Estella Thompson
4460 S Highland Dr Ste 210 |
$136.69 | 6,704 | 5,292 |
|
Carissa S Monroy
660 S 200 E Ste 250 |
$122.12 | 6,628 | 5,778 |
|
Lotus Center Inc
4376 S 700 E Ste 200 |
$105.70 | 6,013 | 5,739 |
|
Michele Sara Goldberg
409 W 400 S |
$33.18 | 5,883 | 5,038 |
|
University Of Utah Adult Services
50 N Medical Dr |
$63.58 | 5,798 | 5,677 |
|
Melissa J Bentley
660 S 200 E Ste 250 |
$394.35 | 5,626 | 4,804 |
|
Amy Theos
81 N Mario Capecchi Dr |
$134.19 | 5,582 | 5,280 |
|
Gitanjali Sharma
3920 S 1100 E |
$72.22 | 5,391 | 3,409 |
|
Thomas J Kottarathil
1525 W 2100 S |
$47.42 | 5,336 | 3,945 |
|
University Of Utah Pediatric Services
100 N Mario Capecchi Dr |
$64.47 | 5,286 | 5,149 |
|
University Of Utah Adult Services
50 North Medical Drive |
$62.65 | 5,211 | 5,103 |
|
Suzanne M Bailey
100 Mario Capecchi Dr |
$30.33 | 5,147 | 4,860 |
|
University Of Utah Pediatric Services
100 N Mario Capecchi Dr |
$74.74 | 5,147 | 5,052 |
|
University Of Utah Pediatric Services
81 N Mario Capecchi Dr |
$94.62 | 5,019 | 4,961 |
|
Utah Cancer Specialists Pc
3838 S 700 E Ste 100 |
$58.60 | 4,947 | 4,065 |
|
Siosi Fonua
34 S 500 E |
$243.50 | 4,937 | 4,169 |
|
University Of Utah Pediatric Services
81 N Mario Capecchi Dr |
$99.05 | 4,682 | 4,518 |
|
Karl A Kirby
1250 E 3900 S Ste 260 |
$75.60 | 4,670 | 4,098 |
|
Stephanie Wheatley
340 E 100 S |
$210.86 | 4,654 | 3,634 |
|
Gabriel Enrique Maciel
1640 W 500 S |
$8.77 | 4,648 | 4,102 |
|
Project Reality
5282 S Commerce Dr |
$109.30 | 4,529 | 3,751 |
|
Adelaide Robinson Slack
1388 S Navajo St |
$76.17 | 4,452 | 4,048 |
|
April Maivhli Vang Jones
1160 E 3900 S Ste 1000 |
$50.56 | 4,237 | 3,304 |
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 Salt Lake City, UT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Salt Lake City, UT is $79.84 per claim, based on 1,234,373 claims from 1011 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 Salt Lake City, UT?
There are 1011 Medicaid providers offering Office Visit related services in Salt Lake City, UT according to public payment data.
What is the price range for Office Visit in Salt Lake City, UT?
Medicaid reimbursement for Office Visit in Salt Lake City, UT ranges from $0.00 to $785.94 per claim, with an average of $79.84. 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 Salt Lake City, UT
Blood Work & Lab Tests
Avg $29.51
1,638,233 claims
Psychiatric Evaluation
Avg $131.05
1,009,239 claims
Substance Abuse Treatment
Avg $66.10
929,403 claims
Emergency Room Visit
Avg $74.59
909,018 claims
Behavioral & Mental Health Therapy
Avg $91.97
744,752 claims
Case Management Services
Avg $86.54
640,175 claims
Vaccines & Immunizations
Avg $6.99
561,295 claims
Home Health Visit
Avg $85.62
489,850 claims