Average Medicaid Office Visit Payments in Windsor, CO: $69.87
Avg. Paid
$69.87
Range
$11.51 – $203.21
Total Claims
37,426
Providers
42
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 Windsor, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Erin Kary
1455 Main St |
$81.29 | 18 | 14 |
|
Jessica Elizabeth Smith
1300 Main St |
$60.35 | 26 | 26 |
|
Mary Barghelame
1455 Main St |
$70.63 | 41 | 39 |
|
Morgan Cundiff
636 Park Edge Cir |
$72.38 | 42 | 40 |
|
Trina Anne Kessinger
1300 Main St |
$55.25 | 46 | 40 |
|
Keith A Rangel
1455 Main St |
$76.34 | 55 | 51 |
|
Della Mcguire
4630 Royal Vista Cir |
$80.86 | 73 | 69 |
|
Julie A Homann
1455 Main St |
$46.98 | 74 | 66 |
|
Jackson Ferguson
1455 Main St Ste 100 |
$54.59 | 74 | 70 |
|
Sheila Marie Ash
128 6Th St |
$65.65 | 96 | 64 |
|
Theresa Nicole Creten
1683 Main St |
$203.21 | 108 | 100 |
|
Nataliia Baker
1455 Main St Ste 100 |
$77.87 | 113 | 97 |
|
Beth Johnson
1455 Main St Ste 100 |
$72.03 | 148 | 117 |
|
Jamie E Holland
1455 Main St Ste 140 |
$60.29 | 171 | 157 |
|
Joshua Millard
1920 Cloud Ct |
$72.79 | 240 | 230 |
|
Zachary Devilbiss
1683 Main St |
$55.66 | 269 | 240 |
|
Teresa J Hergert
1300 Main St |
$66.73 | 407 | 387 |
|
Margaret Ruth Lesage
1455 Main St Ste 140 |
$59.67 | 415 | 380 |
|
Karah R Cloxton
1683 Main St |
$41.57 | 435 | 359 |
|
Kathryn Henecke
824 Elm St |
$11.51 | 456 | 442 |
|
Lyndsay Dorrough
1300 Main St |
$69.12 | 612 | 561 |
|
Elizabeth J Maes
1455 Main St Ste 140 |
$55.80 | 627 | 568 |
|
Duy Duy Thuc Tran
1455 Main St Ste 150 |
$74.29 | 688 | 653 |
|
Kristen Marla Arnesen
1300 Main St |
$73.88 | 692 | 647 |
|
Troy K. Buchholz
1455 Main St |
$39.12 | 718 | 670 |
|
Michael Verlin Carey
1455 Main St |
$72.34 | 800 | 671 |
|
Agnes Carsen Eileen Bahn
1683 Main St |
$76.33 | 865 | 821 |
|
Kimberly A. Schindler
1683 Main St |
$76.31 | 979 | 924 |
|
Molly K Roose
1683 Main St |
$94.96 | 1,140 | 911 |
|
Matthew John Ptaszkiewicz
1683 Main St |
$81.61 | 1,205 | 1,176 |
|
Egle Asta Bakanauskas
1455 Main St |
$73.50 | 1,266 | 1,107 |
|
Lawrence E Murphy
1683 Main St |
$48.92 | 1,379 | 1,189 |
|
Robert Anthony Mason
1300 Main St |
$71.68 | 1,405 | 1,269 |
|
Erin Lee Christiansen-Leisy
687 Gyrfalcon Ct Unit B |
$47.24 | 1,420 | 1,154 |
|
Casey Lee Snodgress
1300 Main St |
$72.67 | 1,860 | 1,729 |
|
Jennifer Rae Seals
1226 W Ash St Unit C |
$64.91 | 1,862 | 1,683 |
|
Anthony A Doft
8201 Spinnaker Bay Dr |
$69.18 | 1,961 | 1,724 |
|
Jonathan A Kary
1300 Main St |
$65.10 | 2,374 | 2,197 |
|
Devin Kent Higgins
1455 Main St |
$58.02 | 2,455 | 2,297 |
|
Courtney Medved
427 Wind River Dr |
$58.64 | 2,572 | 2,282 |
|
Angelia Dawn Lomu
1683 Main St |
$78.10 | 2,803 | 1,915 |
|
Kelli R Mckee
1683 Main St Ste B |
$94.78 | 4,436 | 4,091 |
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 Windsor, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Windsor, CO is $69.87 per claim, based on 37,426 claims from 42 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 Windsor, CO?
There are 42 Medicaid providers offering Office Visit related services in Windsor, CO according to public payment data.
What is the price range for Office Visit in Windsor, CO?
Medicaid reimbursement for Office Visit in Windsor, CO ranges from $11.51 to $203.21 per claim, with an average of $69.87. 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 Windsor, CO
Physical Therapy
Avg $64.64
115,435 claims
Ambulance Transport
Avg $125.27
87,384 claims
Non-Emergency Medical Transportation
Avg $40.29
56,300 claims
Durable Medical Equipment (DME)
Avg $45.59
47,213 claims
Dental Cleaning & Exam
Avg $30.17
38,156 claims
Substance Abuse Treatment
Avg $842.51
27,899 claims
Speech Therapy
Avg $64.54
25,974 claims
Personal Care Services
Avg $85.87
13,236 claims