Based on public Medicaid payment data.

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

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
Beau Bradley Sorenson 4612 Prairie Pkwy	$63.40	12	12
Brenda Lynn Cooper 2351 Hudson Rd	$14.22	14	12
Ruth E Trecker 2520 Melrose Dr Ste L	$31.41	14	12
Thad William Fever 4619 Chadwick Rd	$0.00	15	12
Madison I Shatek 4612 Prairie Pkwy	$28.98	16	13
Thomas J Pattee 226 Blue Bell Rd	$34.22	26	25
Andrew Thomas Batovsky 1227 W 27Th St	$30.94	26	26
Nicholas Josef Kuiper 515 College St Ste 2800	$36.92	29	27
Ronald G Cervetti 4508 Chadwick Rd	$16.73	31	26
Nagarathnamma Nadipuram 226 Bluebell Rd	$17.57	32	27
Jayasakthi Palaniappan 226 Bluebell Rd	$40.97	37	34
David Warren Kabel 2406 Sunset Blvd	$27.12	41	38
Philip J Morreale 4508 Chadwick Rd	$26.18	45	39
John M Glascock 516 S Division St	$14.19	59	57
Suzanne Grace Gettman 2624 Orchard Dr	$30.94	62	58
Roswell Maccallum Johnston 4612 Prairie Pkwy	$40.50	70	65
Shelby Eldridge 1824 W 8Th St	$27.30	74	71
Jessica Marie Turner 5100 Prairie Pkwy	$31.95	84	76
Amber Toenyes 4612 Prairie Pkwy	$45.80	94	92
Khushman Dodd 5100 Prairie Pkwy Ste 301	$48.27	108	100
Nicholas Richard Schmerbach 4508 Chadwick Rd	$29.71	109	90
Farbod Farhang 226 Bluebell Rd	$29.45	116	116
David B Kirkle 515 College St	$27.73	118	111
April Lee Barnett 5100 Prairie Pkwy	$37.13	138	131
Charles D Cibula 4508 Chadwick Rd	$57.47	139	135
Todd Loring Johnston 4612 Prairie Pkwy	$30.07	141	127
James C Peterson 226 Blue Bell Rd	$35.58	150	140
Neil Louis Schwimley 2351 Hudson Rd Ste 1	$27.35	170	153
Richard L. Bremner 226 Blue Bell Road	$18.79	232	200
Moiz M Dawood 515 College St Ste 2800	$29.57	234	217
Jenna Zalk Berendzen 506 W 1St St Ste 2	$26.75	270	208
Jeffrey Alan Clark 2351 Hudson Road	$45.99	321	295
Angela Katherine Gingrich 226 Bluebell Rd	$31.97	337	313
Daniel G Glascock 2624 Orchard Dr	$34.85	365	350
Courtney Mckinley 2802 Orchard Dr	$29.29	371	350
Healy James Burnham 515 College St	$12.12	375	349
Brianna Ashley Bulgarelli 5100 Prairie Pkwy Ste 300	$23.70	499	482
Jamie Ackerman 1824 W 8Th St	$30.52	522	500
Marcia L Hillman 226 Bluebell Rd	$35.69	526	474
Hannah L Carlsen 516 Division St Ste 110	$37.39	544	500
Elysia Anne Jones 5100 Prairie Pkwy Ste 100	$33.97	631	599
Kyle P Christiason 2624 Orchard Dr	$35.99	633	618
Chelsey Lynn Wendling 4606 Gloria St	$11.00	676	639
Victor R. Mujica 516 S Division St	$41.51	696	667
Angela R Schreiber 226 Bluebell Rd	$29.68	723	678
Benjamin L Torrez 4612 Prairie Pkwy	$33.88	767	699
Carolyn Ilene Johnson 516 Division St Ste 110	$26.81	796	699
Mary Hughes 6301 University Ave Ste A3	$24.71	913	868
Sheryl K Hansel 226 Blue Bell Rd	$32.77	955	846
Samantha A Shaw 5100 Prairie Pkwy	$27.02	962	918

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.

Average Medicaid Office Visit Payments in Cedar Falls, IA: $32.68

Providers Offering Office Visit in Cedar Falls, IA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Cedar Falls, IA

Blood Work & Lab Tests

Non-Emergency Medical Transportation

Psychiatric Evaluation

Dental Cleaning & Exam

Physical Therapy

Emergency Room Visit

Chiropractic Care

Vaccines & Immunizations