Average Medicaid Office Visit Payments in Altoona, IA: $37.02
Avg. Paid
$37.02
Range
$0.00 – $76.64
Total Claims
33,066
Providers
21
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 Altoona, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Matthew Nicholson
160 Adventureland Dr Nw Ste C |
$45.03 | 12 | 12 |
|
Angelia Renee Atzen
160 Adventureland Dr Nw |
$31.81 | 15 | 13 |
|
Callie M Williams
700 1St Ave S Ste B |
$10.89 | 19 | 18 |
|
Jennifer L Hill
700 1St Ave S Ste B |
$13.56 | 91 | 58 |
|
Kevin David Suntken
140 8Th St Se |
$0.00 | 101 | 95 |
|
Orville J. Jacobs
5225 Ne 96Th St |
$29.38 | 286 | 242 |
|
Hunter Leigh Fausch
2720 8Th St Sw |
$48.97 | 320 | 317 |
|
Eric Jon Stanek
3770 8Th St Sw |
$76.64 | 386 | 339 |
|
Timothy Holcomb
550 36Th Ave Sw Ste F |
$19.58 | 789 | 628 |
|
Allison Shull
3770 8Th St Sw |
$45.87 | 885 | 832 |
|
Daniel John Knox
3770 8Th St Sw |
$43.06 | 1,094 | 852 |
|
Kandace Kathleen Bass
700 1St Ave S Ste B |
$37.27 | 1,297 | 1,208 |
|
Deborah A Haines
2720 8Th St Sw |
$30.20 | 1,468 | 1,350 |
|
Stanton L Danielson
2720 8Th St Sw |
$32.18 | 2,175 | 2,034 |
|
Laura Francisco
2720 8Th St Sw |
$29.54 | 2,722 | 2,559 |
|
Julia Marcene Harvey
2720 8Th St Sw |
$34.98 | 2,836 | 2,674 |
|
Anna Ruth Holzer
3770 8Th St Sw |
$49.58 | 2,845 | 2,657 |
|
Debra Ann Sixta
2720 8Th St Sw |
$41.89 | 3,392 | 3,167 |
|
Dawn Louise Kerwood
2720 8Th St Sw |
$33.33 | 3,564 | 3,469 |
|
Nicole Cherie Thompson
2720 8Th St Sw |
$34.20 | 3,579 | 3,383 |
|
Jennifer M Abler
160 Adventureland Dr Nw Ste C |
$38.22 | 5,190 | 4,923 |
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 Altoona, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Altoona, IA is $37.02 per claim, based on 33,066 claims from 21 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 Altoona, IA?
There are 21 Medicaid providers offering Office Visit related services in Altoona, IA according to public payment data.
What is the price range for Office Visit in Altoona, IA?
Medicaid reimbursement for Office Visit in Altoona, IA ranges from $0.00 to $76.64 per claim, with an average of $37.02. 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 Altoona, IA
Case Management Services
Avg $98.73
49,529 claims
Physical Therapy
Avg $18.79
27,055 claims
Behavioral & Mental Health Therapy
Avg $85.48
26,996 claims
Blood Work & Lab Tests
Avg $2.62
13,138 claims
Dental Cleaning & Exam
Avg $23.06
11,000 claims
Chiropractic Care
Avg $24.28
9,489 claims
Emergency Room Visit
Avg $115.23
5,162 claims
Ambulance Transport
Avg $38.05
4,277 claims