Average Medicaid Office Visit Payments in Chariton, IA: $6.83
Avg. Paid
$6.83
Range
$0.00 – $47.71
Total Claims
41,980
Providers
17
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 Chariton, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lucas County Health Center
1200 N 7Th St |
$0.02 | 22,980 | 18,975 |
|
Sharon Hopkins-Brinegar
1200 N 7Th St |
$45.32 | 3,313 | 2,452 |
|
Kenneth R Anderson
1200 N 7Th St |
$0.82 | 3,070 | 2,817 |
|
Greg D Cohen
1200 N 7Th St |
$4.28 | 2,966 | 2,709 |
|
Michelle Joyce Fischer-Short
1200 N 7Th St |
$19.04 | 2,237 | 1,416 |
|
Philip Dewain Sundquist
1030 N 7Th St |
$21.87 | 2,120 | 1,928 |
|
Abigail Faye Hamilton
1200 N 7Th St |
$1.28 | 1,578 | 1,443 |
|
Kayla June Wallace
1200 N 7Th St |
$2.56 | 1,400 | 1,302 |
|
Miranda Millie Gebhart
1200 N 7Th St |
$2.35 | 1,065 | 926 |
|
Peter Kenneth Hoftiezer
1200 N 7Th St |
$25.00 | 789 | 706 |
|
Amy Marie Poncelow
1200 N 7Th St |
$3.84 | 125 | 119 |
|
Infinity Health
1711 Osceola Ave Ste 1200 |
$0.00 | 121 | 113 |
|
Christopher J Osier
1200 N 7Th St |
$21.49 | 95 | 82 |
|
Christine Buttell
1200 N 7Th St |
$6.13 | 71 | 66 |
|
Lucas County Health Center
1200 N 7Th St |
$11.78 | 24 | 22 |
|
Jon David Heaverlo
131 N Main St |
$47.71 | 14 | 12 |
|
Allison Krutsinger
1200 N 7Th St |
$12.38 | 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 Chariton, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Chariton, IA is $6.83 per claim, based on 41,980 claims from 17 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 Chariton, IA?
There are 17 Medicaid providers offering Office Visit related services in Chariton, IA according to public payment data.
What is the price range for Office Visit in Chariton, IA?
Medicaid reimbursement for Office Visit in Chariton, IA ranges from $0.00 to $47.71 per claim, with an average of $6.83. 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 Chariton, IA
Personal Care Services
Avg $40.75
13,766 claims
Dental Cleaning & Exam
Avg $22.42
10,988 claims
Blood Work & Lab Tests
Avg $20.30
8,411 claims
Chiropractic Care
Avg $25.73
7,314 claims
Durable Medical Equipment (DME)
Avg $47.24
6,135 claims
Eye Exam
Avg $43.89
5,353 claims
Home Health Visit
Avg $95.19
5,097 claims
Psychiatric Evaluation
Avg $58.84
3,919 claims