Average Medicaid Office Visit Payments in Thornton, CO: $80.71
Avg. Paid
$80.71
Range
$0.00 – $197.82
Total Claims
511,979
Providers
245
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 Thornton, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Starr Rachelle Wedemeyer
8889 Fox Dr |
$67.09 | 36,441 | 31,458 |
|
Gita Singh Sikand
9141 Grant St |
$75.57 | 28,909 | 23,893 |
|
Stephen M Volin
9195 Grant St |
$77.87 | 15,666 | 13,213 |
|
Amar Patel
9351 Grant St Ste 490 |
$56.17 | 13,163 | 10,535 |
|
Douglas Paul Peller
9141 Grant Street |
$63.65 | 11,114 | 10,156 |
|
Paul Stefan Leo
9005 Grant St Ste 200 |
$69.41 | 10,115 | 8,470 |
|
Michael Reid Mayo
8931 Huron St |
$68.29 | 8,403 | 6,408 |
|
John Davey Douthit
9981 N Washington St |
$65.32 | 8,365 | 7,671 |
|
Vernon L Naake
9195 Grant St |
$91.86 | 7,394 | 6,628 |
|
Emily Elizabeth Gutgsell
8990 Washington St |
$152.44 | 7,204 | 6,160 |
|
Mathilde M Sullivan
8990 Washington St |
$163.14 | 7,086 | 6,075 |
|
Mary Irene Bobye
8931 Huron St |
$37.71 | 6,581 | 5,540 |
|
Lindsay Wells Shillinglaw
9005 Grant St |
$77.15 | 6,485 | 4,257 |
|
Megan Elizabeth Carlberg
8990 Washington St |
$132.54 | 6,289 | 5,109 |
|
Shawna Marie Daake
9197 Grant St |
$64.66 | 6,147 | 5,772 |
|
Randa Janell Spencer
13631 Colorado Blvd |
$81.55 | 6,114 | 5,577 |
|
Lucas Henderson
9197 Grant St # 200 |
$63.88 | 5,756 | 5,475 |
|
Hillary Davis Laird
9197 Grant St |
$59.32 | 5,484 | 4,954 |
|
Candace Jean Daugherty
9191 Grant St |
$114.68 | 5,423 | 4,352 |
|
Joe L Williams
3260 E 104Th Ave |
$74.53 | 5,329 | 4,950 |
|
Jennifer J Beck
9005 Grant St Ste 200 |
$20.37 | 5,065 | 4,830 |
|
Jennifer Manchester
8990 Washington St |
$173.34 | 5,049 | 4,447 |
|
Steven Joseph Sushinsky
8990 Washington St |
$144.14 | 4,991 | 4,415 |
|
Lauren K Ramnarine
8990 N. Washington |
$149.65 | 4,983 | 4,322 |
|
Vera Becka
3260 104Th Ave. |
$75.43 | 4,919 | 4,578 |
|
Rao Rashid Mushtaq
9451 Huron St |
$40.27 | 4,881 | 4,161 |
|
Victoria A Chazin
8990 N Washington |
$147.33 | 4,871 | 4,352 |
|
Mackenzie Courtney
9191 Grant St |
$74.23 | 4,693 | 3,828 |
|
Kaitlin Ehrlich
9197 Grant St |
$59.96 | 4,690 | 4,447 |
|
Todd C Dextradeur
51 W 84Th Ave |
$66.56 | 4,575 | 3,516 |
|
Sarah Daily-Shields
8990 Washington St |
$146.68 | 4,439 | 3,881 |
|
Stephanie Kramer
9197 Grant St Ste 200 |
$58.51 | 4,304 | 4,043 |
|
Jena Cella
9197 Grant St |
$60.99 | 4,253 | 3,982 |
|
Denise M Forrest
9197 Grant St Ste 200 |
$62.71 | 4,109 | 3,866 |
|
Martina Ann Paiz
8990 N Washington |
$124.96 | 4,100 | 2,656 |
|
Angela R Mcdonald
3240 E 104Th Ave |
$59.41 | 4,088 | 3,623 |
|
Logan Ann Jennings
9197 Grant St |
$61.89 | 4,066 | 3,846 |
|
Anna Leah Ramsey
9197 Grant St Ste 100 |
$60.86 | 4,000 | 3,737 |
|
Diane Asher
8990 Washington St |
$150.02 | 3,996 | 3,565 |
|
Upasana B. Mohapatra
8990 Washington St |
$140.91 | 3,922 | 3,306 |
|
Praveena Reddy Solipuram
8820 Huron St |
$67.27 | 3,827 | 3,421 |
|
Marnie Walsh
9197 Grant St |
$64.27 | 3,679 | 3,486 |
|
Francisco Prada
8990 Washington St |
$26.80 | 3,621 | 3,387 |
|
Maria Patricia Bustamante
8990 N Washington St |
$176.11 | 3,617 | 3,277 |
|
Tori Cohen
3260 E 104Th Ave |
$34.31 | 3,615 | 1,877 |
|
Rosa Juanita Cisneros
9981 N Washington St |
$79.64 | 3,546 | 2,604 |
|
Mircea M Petrina
9141 Grant St Ste 140 |
$69.32 | 3,492 | 2,942 |
|
Heather D. West
9720 Grant St # 2 |
$47.74 | 3,487 | 3,304 |
|
Sarah Ann Fredrickson
8990 Washington St |
$192.85 | 3,445 | 3,016 |
|
Alma Leticia Silva-Gutierrez
81 W 84Th Ave Ste 165 |
$73.00 | 3,404 | 2,976 |
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 Thornton, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Thornton, CO is $80.71 per claim, based on 511,979 claims from 245 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 Thornton, CO?
There are 245 Medicaid providers offering Office Visit related services in Thornton, CO according to public payment data.
What is the price range for Office Visit in Thornton, CO?
Medicaid reimbursement for Office Visit in Thornton, CO ranges from $0.00 to $197.82 per claim, with an average of $80.71. 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 Thornton, CO
Substance Abuse Treatment
Avg $141.40
394,423 claims
Vaccines & Immunizations
Avg $13.17
275,669 claims
Emergency Room Visit
Avg $101.39
261,243 claims
Dental Cleaning & Exam
Avg $31.36
253,765 claims
Personal Care Services
Avg $43.93
248,660 claims
Blood Work & Lab Tests
Avg $6.52
248,291 claims
Speech Therapy
Avg $7.99
239,521 claims
Psychiatric Evaluation
Avg $53.90
193,460 claims