Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Ames, IA: $34.86

Avg. Paid

$34.86

Range

$0.00 – $95.87

Total Claims

215,057

Providers

179

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 Ames, IA

Provider	Avg. Paid	Claims	Patients
Primary Health Care, Inc. 3510 Lincoln Way	$0.06	24,614	20,938
Youth And Shelter Services, Inc. 420 Kellogg Ave	$61.05	15,039	12,410
Brandon R. Mcnew 1215 Duff Avenue	$42.50	6,054	5,511
Einar K Arason 3815 Stange Rd	$38.49	5,918	5,616
John Joseph Paschen 1215 Duff Ave	$39.34	5,473	5,042
Therese G. Halbur 3211 Kingman Rd	$38.68	5,284	4,774
Dana Lea Hartwigsen 1215 Duff Avenue	$47.74	5,172	4,727
Heidi Mittelstaedt 1215 Duff Ave	$32.88	5,136	4,781
The Richmond Center 1619 South High Avenue	$56.81	5,133	4,498
Kevin Rahner 3815 Stange Rd	$42.56	5,102	4,919
Jean Dorthy Hermsen 1215 Duff Avenue	$50.36	4,628	4,424
Mcfarland Clinic Pc 1215 Duff Avenue	$7.55	4,210	3,545
Christopher Aaron Etscheidt 1215 Duff Ave	$42.57	4,188	3,820
Edward George Nassif 1215 Duff Ave	$37.09	3,949	3,806
Taylor A. Drake 1215 Duff Avenue	$40.91	3,868	3,477
Bradley R. Nau 1215 Duff Ave	$38.66	3,825	3,474
Venkatesh K. Rudrapatna 1111 Duff Avenue	$26.76	3,723	2,969
David Brian Moore 1015 Duff Ave	$31.79	3,254	3,142
David Alan Smith 2731 London Dr	$49.42	3,222	3,062
Chelsea Sue Wickman 1215 Duff Ave	$29.58	3,028	2,612
Joseph James Merchant 1111 Duff Ave	$27.28	2,945	2,404
Addie Mae Hinson 3817 Fletcher Blvd	$10.53	2,887	2,720
Jacob Kolker 1215 Duff Ave	$40.33	2,658	2,408
Jay Edward Brown 1215 Duff Ave	$44.14	2,640	2,535
Myra N Mendoza 2020 Philadelphia St	$43.35	2,606	2,426
Karen Lynn Hunke 2010 Philadelphia St	$32.82	2,496	2,341
Brian E Stith 1018 Duff Ave	$46.13	2,380	2,206
Corrine K. Patten 1215 Duff Ave,	$43.62	2,283	2,141
Sreenath Kodali 1111 Duff Ave	$32.69	2,179	1,758
Hugo Alejandro Rivadeneyra Pasten 1015 Duff Avenue	$37.91	2,141	2,084
Paul W Baumert 3500 University Blvd	$31.18	2,128	2,043
Sheila Rae Baker 1215 Duff Ave	$47.07	1,915	1,760
Melissa Ann Chiston 3500 University Blvd	$54.97	1,862	1,718
Daniel M Macalpine 3600 Lincoln Way	$39.87	1,784	1,734
Rienera Suzanne Sivesind 2724 Meadow Glen Rd	$43.18	1,763	1,617
Austin Bancroft 1215 Duff Avenue	$51.68	1,760	1,700
Richard P. Carano 434 Fawncove Ln	$34.65	1,701	1,628
Kindra Gaulke 1018 Duff Ave	$31.95	1,700	1,545
David Adam Carlyle 2309 Buchanan Dr	$32.18	1,659	1,345
Jill Wall Alexander 1215 Duff Ave	$39.47	1,652	1,540
Ryan L Grandgenett 1018 Duff Ave	$30.50	1,582	1,447
Nichole Leigh O'Brien 1215 Duff Ave	$26.53	1,552	1,490
Shauna M. Basener 1215 Duff Avenue	$43.49	1,512	1,366
Kristy A Calland 1215 Duff Avenue	$28.53	1,506	1,394
Sean A Juguilon 3600 West Lincolnway	$34.09	1,499	1,377
Chad A Harswick 6400 510Th Ave	$40.23	1,461	1,407
Sarah Elizabeth Renze 3500 University Blvd	$38.19	1,441	1,271
Analissa M Kautza 1215 Duff Ave	$31.48	1,439	1,329
Godfrey I. Thuku 1015 Duff Avenue	$37.65	1,371	1,315
Timothy Cole Lowry 1110 Oklahoma Dr	$29.93	1,359	1,196

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 Ames, IA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ames, IA is $34.86 per claim, based on 215,057 claims from 179 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 Ames, IA?

There are 179 Medicaid providers offering Office Visit related services in Ames, IA according to public payment data.

What is the price range for Office Visit in Ames, IA?

Medicaid reimbursement for Office Visit in Ames, IA ranges from $0.00 to $95.87 per claim, with an average of $34.86. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Ames, IA: $34.86

Providers Offering Office Visit in Ames, IA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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