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 |
|---|---|---|---|
|
Daniel W Cheek
8300 W 38Th Ave |
$78.61 | 12 | 12 |
|
Hannelore Geeraert
4803 Ward Rd |
$28.05 | 12 | 12 |
|
Eric James Lakey
8300 W 38Th Ave |
$104.58 | 13 | 13 |
|
Peak Pediatrics Pllc
3555 Lutheran Pkwy Ste 340 |
$0.00 | 13 | 13 |
|
Allison Lynn Schlegel
3400 Youngfield St |
$41.06 | 13 | 12 |
|
Marissa Mcnelly Le
3835 Harlan St |
$20.09 | 14 | 12 |
|
Jason M Bellows
8300 W 38Th Ave |
$98.73 | 14 | 14 |
|
Emily Alison Speer
3455 Lutheran Pkwy Ste 220 |
$156.32 | 14 | 14 |
|
Lindsey B Ward
4803 Ward Rd |
$55.82 | 14 | 14 |
|
David Robert Verbunker
8300 W 38Th Ave |
$48.52 | 14 | 12 |
|
Amanda Wisian
10160 W 50Th Ave Unit 4 |
$106.67 | 14 | 13 |
|
Shannon Williamson
3885 Upham St Ste 100 |
$77.55 | 15 | 12 |
|
David Lau
4015 Holland St |
$150.76 | 16 | 13 |
|
Mcarthur O Hill
8550 W 38Th Ave Ste 303 |
$338.72 | 16 | 12 |
|
Kristin L Moreau
4045 Wadsworth Blvd |
$65.35 | 16 | 13 |
|
Brent Wieland
3885 Upham St |
$31.41 | 16 | 12 |
|
Sarah Bielski
4875 Ward Rd Ste 600 |
$132.04 | 18 | 14 |
|
Colorado Surgical Service Pc
3455 Lutheran Pkwy Ste 290 |
$0.00 | 20 | 12 |
|
Marissa Kellogg
4851 Independence St |
$87.84 | 22 | 16 |
|
Bryan G Baer
3555 Lutheran Pkwy |
$63.95 | 23 | 12 |
|
Bohuslav Finta
3655 Lutheran Pkwy |
$84.32 | 25 | 25 |
|
Thomas Sec
3885 Upham St |
$75.23 | 26 | 26 |
|
Gwendolyn Hewitt Mullinix
8300 W 38Th Ave |
$57.49 | 28 | 27 |
|
Allyse Nicole Dowell
7495 W 29Th Ave |
$66.78 | 28 | 28 |
|
Sarah E Crowley
4803 Ward Rd |
$62.47 | 28 | 25 |
|
Laura O'Bryan Coster
3885 Upham St |
$75.56 | 29 | 25 |
|
Kari Envik
8300 W 38Th Ave |
$39.35 | 32 | 27 |
|
Antoni Allen
7920 W 44Th Ave |
$120.07 | 33 | 12 |
|
Sara E Jardinico
3550 Lutheran Pkwy |
$39.38 | 35 | 24 |
|
Elizabeth G Hanson
8300 W 38Th Ave |
$91.09 | 41 | 38 |
|
Perla Millan Aguilar
4851 Independence St Ste 200 |
$70.78 | 43 | 37 |
|
Peter Y Kim
4803 Ward Rd |
$320.21 | 46 | 41 |
|
Emmett David Ratigan
3550 Lutheran Pkwy |
$15.16 | 47 | 44 |
|
Nazanin Kalani Williams
3555 N Luthern Parkway Bld 9 |
$0.00 | 48 | 46 |
|
Teresa Cushman
3885 Upham St Ste 200 |
$75.89 | 51 | 37 |
|
Mary B Steele
4803 Ward Rd |
$50.04 | 54 | 53 |
|
Kelsey Marie Spaur
8300 W 38Th Ave |
$77.65 | 54 | 47 |
|
Lisa L Medina
4251 Kipling St Unit 220 |
$97.59 | 55 | 51 |
|
Sean David Flannery
4045 Wadsworth Blvd |
$54.29 | 58 | 53 |
|
Chelsea Smith
4851 Independence St |
$89.15 | 59 | 54 |
|
Steven Wayne Rogers
6280 W 38Th Ave |
$85.15 | 63 | 57 |
|
Kaitlin Dorothy Vellore
4803 Ward Rd |
$71.81 | 65 | 63 |
|
Jennifer M Knodle
10900 W 44Th Ave Unit 200 |
$96.75 | 68 | 53 |
|
Sonali Hemachandra
3885 Upham St |
$47.63 | 68 | 51 |
|
Danielle Prunty
8300 W 38Th Ave |
$72.62 | 70 | 70 |
|
Alyssa Marie Thomas
4803 Ward Rd |
$62.44 | 75 | 70 |
|
Jefferson Center For Mental Health
9595 W 49Th Ave |
$0.00 | 75 | 75 |
|
Elizabeth Jeanne Burgess
7495 W 29Th Ave |
$37.35 | 76 | 76 |
|
Danette Marie Silaban
4803 Ward Rd |
$61.89 | 79 | 72 |
|
Rebecca Althouse
8300 W 38Th Ave |
$9.51 | 91 | 76 |
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.
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 Wheat Ridge, CO
Psychiatric Evaluation
Avg $61.65
276,894 claims
Substance Abuse Treatment
Avg $41.11
190,934 claims
Emergency Room Visit
Avg $96.51
154,418 claims
Blood Work & Lab Tests
Avg $7.31
125,966 claims
Vaccines & Immunizations
Avg $17.97
101,616 claims
Dental Cleaning & Exam
Avg $31.94
96,507 claims
Eye Exam
Avg $47.04
76,971 claims
Physical Therapy
Avg $25.62
69,622 claims