Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Wheat Ridge, CO: $97.90

Avg. Paid

$97.90

Range

$0.00 – $338.72

Total Claims

277,517

Providers

195

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 Wheat Ridge, CO

Provider	Avg. Paid	Claims	Patients
Brian Timothy Gablehouse 3555 Lutheran Pkwy Ste 340	$70.67	15,613	14,389
Kate Elizabeth Gates 7495 W 29Th Ave	$104.83	14,246	8,789
Elizabeth E Sabella 7495 W 29Th Ave	$189.55	10,967	9,310
Stephanie Missey Rozier 7495 W 29Th Ave	$163.26	8,770	7,652
Alejandrina Guzman Vidales 7495 W 29Th Ave	$136.26	8,407	7,088
Karen Ruby Brown 7495 W 29Th Ave	$202.65	6,182	4,607
Brielle Smith 3555 Lutheran Pkwy	$73.56	5,869	5,599
Cynthia Lynne Nugent 3555 Lutheran Pkwy	$72.59	5,773	5,485
Krista L Enns 7495 W 29Th Ave	$180.26	5,641	5,067
Jaimes Ellen Vail 3555 Lutheran Pkwy	$77.73	5,467	5,194
James Lamont Anderson 4704 Harlan St Ste 103	$97.42	5,262	4,894
Laura Mae Smith 4851 Independence St	$46.47	5,252	4,147
Andrew Nagy 4704 Harlan St Ste 103	$103.60	5,090	4,687
Jessica Rodrigues Johnson 3555 Lutheran Parkway	$70.62	4,966	4,725
Regina Johnson 4851 Independence St	$30.40	4,960	3,971
Katherine Elizabeth Slone 7495 W 29Th Ave	$183.67	4,788	4,232
Yelena Khayut 4350 Wadsworth Blvd Ste 301	$64.26	4,700	4,063
Maryann Alberti Shiltz 7495 W 29Th Ave	$210.87	4,184	3,753
Lisa Ann Badon 3555 Lutheran Pkwy Ste 340	$73.05	3,693	3,531
Rachel Marian Powers 4851 Independence St Ste 200	$56.94	3,633	3,035
Carolyn Dinsdale Prather 6055 W 46Th Ave Ste A	$106.57	3,343	2,836
David Michael Thomas 4851 Independence St	$28.50	3,261	2,702
Jessica G Viton 4851 Independence St	$52.54	3,226	2,717
Thomas J Staff 7495 W 29Th Ave	$112.19	3,161	2,402
William Scott Allan 7821 W 38Th Ave	$34.53	3,136	2,073
Rachel Elizabeth Reem 4875 Ward Rd Ste 600	$73.15	3,092	2,632
Candace Lillian Direzza 3555 Lutheran Pkwy Ste 200	$168.48	2,850	2,150
Elizabeth H Coogan 4803 Ward Rd	$20.49	2,818	2,612
Edward Valkov 3400 Lutheran Pkwy	$166.76	2,795	2,388
Michael John Stackpool 8300 W. 38 Ave.	$30.84	2,736	1,804
Mari Sara Volkmar 7495 W 29Th Ave	$189.16	2,671	2,425
Brett Sachs 7615 W 38Th Ave	$56.08	2,623	2,280
Matthew A Dhieux 7821 W 38Th Ave	$81.84	2,595	2,263
Kelley K. Moore 4851 Independence St.	$65.98	2,564	2,258
Prateek Chaudhary 3455 Lutheran Pkwy Ste 100	$61.74	2,545	2,237
Jenna Danielle Lowstuter 4851 Independence St	$74.33	2,537	2,051
Tejas B Tripathi 8550 W 38Th Ave Ste 220	$72.30	2,409	2,082
Cristina Elizabeth Kuta 7495 W 29Th Ave	$172.16	2,402	2,090
Carson Elizabeth Petty Maynard 3455 Lutheran Pkwy Ste 100	$66.67	2,395	2,091
Brandy Marie Hartman 7495 W 29Th Ave	$204.28	2,373	2,188
Deborah M. Tong 7495 W 29Th Ave	$173.33	2,369	1,980
Nicole Swavely 3455 Lutheran Pkwy Ste 100	$64.70	2,353	1,996
Kelly Chasin 3555 Lutheran Pkwy Ste 340	$71.45	2,325	2,199
Jefferson Center For Mental Health 4851 Independence St	$42.79	2,289	2,033
Heidi Barron 7495 W 29Th Ave	$181.69	2,135	1,824
Shannon Le Hoerauf 10900 W 44Th Ave Unit 200	$55.59	2,129	1,402
Anna Joy Kahler 3555 Lutheran Pkwy Ste 340	$94.38	2,115	2,036
Nicki A Bacon 3555 Lutheran Parkway	$63.99	2,046	1,830
Larissa Ann Applegate 3555 Lutheran Pkwy	$62.87	1,988	1,744
Helen Story 7495 W 29Th Ave	$177.98	1,984	1,770

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 Wheat Ridge, CO?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wheat Ridge, CO is $97.90 per claim, based on 277,517 claims from 195 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 Wheat Ridge, CO?

There are 195 Medicaid providers offering Office Visit related services in Wheat Ridge, CO according to public payment data.

What is the price range for Office Visit in Wheat Ridge, CO?

Medicaid reimbursement for Office Visit in Wheat Ridge, CO ranges from $0.00 to $338.72 per claim, with an average of $97.90. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Wheat Ridge, CO: $97.90

Providers Offering Office Visit in Wheat Ridge, CO

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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