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 |
|---|---|---|---|
|
Amy Olsen
379 N 500 W Ste 1A |
$71.64 | 32 | 26 |
|
Alma Parker Md Pc
175 N 100 W |
$27.04 | 52 | 28 |
|
Ashley Valley Physician Practice, Llc
150 W 100 N |
$76.55 | 56 | 55 |
|
Eileen E Joyce
150 West 100 North |
$58.66 | 69 | 63 |
|
Jeffrey Allen Lee
38 E 100 N Ste B |
$124.68 | 69 | 54 |
|
Ashley Valley Physician Practice, Llc
150 W 100 N |
$75.82 | 119 | 104 |
|
Dr Adam Madsen Orthopedic Surgery
175 N 100 W |
$89.23 | 125 | 121 |
|
Alec Higgins Rimmasch
175 N 100 W Ste 104 |
$58.92 | 125 | 105 |
|
Danette Foster
150 W 100 N Ste Gl02 |
$90.00 | 132 | 121 |
|
Jon W Hughes
175 N 100 W |
$237.48 | 161 | 156 |
|
Timothy Aaron Hawkes
150 W 100 N Ste S201 |
$49.93 | 161 | 152 |
|
Valley Family Clinic Inc
266 W 100 N |
$76.41 | 165 | 151 |
|
John Griffith
175 N 100 W |
$67.53 | 170 | 149 |
|
Cameron Phillip Hardy
872 W Highway 40 |
$30.24 | 230 | 209 |
|
Tri-County Mental Health And Substance Abuse Local Authority
1140 W 500 S |
$30.35 | 285 | 243 |
|
Uintah Basin Tri-County Mental Health And Substance Abuse Local Author
1140 W 500 S |
$61.88 | 292 | 215 |
|
Adam Madsen
175 N 100 W |
$84.58 | 307 | 284 |
|
High Desert Neurology Of Utah, Pc
175 N 100 W Ste N104 |
$76.74 | 347 | 329 |
|
Ashley Valley Physician Practice Llc
150 W 100 N |
$63.80 | 348 | 312 |
|
Vernal Family Medicine
1360 W Highway 40 |
$73.84 | 640 | 559 |
|
Kirk Woodward
379 North 500 West |
$65.08 | 1,062 | 931 |
|
Sandra Dollene Rust
266 W 100 N Ste 6 |
$71.30 | 1,321 | 1,085 |
|
Ashley Valley Physician Practice, Llc
175 N. 100 W. |
$71.08 | 1,495 | 1,360 |
|
Clayton Scott Syndergaard
1140 W 500 S Ste 9 |
$50.70 | 1,891 | 1,733 |
|
Rodney Anderson
379 North 500 West |
$71.21 | 1,903 | 1,642 |
|
Pettit Pediatrics Llc
1360 W Highway 40 |
$67.32 | 2,090 | 1,747 |
|
Uintah Basin Medical Center
405 N 500 W |
$179.92 | 2,300 | 2,095 |
|
Dinosaurland Pediatrics
175 N 100 W |
$60.42 | 2,549 | 2,234 |
|
Eric Reynolds
1680 W Highway 40 Ste 201 |
$126.53 | 3,248 | 2,948 |
|
Alma L Parker
175 N 100 W |
$66.02 | 3,357 | 2,805 |
|
Keith H Evans
1140 W 500 S |
$47.19 | 3,543 | 3,148 |
|
Basin Medical Clinic Llc
379 North 500 West |
$70.42 | 3,698 | 3,045 |
|
Ashley Valley Physician Practice, Llc
150 W 100 N |
$58.43 | 4,038 | 3,322 |
|
Ashley Valley Family Practice
872 W Highway 40 |
$62.25 | 4,118 | 3,395 |
|
Ethan Pettit
175 N 100 W |
$72.38 | 4,173 | 3,691 |
|
Karl Breitenbach
379 North 500 West |
$67.10 | 4,230 | 3,741 |
|
Vernal Urgent Care Llc
872 W Highway 40 |
$65.77 | 4,920 | 4,505 |
|
Michael Olsen
379 North 500 West |
$66.49 | 4,994 | 4,382 |
|
Daniel J Kwak
175 N 100 W |
$83.74 | 6,320 | 5,447 |
|
Uintah Basin Tri-County Mental Health And Substance Abuse Local Author
1140 W 500 S |
$53.96 | 8,701 | 7,942 |
|
Shaun C Shurtliff
872 W Highway 40 |
$77.49 | 13,462 | 11,438 |
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