Based on public Medicaid payment data.

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
Stephane Cosby Rainsong 3655 E 104Th Ave Unit A	$63.63	13	12
Advanced Heart And Vein Center Inc 805 E 144Th Ave Ste 100	$0.00	14	13
Gina Stecina Bolinger 3655 E 104Th Ave	$39.73	14	13
Gerard L Bernales 9191 Grant St	$97.58	15	12
Kim Ann Fredericksen 9191 Grant St.	$46.15	16	14
Thornton Youth Vision, Llc 9674 Washington St Unit 104	$0.00	16	13
Lisa Ann Robbiano 9197 Grant St	$41.79	16	12
Nicole Levero Gartner 2900 E 136Th Ave Ste 201	$17.27	16	12
Carol A Oakleaf 3814 E 120Th Ave	$77.36	16	13
Tiffany Kay Lanford 9141 Grant St Ste 200	$98.04	16	13
Melanie Anicee Anderson 3655 E 104Th Ave	$40.30	17	15
Colleen Diferdinando 13700 Colorado Blvd	$78.75	17	13
Mckinzie Lynn Daniels 12450 York St	$81.56	17	13
William S Waldman 550 E Thornton Pkwy	$126.90	18	13
Nancy Nmi Mcconnell 3814 E 120Th Ave	$46.57	19	13
Julie Mullin 16570 Washington St	$52.10	19	12
Community Reach Center, Inc 8801 Lipan St	$40.81	21	21
Cisneros Center Of Obstetrics And Gynecology 9981 Washington St	$0.00	23	14
Kristen C. Garcia 9195 Grant St	$71.21	28	27
Klarisana Physician Services Pllc 9195 Grant St Ste 130	$0.00	28	25
Danielle Joy Hamstra 8853 Fox Dr Ste 200	$67.68	29	29
Lauren Anne Gardner 9441 Huron St	$42.18	32	31
Nathan Gray Murphey 9451 Huron St	$77.33	32	29
James Crosby 9141 Grant St	$39.43	37	33
Ann Mac Donald Imhof 2200 East 104 Avenue	$81.28	37	31
Marylouise Cullinan 9141 Grant St	$61.16	39	26
Diana N Keiling 3655 E 104Th Ave	$47.33	42	38
Laura Zahradnick 9195 Grant St Ste 410	$56.95	46	37
Peter Guando 13631 Colorado Blvd	$62.95	49	39
Philip J Rosenblum 3655 E 104Th Ave	$33.14	53	43
Courtney Lee Amerin 9195 Grant St Ste 410	$70.77	53	45
Lacey Renea Howard 9195 Grant St Ste 410	$72.48	54	51
Jennifer Baron 9195 Grant St Ste 225	$48.83	58	54
Mary Elizabeth Coffin 9451 Huron St	$39.74	58	56
Vera Sekula 9005 Grant St	$49.19	59	47
James Samuel Barton 9195 Grant St Ste 410	$76.60	69	63
Robert M Botnick 9195 Grant Street #120	$84.20	72	52
Rebecca Jean Blatt 9191 Grant St.	$90.79	72	70
Farshad Farnejad 9141 Grant St Ste 120	$110.56	74	71
Emily Elena Battista 8990 Washington St	$49.33	75	75
Morry A Olenick 8515 Pearl St Ste 350	$99.26	78	73
Dennis H Olson 9141 Grant St Ste B40	$1.55	80	44
Doru I.E. Georgescu 9351 Grant St	$68.06	81	70
Margarita Maria Wong 8990 N. Washington	$79.05	83	66
Angela Hento 9195 Grant St Ste 410	$58.28	85	71
Ilona Isabel Gomez 8820 Huron St	$55.56	115	109
Kenneth W Hahn 3655 E 104Th Ave	$35.39	128	112
Colorado Urgent Care Pllc 9720 Grant St	$0.00	131	104
Margaret Kreutzer 8820 Huron St	$50.39	134	133
Jill Marie Flores 1181 E 120Th Ave Unit A	$73.52	134	132

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.

Average Medicaid Office Visit Payments in Thornton, CO: $80.71

Providers Offering Office Visit in Thornton, CO

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Emergency Room Visit

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Personal Care Services

Blood Work & Lab Tests

Speech Therapy

Psychiatric Evaluation