Average Medicaid Office Visit Payments in Clarion, IA: $24.29
Avg. Paid
$24.29
Range
$0.01 – $47.72
Total Claims
77,574
Providers
24
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 Clarion, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Iowa Specialty Hospital- Clarion
215 13Th Ave Sw |
$0.01 | 31,151 | 27,492 |
|
Adam R Andrews
215 13Th Ave Sw |
$39.89 | 24,720 | 23,353 |
|
Alice Meng
215 13Th Ave Sw |
$44.85 | 10,411 | 9,770 |
|
Richard Paul Bose
1316 S Main St |
$37.21 | 2,677 | 2,405 |
|
Tina Marie Vosberg
303 N Main St |
$38.80 | 1,741 | 1,589 |
|
Donald Junge
1316 S Main St |
$46.24 | 1,666 | 1,547 |
|
Nik M Nikoueiha
1316 S Main St |
$47.72 | 1,191 | 1,123 |
|
Jon S Ahrendsen
215 13Th Ave Sw |
$31.12 | 923 | 764 |
|
Mark Palit
1316 S Main St |
$29.06 | 736 | 611 |
|
Vinnette Frank
1316 S Main St |
$47.07 | 449 | 415 |
|
Andrew Joseph Mcmurray
1316 S Main St |
$41.98 | 337 | 313 |
|
Valerie Noel Martin
1316 S Main St |
$31.56 | 287 | 263 |
|
Gautam Kakade
1316 S Main St |
$38.98 | 263 | 223 |
|
Naarah L Hauenstein
215 13Th Ave Sw |
$2.22 | 224 | 162 |
|
Phillip J Greenfield
1316 S Main St |
$27.65 | 222 | 192 |
|
Shelley Marie Wells
1316 S Main St |
$37.55 | 177 | 170 |
|
Andrew N. Odland
1316 S Main St |
$30.21 | 169 | 157 |
|
Michael J Whitters
215 13Th Ave Sw |
$30.42 | 61 | 43 |
|
Emily Anne Hill Engstler
1316 S Main St |
$38.79 | 61 | 56 |
|
Kylie Leewright
1316 S Main St |
$39.74 | 27 | 26 |
|
Iowa Specialty Hospital- Clarion
1316 S Main St |
$5.14 | 26 | 25 |
|
Daniel Touney
215 13Th Ave Sw |
$33.81 | 25 | 23 |
|
Iowa Specialty Hospital- Clarion
1316 S Main St |
$22.89 | 17 | 17 |
|
Benjamin Becker
1316 S Main St |
$23.48 | 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 Clarion, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clarion, IA is $24.29 per claim, based on 77,574 claims from 24 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 Clarion, IA?
There are 24 Medicaid providers offering Office Visit related services in Clarion, IA according to public payment data.
What is the price range for Office Visit in Clarion, IA?
Medicaid reimbursement for Office Visit in Clarion, IA ranges from $0.01 to $47.72 per claim, with an average of $24.29. 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 Clarion, IA
Vaccines & Immunizations
Avg $6.47
30,560 claims
Blood Work & Lab Tests
Avg $23.67
12,300 claims
Psychiatric Evaluation
Avg $9.15
11,385 claims
Emergency Room Visit
Avg $96.97
7,170 claims
Ultrasound
Avg $29.31
4,497 claims
Urinalysis & Urine Tests
Avg $6.43
2,962 claims
Personal Care Services
Avg $32.38
2,728 claims
X-Ray
Avg $29.75
1,265 claims