Average Medicaid Office Visit Payments in Sterling, CO: $126.83
Avg. Paid
$126.83
Range
$0.00 – $235.80
Total Claims
37,437
Providers
28
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 Sterling, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sarah Moore
615 Fairhurst St |
$37.71 | 13 | 12 |
|
Jeffrey Lance Bacon
615 Fairhurst St |
$11.84 | 18 | 14 |
|
Daniel H Sharp
220 S 3Rd St Ste 1 |
$39.23 | 19 | 13 |
|
Keri Ann Mckay
12101 Highway 61 |
$87.24 | 28 | 25 |
|
Charles Anthony Gerk
1405 S 8Th Ave |
$65.84 | 29 | 25 |
|
Eric Becker
615 Fairhurst St |
$106.78 | 56 | 52 |
|
Shirley Elaine Nix
615 Fairhurst St |
$59.50 | 60 | 56 |
|
Helene Christner
615 Fairhurst St |
$53.49 | 115 | 95 |
|
John H Drury
1405 S 8Th Ave |
$53.26 | 119 | 112 |
|
Thomas Howard Soper
620 Iris Dr |
$48.42 | 124 | 89 |
|
Darrel Thomas Fenton
1405 S 8Th Ave |
$48.44 | 146 | 136 |
|
Bonnie Brownell
615 Fairhurst St |
$61.95 | 158 | 139 |
|
Rachelle Ann Maker
615 Fairhurst St |
$90.22 | 255 | 220 |
|
Stacey Rhodes
1405 S 8Th Ave |
$73.55 | 545 | 502 |
|
Anna Marie Freemyer-Brown
1405 S 8Th Ave Ste 101 |
$53.66 | 625 | 580 |
|
Centennial Mental Health Center, Inc.
211 W Main St |
$0.00 | 881 | 812 |
|
Laine Marie Morgan
211 West Main Street |
$155.60 | 1,246 | 999 |
|
Daniel Lambrecht
620 Iris Dr |
$60.89 | 1,309 | 1,120 |
|
Todd L Wolfley
419 W Main St |
$88.29 | 1,416 | 1,404 |
|
Rickey A Turner
1410 S 7Th Ave |
$163.36 | 2,018 | 1,723 |
|
Nicole M Showalter
620 Iris Dr |
$53.64 | 2,313 | 2,053 |
|
Patricia L Payne
211 W Main St |
$169.04 | 2,557 | 1,738 |
|
Robert Vadnal
211 W Main St |
$177.88 | 2,908 | 2,005 |
|
Paul D Freda
211 W Main St |
$119.06 | 2,912 | 2,355 |
|
Casey L Busmente
519 W Main St Unit B |
$123.33 | 3,882 | 3,421 |
|
Andrew A. Halpern
211 W Main St |
$235.80 | 4,075 | 2,429 |
|
Andrew G Hughes
1410 S 7Th Ave |
$144.22 | 4,103 | 3,506 |
|
Abhishek Ahuja
1410 S 7Th Ave |
$76.46 | 5,507 | 5,119 |
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 Sterling, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sterling, CO is $126.83 per claim, based on 37,437 claims from 28 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 Sterling, CO?
There are 28 Medicaid providers offering Office Visit related services in Sterling, CO according to public payment data.
What is the price range for Office Visit in Sterling, CO?
Medicaid reimbursement for Office Visit in Sterling, CO ranges from $0.00 to $235.80 per claim, with an average of $126.83. 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 Sterling, CO
Psychiatric Evaluation
Avg $215.74
64,751 claims
Case Management Services
Avg $123.22
44,574 claims
Substance Abuse Treatment
Avg $154.01
41,757 claims
Durable Medical Equipment (DME)
Avg $47.80
29,147 claims
Dental Cleaning & Exam
Avg $34.47
15,734 claims
Non-Emergency Medical Transportation
Avg $159.03
13,768 claims
Blood Work & Lab Tests
Avg $14.76
10,615 claims
Ambulance Transport
Avg $74.97
9,187 claims