Average Medicaid Office Visit Payments in Cedar Falls, IA: $32.68
Avg. Paid
$32.68
Range
$0.00 – $63.40
Total Claims
134,644
Providers
85
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 Cedar Falls, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kelly Jay Schmidt
5100 Prairie Pkwy Ste 101 |
$39.46 | 12,284 | 11,691 |
|
Nicole Jolayna Nielsen
226 Bluebell Rd |
$24.38 | 10,695 | 10,197 |
|
Marjorie A Easter
5100 Prairie Pkwy Ste 101 |
$36.67 | 9,511 | 9,098 |
|
Ezekiel Sakyiama
516 S Division St |
$55.74 | 8,360 | 7,348 |
|
Anthony Lee Markham
525 Hearthside Dr |
$11.47 | 7,867 | 7,338 |
|
Emily Rene' Ball
5100 Prairie Pkwy |
$32.25 | 7,478 | 7,192 |
|
Lori Linn Dettmer
7024 Nordic Dr |
$25.99 | 5,015 | 4,623 |
|
Nathan Mikael Harmon
1215 Amelia Dr |
$13.03 | 4,317 | 4,160 |
|
Cathleen Ann Reglein
1000 Brandilynn Blvd |
$31.12 | 4,175 | 4,008 |
|
Tmothy Daniel Doyle
2624 Orchard Dr |
$34.38 | 4,132 | 3,897 |
|
Sara Douglas
226 Bluebell Rd |
$28.25 | 3,378 | 3,071 |
|
Carly Jane Trausch
421 Viking Plaza Dr Ste 200 |
$43.54 | 3,158 | 3,072 |
|
Rachel Helen Benson
5100 Prairie Pkwy Ste 301 |
$37.11 | 2,957 | 2,701 |
|
Abdur Rahim
1824 West 8Th Street |
$31.86 | 2,878 | 2,656 |
|
Adam J Froyum Roise
5100 Prairie Pkwy Ste 205 |
$38.18 | 2,803 | 2,608 |
|
Larry Standing
226 Blue Bell Rd |
$30.79 | 2,454 | 2,268 |
|
Rachana Krishna
5100 Prairie Pkwy |
$39.01 | 2,350 | 2,168 |
|
Jody Zolondek
5100 Prairie Pkwy Ste 202 |
$30.76 | 2,065 | 1,910 |
|
Cassie Ray Kurash
5100 Prairie Pkwy Ste 202 |
$35.33 | 2,021 | 1,888 |
|
Dayna Soukup
6301 University Ave |
$24.72 | 1,978 | 1,885 |
|
Nicole Lee Bentley
5100 Prairie Pkwy Ste 203 |
$38.52 | 1,909 | 1,773 |
|
Rashid Sultan Chaudhry
2802 Orchard Dr |
$36.20 | 1,752 | 1,691 |
|
Jason Stanford
516 Division St Ste 125 |
$35.26 | 1,553 | 1,460 |
|
Brian P. Burnett
226 Bluebell Rd |
$27.52 | 1,526 | 1,335 |
|
Julie Renee Sandell
226 Bluebell Rd |
$32.02 | 1,438 | 1,333 |
|
Angela Devries
2712 Orchard Drive Suite B |
$35.15 | 1,417 | 1,073 |
|
Meredith A Christ
5100 Prairie Pkwy |
$33.52 | 1,410 | 1,361 |
|
Tyler Witmer
2316 Valley Park Dr |
$48.58 | 1,407 | 1,274 |
|
Amy M Sinnwell
5100 Prairie Pkwy |
$36.06 | 1,309 | 1,203 |
|
Tami Ann Hill
3812 Cedar Heights Dr |
$28.69 | 1,285 | 891 |
|
Kerri A Johnson
5100 Prairie Pkwy Ste 302 |
$38.33 | 1,247 | 1,176 |
|
Devon Elizabeth Balles
5100 Prairie Pkwy Ste 203 |
$33.08 | 1,211 | 1,067 |
|
Ann Swisher
5100 Prairie Pkwy |
$34.14 | 1,020 | 935 |
|
Shannon Lee Lindeland
5100 Prairie Pkwy Ste 300 |
$37.00 | 996 | 948 |
|
Andrew Kikuta
226 Bluebell Rd |
$35.65 | 970 | 869 |
|
Samantha A Shaw
5100 Prairie Pkwy |
$27.02 | 962 | 918 |
|
Sheryl K Hansel
226 Blue Bell Rd |
$32.77 | 955 | 846 |
|
Mary Hughes
6301 University Ave Ste A3 |
$24.71 | 913 | 868 |
|
Carolyn Ilene Johnson
516 Division St Ste 110 |
$26.81 | 796 | 699 |
|
Benjamin L Torrez
4612 Prairie Pkwy |
$33.88 | 767 | 699 |
|
Angela R Schreiber
226 Bluebell Rd |
$29.68 | 723 | 678 |
|
Victor R. Mujica
516 S Division St |
$41.51 | 696 | 667 |
|
Chelsey Lynn Wendling
4606 Gloria St |
$11.00 | 676 | 639 |
|
Kyle P Christiason
2624 Orchard Dr |
$35.99 | 633 | 618 |
|
Elysia Anne Jones
5100 Prairie Pkwy Ste 100 |
$33.97 | 631 | 599 |
|
Hannah L Carlsen
516 Division St Ste 110 |
$37.39 | 544 | 500 |
|
Marcia L Hillman
226 Bluebell Rd |
$35.69 | 526 | 474 |
|
Jamie Ackerman
1824 W 8Th St |
$30.52 | 522 | 500 |
|
Brianna Ashley Bulgarelli
5100 Prairie Pkwy Ste 300 |
$23.70 | 499 | 482 |
|
Healy James Burnham
515 College St |
$12.12 | 375 | 349 |
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 Cedar Falls, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cedar Falls, IA is $32.68 per claim, based on 134,644 claims from 85 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 Cedar Falls, IA?
There are 85 Medicaid providers offering Office Visit related services in Cedar Falls, IA according to public payment data.
What is the price range for Office Visit in Cedar Falls, IA?
Medicaid reimbursement for Office Visit in Cedar Falls, IA ranges from $0.00 to $63.40 per claim, with an average of $32.68. 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 Cedar Falls, IA
Blood Work & Lab Tests
Avg $6.04
86,597 claims
Non-Emergency Medical Transportation
Avg $78.67
71,983 claims
Psychiatric Evaluation
Avg $69.06
69,721 claims
Dental Cleaning & Exam
Avg $24.76
59,684 claims
Physical Therapy
Avg $21.39
50,342 claims
Emergency Room Visit
Avg $133.64
35,946 claims
Chiropractic Care
Avg $22.83
30,199 claims
Vaccines & Immunizations
Avg $18.74
27,814 claims