Average Medicaid Office Visit Payments in Tooele, UT: $111.82
Avg. Paid
$111.82
Range
$5.47 – $717.11
Total Claims
73,744
Providers
50
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 Tooele, UT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daniel L Hibbert
2376 N 400 E Ste 104 |
$101.67 | 14 | 14 |
|
Valley Family Medicine Pc
2376 N 400 E Ste 102 |
$75.20 | 15 | 14 |
|
Charles E Holt
280 N Main St |
$60.28 | 15 | 14 |
|
Michael Todd Griffeth
2376 N 400 E Ste 101 |
$71.42 | 16 | 14 |
|
Samara D. Lazernick
196 E. 2000 N. |
$77.14 | 16 | 13 |
|
Suzette Dow
2356 N 400 E Ste 202 |
$95.52 | 16 | 14 |
|
Nicole Patrone
58 S Main St |
$96.80 | 25 | 24 |
|
Beacon House Llc
60 S Main St Ste 6 |
$65.96 | 26 | 14 |
|
Kristi Lynn Lawrence
40 S Main St # A |
$150.76 | 48 | 29 |
|
Blaine Johnson Cashmore
196 E 2000 N |
$51.82 | 61 | 54 |
|
Mountain West Pediatrics
2356 N 400 E Ste 202 |
$70.20 | 72 | 62 |
|
Jeffrey Adam Ball
1244 N Main St Ste 201 |
$34.12 | 86 | 85 |
|
Kim A. Halladay
2356 N 400 E |
$31.71 | 93 | 69 |
|
Krystle Dawn Lowrance
196 E 2000 N Ste 110 |
$32.80 | 127 | 65 |
|
Tooele Orthopedics & Sports Medicine Specialists
2321 N 400 E Ste 300 |
$50.66 | 164 | 139 |
|
Jeffrey F Bray
196 E 2000 N Ste 101 |
$40.24 | 197 | 192 |
|
Ihc Health Services Inc
777 N Main St |
$32.24 | 211 | 199 |
|
Jesse Knight
2376 N 400 E Ste 202 |
$65.71 | 252 | 241 |
|
Advanced Practice Medical Clinic, Llc
491 North Main Street |
$51.06 | 352 | 305 |
|
Skull Valley Health Clinic
1929 Aaron Dr Ste I |
$263.55 | 385 | 242 |
|
Philip Krukow
30 S Tooele Blvd |
$78.30 | 442 | 384 |
|
Derek Scott Anselmo
2376 N 400 E Ste 204 |
$46.90 | 467 | 400 |
|
Thomas Michael Reid
100 S 1000 W |
$80.08 | 605 | 571 |
|
Carolyn Forbes
2376 N 400 E |
$55.30 | 617 | 458 |
|
Catherine Carter
196 E 2000 N |
$61.75 | 618 | 568 |
|
Jacob Woodruff Daynes
1929 Aaron Dr Ste L |
$64.87 | 667 | 561 |
|
Alexandria Burringo
30 S Tooele Blvd |
$76.50 | 677 | 603 |
|
Gordon Walter Duval
196 E 2000 N Ste 104 |
$59.59 | 788 | 702 |
|
Blake Richard Beazer
2356 N 400 E |
$73.60 | 828 | 694 |
|
Valley West Health
323 N Main St |
$66.58 | 896 | 632 |
|
David George Mckenzie
2376 N 400 E Ste 204 |
$40.09 | 938 | 609 |
|
Sergio Abarca
2356 N 400 E |
$67.90 | 941 | 716 |
|
Lori C Hamilton
1373 E Cassity Dr |
$358.46 | 951 | 685 |
|
Meena Mirdamadi Aserlind
196 E 2000 N Ste 101 |
$35.04 | 1,063 | 669 |
|
Mason C Heywood
1929 N Aaron Dr Ste L |
$92.42 | 1,083 | 1,046 |
|
An Tuong Dinh
210 Millpond |
$76.12 | 1,088 | 885 |
|
Sergio Abarca, M.D., Inc
2356 N 400 E |
$74.40 | 1,142 | 885 |
|
John Antoni Douglas
2321 N 400 E Ste 300 |
$84.55 | 1,348 | 1,096 |
|
Brand Paxton Reynolds
491 N Main St |
$47.62 | 1,474 | 1,187 |
|
Nat-Su Health Care Llc
1929 North Aaron Drove |
$717.11 | 1,519 | 893 |
|
Jim J. Gould, Md Pc
2356 N 400 E |
$58.98 | 2,008 | 1,709 |
|
Tooele Valley Urgent Care Llc
1244 No. Main St., Ste 201 |
$54.54 | 2,217 | 1,981 |
|
Jessica Weeks Juber
30 S Tooele Blvd |
$5.47 | 3,059 | 2,854 |
|
Steven Harold Rich
196 E 2000 N |
$62.51 | 3,107 | 2,835 |
|
Goshute Health Care Llc
1929 N Aaron Dr Ste I |
$659.61 | 3,644 | 2,009 |
|
Tooele Clinic Corp
1887 Aaron Dr Ste B |
$30.39 | 5,682 | 5,079 |
|
Russell Steven Anderson
777 N Main St |
$106.76 | 5,695 | 5,240 |
|
Patrick Green Md Pllc
134 W 1180 N Suite # 5 |
$65.89 | 6,144 | 5,044 |
|
Jim J Gould
2356 N 400 E |
$66.82 | 9,364 | 8,344 |
|
Patrick Nelson Green
134 W 1180 N |
$74.02 | 12,481 | 9,688 |
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 Tooele, UT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Tooele, UT is $111.82 per claim, based on 73,744 claims from 50 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 Tooele, UT?
There are 50 Medicaid providers offering Office Visit related services in Tooele, UT according to public payment data.
What is the price range for Office Visit in Tooele, UT?
Medicaid reimbursement for Office Visit in Tooele, UT ranges from $5.47 to $717.11 per claim, with an average of $111.82. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Tooele, UT
Blood Work & Lab Tests
Avg $21.00
46,769 claims
Vaccines & Immunizations
Avg $3.86
37,779 claims
Emergency Room Visit
Avg $42.26
34,558 claims
Psychiatric Evaluation
Avg $201.70
21,877 claims
Physical Therapy
Avg $30.90
21,040 claims
Ambulance Transport
Avg $220.05
15,509 claims
Urinalysis & Urine Tests
Avg $4.70
13,526 claims
X-Ray
Avg $10.41
11,005 claims