Average Medicaid Office Visit Payments in Cedar Rapids, IA: $32.20
Avg. Paid
$32.20
Range
$0.00 – $121.94
Total Claims
1,155,232
Providers
513
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 Rapids, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Crc Recovery, Inc.
5005 Bowling St Sw Ste C |
$10.74 | 117,346 | 6,422 |
|
Abbe Center For Community Mental Health, Inc
520 11Th St Nw |
$75.07 | 80,989 | 75,672 |
|
Eastern Iowa Health Center
1201 3Rd Ave Se |
$0.00 | 70,760 | 61,847 |
|
Eastern Iowa Health Center
1201 3Rd Ave Se |
$0.02 | 60,866 | 43,832 |
|
Jana L Marlett
6911 C Ave Ne |
$40.82 | 25,426 | 24,325 |
|
Tracy L Niemeyer
2375 Edgewood Rd Sw |
$40.56 | 20,662 | 19,815 |
|
Angelique A Andrews
1225 3Rd Ave Se |
$30.88 | 17,616 | 16,098 |
|
Stanley John Mathew
855 A Ave Ne Ste 105 |
$26.21 | 17,100 | 14,070 |
|
Katie Christine Wilcox
5264 Council St Ne |
$37.64 | 15,105 | 14,504 |
|
Andrew Patterson
2815 Edgewood Rd Sw |
$40.88 | 12,690 | 12,099 |
|
Deann M Fitzgerald
3225 Williams Pkwy Sw |
$44.07 | 12,572 | 5,175 |
|
Richard John Eppey
788 8Th Ave Se |
$15.34 | 12,034 | 8,955 |
|
John J Klein
2815 Edgewood Rd Sw |
$41.81 | 9,704 | 9,245 |
|
Joseph Kennedy
2815 Edgewood Rd Sw |
$42.59 | 8,835 | 8,503 |
|
Allyson L Wheaton
1730 1St Ave Ne |
$40.55 | 8,508 | 8,083 |
|
Sudha Anand
5264 Council St Ne |
$41.77 | 8,480 | 8,120 |
|
Brittni M Benda
1026 A Ave Ne |
$32.75 | 8,337 | 7,623 |
|
Qadnana Atif Anwar
4325 Williamsa Blvd |
$42.67 | 8,232 | 7,665 |
|
Tanager Place
2309 C St Sw |
$69.90 | 8,010 | 6,582 |
|
Tamara J Meier
701 10Th St Se |
$33.05 | 7,918 | 7,612 |
|
Thomas Allen Pietras
202 10Th St Se Ste 270 |
$48.43 | 6,703 | 6,293 |
|
Matthew N Gray
1030 5Th Ave Se |
$41.05 | 6,485 | 5,959 |
|
Marie De Alwis
855 A Ave Ne |
$43.54 | 6,435 | 6,076 |
|
Nicole Woolley
4325 Williams Blvd |
$34.98 | 6,420 | 6,082 |
|
Melanie Lucille Giesler-Spellman
202 10Th St Se |
$50.64 | 6,366 | 5,788 |
|
Ryan Douglas Dempewolf
202 10Th Street Se |
$52.76 | 6,336 | 5,941 |
|
Bryan David Netolicky
1730 1St Ave Ne |
$31.53 | 6,334 | 5,699 |
|
Sarah A Hemming-Meyer
1026 A Ave Ne |
$13.61 | 6,294 | 6,023 |
|
Jeffrey D Wilharm
3100 E Ave Nw |
$36.74 | 6,054 | 5,121 |
|
Brandy Leclere
6911 C Ave Ne |
$36.12 | 5,926 | 5,487 |
|
Melanie Brooke Dahlhauser
3419 16Th Ave Sw Ste 100 |
$32.70 | 5,922 | 5,593 |
|
Sarah Ann Hoper
1026 A Ave Ne |
$12.90 | 5,917 | 5,681 |
|
Kathryn Lorraine Kaufman
855 A Ave Ne Ste 300 |
$40.08 | 5,520 | 5,162 |
|
Kristen Barnette
2815 Edgewood Rd Sw |
$38.06 | 5,413 | 5,126 |
|
Dinah M Conti
855 A Ave Ne Ste 300 |
$43.44 | 5,409 | 5,082 |
|
Rebecca J Wolfe
1730 1St Ave Ne |
$45.37 | 5,246 | 4,976 |
|
Luke Michael Spellman
855 A Ave Ne Ste 300 |
$46.37 | 5,204 | 4,867 |
|
Megan Maxine Ruopp
3419 16Th Ave Sw Ste 100 |
$37.29 | 5,174 | 4,744 |
|
Douglas Jones
2202 Upland Dr Se |
$43.45 | 5,127 | 4,621 |
|
Brian K Shedek
1026 A Ave Ne |
$14.00 | 5,100 | 4,910 |
|
Wieslaw Machnowski
701 10Th St Se # Level4 |
$42.47 | 5,064 | 4,665 |
|
John Hugh Wollner
5264 Council St Ne Ste 700 |
$43.16 | 5,063 | 4,772 |
|
Ryan K Sundermann
1026 A Ave Ne |
$11.91 | 5,056 | 4,839 |
|
John Brownell
75 Short St Nw |
$34.41 | 5,050 | 4,521 |
|
Stephanie Wilson
5264 Council St Ne |
$31.08 | 5,027 | 4,703 |
|
Julie M Beard
1026 A Avenue |
$13.72 | 4,841 | 4,640 |
|
Mark Glenn Cleveland
411 10Th St Se Ste 1200 |
$39.62 | 4,837 | 4,519 |
|
Richard J Mersch
701 10Th Street Se |
$37.06 | 4,744 | 4,387 |
|
Nadia Siddiq Juneja
1026 A Ave Ne |
$13.05 | 4,697 | 4,531 |
|
Jill Nellie Miller
202 10Th Street Se |
$39.98 | 4,689 | 4,456 |
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 Rapids, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cedar Rapids, IA is $32.20 per claim, based on 1,155,232 claims from 513 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 Rapids, IA?
There are 513 Medicaid providers offering Office Visit related services in Cedar Rapids, IA according to public payment data.
What is the price range for Office Visit in Cedar Rapids, IA?
Medicaid reimbursement for Office Visit in Cedar Rapids, IA ranges from $0.00 to $121.94 per claim, with an average of $32.20. 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 Rapids, IA
Psychiatric Evaluation
Avg $80.03
782,796 claims
Blood Work & Lab Tests
Avg $5.07
726,071 claims
Emergency Room Visit
Avg $123.45
441,777 claims
Behavioral & Mental Health Therapy
Avg $112.79
317,466 claims
Vaccines & Immunizations
Avg $8.18
316,420 claims
Dental Cleaning & Exam
Avg $21.73
268,508 claims
Case Management Services
Avg $5.20
198,755 claims
Non-Emergency Medical Transportation
Avg $32.19
195,169 claims