Skip to content
Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Vernal, UT: $72.53

Avg. Paid

$72.53

Range

$27.04 – $237.48

Total Claims

87,298

Providers

41

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 Vernal, UT

Provider Avg. Paid Claims Patients
Shaun C Shurtliff

872 W Highway 40

 $77.49 13,462 11,438
Uintah Basin Tri-County Mental Health And Substance Abuse Local Author

1140 W 500 S

 $53.96 8,701 7,942
Daniel J Kwak

175 N 100 W

 $83.74 6,320 5,447
Michael Olsen

379 North 500 West

 $66.49 4,994 4,382
Vernal Urgent Care Llc

872 W Highway 40

 $65.77 4,920 4,505
Karl Breitenbach

379 North 500 West

 $67.10 4,230 3,741
Ethan Pettit

175 N 100 W

 $72.38 4,173 3,691
Ashley Valley Family Practice

872 W Highway 40

 $62.25 4,118 3,395
Ashley Valley Physician Practice, Llc

150 W 100 N

 $58.43 4,038 3,322
Basin Medical Clinic Llc

379 North 500 West

 $70.42 3,698 3,045
Keith H Evans

1140 W 500 S

 $47.19 3,543 3,148
Alma L Parker

175 N 100 W

 $66.02 3,357 2,805
Eric Reynolds

1680 W Highway 40 Ste 201

 $126.53 3,248 2,948
Dinosaurland Pediatrics

175 N 100 W

 $60.42 2,549 2,234
Uintah Basin Medical Center

405 N 500 W

 $179.92 2,300 2,095
Pettit Pediatrics Llc

1360 W Highway 40

 $67.32 2,090 1,747
Rodney Anderson

379 North 500 West

 $71.21 1,903 1,642
Clayton Scott Syndergaard

1140 W 500 S Ste 9

 $50.70 1,891 1,733
Ashley Valley Physician Practice, Llc

175 N. 100 W.

 $71.08 1,495 1,360
Sandra Dollene Rust

266 W 100 N Ste 6

 $71.30 1,321 1,085
Kirk Woodward

379 North 500 West

 $65.08 1,062 931
Vernal Family Medicine

1360 W Highway 40

 $73.84 640 559
Ashley Valley Physician Practice Llc

150 W 100 N

 $63.80 348 312
High Desert Neurology Of Utah, Pc

175 N 100 W Ste N104

 $76.74 347 329
Adam Madsen

175 N 100 W

 $84.58 307 284
Uintah Basin Tri-County Mental Health And Substance Abuse Local Author

1140 W 500 S

 $61.88 292 215
Tri-County Mental Health And Substance Abuse Local Authority

1140 W 500 S

 $30.35 285 243
Cameron Phillip Hardy

872 W Highway 40

 $30.24 230 209
John Griffith

175 N 100 W

 $67.53 170 149
Valley Family Clinic Inc

266 W 100 N

 $76.41 165 151
Timothy Aaron Hawkes

150 W 100 N Ste S201

 $49.93 161 152
Jon W Hughes

175 N 100 W

 $237.48 161 156
Danette Foster

150 W 100 N Ste Gl02

 $90.00 132 121
Alec Higgins Rimmasch

175 N 100 W Ste 104

 $58.92 125 105
Dr Adam Madsen Orthopedic Surgery

175 N 100 W

 $89.23 125 121
Ashley Valley Physician Practice, Llc

150 W 100 N

 $75.82 119 104
Jeffrey Allen Lee

38 E 100 N Ste B

 $124.68 69 54
Eileen E Joyce

150 West 100 North

 $58.66 69 63
Ashley Valley Physician Practice, Llc

150 W 100 N

 $76.55 56 55
Alma Parker Md Pc

175 N 100 W

 $27.04 52 28
Amy Olsen

379 N 500 W Ste 1A

 $71.64 32 26

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 Vernal, UT?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Vernal, UT is $72.53 per claim, based on 87,298 claims from 41 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 Vernal, UT?

There are 41 Medicaid providers offering Office Visit related services in Vernal, UT according to public payment data.

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

Medicaid reimbursement for Office Visit in Vernal, UT ranges from $27.04 to $237.48 per claim, with an average of $72.53. 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 Vernal, UT

Psychiatric Evaluation

Avg $101.66

71,194 claims

Blood Work & Lab Tests

Avg $12.56

44,340 claims

Behavioral & Mental Health Therapy

Avg $45.68

34,486 claims

Emergency Room Visit

Avg $52.71

32,625 claims

Dental Cleaning & Exam

Avg $50.46

27,340 claims

Vaccines & Immunizations

Avg $7.95

22,902 claims

Physical Therapy

Avg $35.45

22,674 claims

Urinalysis & Urine Tests

Avg $5.07

12,255 claims