Average Medicaid Office Visit Payments in Walsenburg, CO: $150.39
Avg. Paid
$150.39
Range
$44.92 – $264.25
Total Claims
22,460
Providers
20
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 Walsenburg, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jerriann Vigil
100 W 4Th St |
$213.45 | 4,035 | 3,644 |
|
Normajean Mower
23400 Us Highway 160 |
$173.50 | 3,271 | 2,883 |
|
Regina Jo Griego
129 Kansas Ave |
$150.75 | 3,246 | 2,898 |
|
Susan Kae Walker
129 Kansas Ave |
$174.60 | 2,602 | 2,317 |
|
Kathleen Ann Moulds
100 W 4Th St |
$53.00 | 1,951 | 1,526 |
|
Greg Hosler
23500 Us Highway 160 |
$72.14 | 1,889 | 1,764 |
|
Karen D Campbell
23400 Us Highway 160 |
$111.20 | 1,177 | 979 |
|
Jocelyn Faith Mcdaniel
23400 Us Highway 160 |
$187.88 | 879 | 747 |
|
Erin Leigh Helbing
23400 Us Highway 160 |
$174.70 | 567 | 511 |
|
Marilyn Doster
23500 Us Highway 160 |
$171.19 | 556 | 465 |
|
Michael A Moll
23400 Us Highway 160 |
$146.29 | 519 | 450 |
|
Olixn Lee Adams
23400 Us Highway 160 |
$44.92 | 448 | 372 |
|
Lori S Moll
129 Kansas Ave |
$67.78 | 419 | 352 |
|
Thomas Faulhaber
23500 Us Highway 160 |
$264.25 | 344 | 225 |
|
Donald Wayne Dutton
23400 Us Highway 160 |
$158.58 | 189 | 160 |
|
Solomon Villalon
809 Main St |
$65.23 | 163 | 159 |
|
Heather Irene Cook
23450 Us Highway 160 |
$62.67 | 107 | 99 |
|
Susan K Bell
23400 Us Highway 160 |
$145.75 | 74 | 65 |
|
Sandeep Suresh Vijan
23450 Us Highway 160 |
$56.85 | 12 | 12 |
|
Ginger E. Dunnam-Smith
23500 Us Highway 160 |
$97.95 | 12 | 12 |
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 Walsenburg, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Walsenburg, CO is $150.39 per claim, based on 22,460 claims from 20 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 Walsenburg, CO?
There are 20 Medicaid providers offering Office Visit related services in Walsenburg, CO according to public payment data.
What is the price range for Office Visit in Walsenburg, CO?
Medicaid reimbursement for Office Visit in Walsenburg, CO ranges from $44.92 to $264.25 per claim, with an average of $150.39. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
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Chicago, IL
Avg $30.31
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Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Avg $54.47
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Other Procedures in Walsenburg, CO
Home Health Visit
Avg $64.06
47,708 claims
Emergency Room Visit
Avg $99.58
24,090 claims
Blood Work & Lab Tests
Avg $7.74
14,588 claims
Speech Therapy
Avg $55.03
10,647 claims
Dental Cleaning & Exam
Avg $34.73
10,279 claims
Ambulance Transport
Avg $208.18
10,150 claims
Non-Emergency Medical Transportation
Avg $61.06
9,556 claims
Dental Filling
Avg $130.66
7,016 claims