Average Medicaid Office Visit Payments in Atlantic, IA: $17.85
Avg. Paid
$17.85
Range
$0.00 – $67.18
Total Claims
92,848
Providers
30
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 Atlantic, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cass County Memorial Hospital
1501 E 10Th St |
$1.20 | 51,738 | 43,420 |
|
Southwest Iowa Mental Health Center
2307 Olive St |
$58.26 | 14,470 | 13,223 |
|
Carol Jane Graves
4 E 6Th St |
$44.91 | 3,523 | 3,187 |
|
Seann M Atkinson
1501 E 10Th St |
$9.04 | 3,072 | 2,643 |
|
Dianna Marie Prokupek
1408 East 10Th St |
$35.86 | 2,798 | 2,683 |
|
Angela B Weppler
1501 E 10Th St |
$14.09 | 2,073 | 1,764 |
|
Tarrah L Holliday
2307 Olive St |
$13.13 | 1,788 | 1,592 |
|
Zion Integrated Behavioral Health Services Inc.
2307 Olive St |
$41.66 | 1,737 | 1,556 |
|
Krishna Poojappa Murthy
1408 E 10Th St |
$38.11 | 1,714 | 1,511 |
|
Mark Habel
1501 E 10Th St |
$31.89 | 1,562 | 1,478 |
|
Jennifer Lynn Leonard
600 Maple St |
$41.82 | 1,457 | 1,296 |
|
Haley Dawn Kickland
1101 E 7Th St |
$33.93 | 1,308 | 1,177 |
|
Ivan Delgado-Ramos
1500 E 10Th St |
$61.29 | 1,049 | 1,003 |
|
Emily James
1501 E 10Th St |
$5.59 | 999 | 847 |
|
Elaine K. Berry
1501 E 10Th St |
$11.46 | 982 | 903 |
|
Cass County Memorial Hospital
1501 E 10Th St |
$2.96 | 672 | 609 |
|
Roger C. Drown
1501 E 10Th St |
$9.55 | 605 | 502 |
|
Shelli Dee Brown
2307 Olive St |
$30.87 | 324 | 299 |
|
Adam Joel Verhoef
1501 E 10Th St |
$50.43 | 200 | 187 |
|
Cass County Memorial Hospital
1501 E 10Th St |
$1.78 | 170 | 158 |
|
Whitney Schafer
1501 E 10Th St |
$4.17 | 136 | 125 |
|
Patricia Lynn Goodemote
1501 E 10Th St |
$11.41 | 126 | 122 |
|
Autumn Keiser
1501 E 10Th St |
$23.45 | 112 | 91 |
|
Emily Chang
1501 E 10Th St |
$34.05 | 86 | 72 |
|
Thomas L Thomsen
4 W 5Th St |
$20.97 | 42 | 40 |
|
Cynthia Y Wu
1501 E 10Th St |
$67.18 | 29 | 29 |
|
Emily Anne Wittrock
1501 E 10Th St |
$4.46 | 26 | 26 |
|
Todd C. Bean
1501 E 10Th St |
$17.68 | 22 | 14 |
|
Elisha Hardy
1501 E 10Th St Ste 100 |
$8.11 | 16 | 13 |
|
Scott Alan Hixson
1501 E 10Th St |
$0.00 | 12 | 12 |
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 Atlantic, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Atlantic, IA is $17.85 per claim, based on 92,848 claims from 30 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 Atlantic, IA?
There are 30 Medicaid providers offering Office Visit related services in Atlantic, IA according to public payment data.
What is the price range for Office Visit in Atlantic, IA?
Medicaid reimbursement for Office Visit in Atlantic, IA ranges from $0.00 to $67.18 per claim, with an average of $17.85. 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 Atlantic, IA
Psychiatric Evaluation
Avg $62.61
71,325 claims
Blood Work & Lab Tests
Avg $19.57
28,375 claims
Vaccines & Immunizations
Avg $1.09
19,849 claims
Chiropractic Care
Avg $23.40
18,281 claims
Dental Cleaning & Exam
Avg $26.10
15,062 claims
Emergency Room Visit
Avg $71.95
12,451 claims
Speech Therapy
Avg $62.21
7,969 claims
Personal Care Services
Avg $77.83
7,855 claims