Average Medicaid Office Visit Payments in Boone, IA: $37.56
Avg. Paid
$37.56
Range
$21.46 – $51.13
Total Claims
25,864
Providers
15
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 Boone, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mindy Royster
1015 Union St |
$33.67 | 4,755 | 4,452 |
|
Joshua James Anderson
1115 S Marshall St |
$38.21 | 3,923 | 3,601 |
|
Brianne Lee Wessels
120 South Story Street |
$33.08 | 3,494 | 3,286 |
|
Johannah Lindsey Dickens Hay
120 South Story Street |
$51.13 | 3,368 | 3,041 |
|
Devi Dunker
1115 S Marshall St |
$37.11 | 2,489 | 2,247 |
|
Brian C Mehlhaus
120 S Story St |
$37.40 | 2,048 | 1,849 |
|
Eric M Peterson
1115 S Marshall St |
$34.90 | 1,367 | 1,215 |
|
Trishia A Filipiak
120 S Story St |
$43.22 | 1,316 | 1,181 |
|
John G Erickson
1015 Union Street |
$24.92 | 1,198 | 963 |
|
Kathryn S Linkenmeyer
120 S. Story Street |
$43.81 | 999 | 927 |
|
Scott Thiel
1115 S Marshall St |
$29.68 | 327 | 267 |
|
Jason Ray Sheffler
1115 S Marshall St |
$30.17 | 249 | 193 |
|
Malarie Bender
1015 Union Street |
$21.46 | 225 | 214 |
|
Kelsie Marie Holmes
1115 S Marshall Street |
$47.99 | 62 | 61 |
|
Tracey M Mcintire
104 S Story St |
$32.16 | 44 | 41 |
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 Boone, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Boone, IA is $37.56 per claim, based on 25,864 claims from 15 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 Boone, IA?
There are 15 Medicaid providers offering Office Visit related services in Boone, IA according to public payment data.
What is the price range for Office Visit in Boone, IA?
Medicaid reimbursement for Office Visit in Boone, IA ranges from $21.46 to $51.13 per claim, with an average of $37.56. 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 Boone, IA
Blood Work & Lab Tests
Avg $23.34
13,607 claims
Chiropractic Care
Avg $22.39
9,376 claims
Emergency Room Visit
Avg $121.34
6,951 claims
Non-Emergency Medical Transportation
Avg $13.26
4,839 claims
Eye Exam
Avg $53.19
4,664 claims
Dental Cleaning & Exam
Avg $18.90
3,664 claims
Vaccines & Immunizations
Avg $9.07
3,562 claims
Durable Medical Equipment (DME)
Avg $40.87
3,378 claims