Average Medicaid Office Visit Payments in Clarinda, IA: $38.80
Avg. Paid
$38.80
Range
$0.00 – $58.93
Total Claims
42,065
Providers
27
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 Clarinda, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Waubonsie Mental Health Center Inc
216 W Division St |
$45.51 | 11,102 | 9,530 |
|
Bryon Jon Schaeffer
220 Essie Davison Dr |
$27.67 | 7,482 | 6,746 |
|
Amy E Wilmes
220 Essie Davison Dr |
$39.68 | 5,531 | 4,947 |
|
Brittney Lynne Hill
220 Essie Davison Dr |
$40.98 | 3,703 | 3,356 |
|
Benn Rayment
220 Essie Davison Dr |
$41.77 | 2,849 | 2,483 |
|
Lauren Rae Davison
220 Essie Davison Dr |
$39.97 | 2,114 | 1,952 |
|
Michele Ann Bjorn
220 Essie Davison Dr |
$38.93 | 1,600 | 1,424 |
|
Bailley Kralik
220 Essie Davison Dr |
$33.42 | 1,176 | 1,120 |
|
Michael J Mahoney
220 Essie Davison Dr |
$46.80 | 1,020 | 903 |
|
Cris L Morrow
220 Essie Davison Dr |
$37.87 | 730 | 708 |
|
Kimberly Schoonover
220 Essie Davison Dr |
$35.00 | 674 | 603 |
|
Trista Louise Grossnickle
400 W Glenn Miller Dr |
$35.79 | 562 | 505 |
|
William John Shelton
220 Essie Davison Dr |
$31.52 | 551 | 407 |
|
Ryan Christopher Ernst
220 Essie Davison Dr |
$47.83 | 541 | 511 |
|
Talisha I Furst
220 Essie Davison Dr |
$35.41 | 409 | 370 |
|
Kala Clark
216 W Division St |
$31.67 | 362 | 311 |
|
Robert Willard Clemons
220 Essie Davison Dr |
$37.19 | 307 | 273 |
|
Kirsten Noel Hamilton
220 Essie Davison Dr |
$16.58 | 278 | 267 |
|
Bridget Wickstrom
200 Essie Davidson Dr |
$36.01 | 264 | 253 |
|
Katie Burns
220 Essie Davison Dr |
$36.31 | 232 | 214 |
|
Renee Nauman
220 Essie Davison Dr |
$36.97 | 187 | 184 |
|
Theophile Barley
220 Essie Davison Dr |
$40.59 | 147 | 139 |
|
Kassandra Alysabeth Mellott
220 Essie Davison Dr |
$38.94 | 137 | 132 |
|
Brian Kenneth Rarick
300 N 17Th St |
$22.57 | 59 | 48 |
|
Rosanne R Cavin
121 E Stuart St |
$0.00 | 18 | 12 |
|
Ryan Mahoney
220 Essie Davison Dr |
$46.37 | 17 | 13 |
|
Stacey Lynn Hess
216 W Division St |
$58.93 | 13 | 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 Clarinda, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clarinda, IA is $38.80 per claim, based on 42,065 claims from 27 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 Clarinda, IA?
There are 27 Medicaid providers offering Office Visit related services in Clarinda, IA according to public payment data.
What is the price range for Office Visit in Clarinda, IA?
Medicaid reimbursement for Office Visit in Clarinda, IA ranges from $0.00 to $58.93 per claim, with an average of $38.80. 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 Clarinda, IA
Psychiatric Evaluation
Avg $61.10
42,621 claims
Blood Work & Lab Tests
Avg $28.35
15,772 claims
Emergency Room Visit
Avg $90.73
10,578 claims
Chiropractic Care
Avg $17.16
10,209 claims
Behavioral & Mental Health Therapy
Avg $172.25
10,060 claims
Case Management Services
Avg $0.00
7,912 claims
Eye Exam
Avg $34.62
5,419 claims
Substance Abuse Treatment
Avg $88.77
2,897 claims