Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Spanish Fork, UT: $49.81

Avg. Paid

$49.81

Range

$12.79 – $89.53

Total Claims

46,359

Providers

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 Spanish Fork, UT

Provider	Avg. Paid	Claims	Patients
Canyon View Medical Group Llc 336 W 100 S	$18.83	13,403	12,396
Ihc Health Services Inc 819 E Market Place Dr	$47.82	6,328	5,888
Frank J Archer 24 N 100 E	$68.25	3,914	3,065
Michael Warren Peterson 114 East 800 North	$61.08	3,109	2,604
Scott Stroshine 701 E 700 N	$68.39	2,296	2,124
Jana Louise Burningham 852 Expressway Ln	$68.20	1,803	1,693
Eric M Hogenson 336 W 100 S	$67.55	1,602	1,413
Aspen Dermatology Pllc 114 E 800 N	$61.74	1,591	1,504
Magellan Academy, Inc 704 N State Road 51	$88.51	1,136	871
Michael P Eyre 114 E 800 N	$65.14	1,064	954
Ihc Health Services Inc 819 E Market Place Dr	$62.21	1,058	1,001
Austin W Bills 336 W 100 S	$89.53	972	659
Joshua Darrel Reid 819 E Market Place Dr	$49.86	936	898
Benjamin Daniel Roberts 437 W 300 S	$53.59	862	740
Richard John Donaldson 336 W 100 S	$68.45	837	703
Patrick Tanner Mcvey 325 West Center	$66.39	774	708
James Vance Dodds 972 N 600 E	$45.76	681	609
D. John Bennett 325 W Center Street	$67.59	647	594
Richard D Paxton 325 W Center St	$65.47	634	593
Roman Y Takasaki 336 W 100 S	$69.32	502	454
Steven R Weatherspoon 336 W 100 S	$71.23	473	412
Sarah Ngocvi Tang 325 W Center St	$66.74	342	316
Chad Peterson 114 E 800 N	$45.81	271	238
Drew Ernest Polson 336 W 100 S	$55.58	187	160
Jeananne Johnson 1358 S River Ridge Ln	$79.32	144	137
Adam Dicks 743 N Main St	$37.12	139	112
Andrew Barclay 336 W 100 S	$70.94	120	96
Matthew Cameron 336 W 100 S	$66.26	103	86
Karl Jay Barton 24 N 100 E	$75.49	100	91
Rachelle Stone 972 N 600 E	$41.02	80	75
Melissa Sue Blakey 701 E 700 N	$67.67	78	76
Tracy M Frandsen 325 W Center St	$46.67	60	48
Katie Bates 336 W 100 S	$45.35	36	32
Jayci Brown 1142 S 2880 E	$55.64	31	30
Brian Christensen 750 N Main St	$12.79	18	12
Jason Keith Morris 819 E Market Place Dr Ste 300	$48.43	15	14
John David Laraway 819 E Market Place Dr Ste 300	$49.78	13	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 Spanish Fork, UT?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Spanish Fork, UT is $49.81 per claim, based on 46,359 claims from 37 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 Spanish Fork, UT?

There are 37 Medicaid providers offering Office Visit related services in Spanish Fork, UT according to public payment data.

What is the price range for Office Visit in Spanish Fork, UT?

Medicaid reimbursement for Office Visit in Spanish Fork, UT ranges from $12.79 to $89.53 per claim, with an average of $49.81. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Spanish Fork, UT: $49.81

Providers Offering Office Visit in Spanish Fork, UT

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Emergency Room Visit