Average Medicaid Office Visit Payments in Clear Lake, IA: $27.43
Avg. Paid
$27.43
Range
$0.00 – $33.61
Total Claims
28,108
Providers
21
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 Clear Lake, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tate Allen Lage
401 S 15Th St |
$30.06 | 6,122 | 5,433 |
|
Kristin Avery
401 S 15Th St |
$30.78 | 3,058 | 2,757 |
|
John Brady
1801 Us Highway 18 E |
$23.55 | 2,862 | 2,455 |
|
Anjali S. Henry
401 S 15Th St |
$29.62 | 2,584 | 2,342 |
|
Norma C Mcguire
401 S 15Th St |
$27.70 | 1,720 | 1,566 |
|
Brent E Brunsting
1410 6Th Ave S |
$24.02 | 1,718 | 1,594 |
|
Petra Lamfers
401 S 15Th St |
$24.42 | 1,659 | 1,536 |
|
Tracy M Mixdorf
1410 6Th Ave S |
$23.02 | 1,624 | 1,402 |
|
Lexa Collin Starbeck
1410 6Th Ave S |
$29.19 | 1,309 | 1,184 |
|
Anne Jones
1410 6Th Ave S |
$22.45 | 1,006 | 840 |
|
Sarah Orchard
401 S 17Th St |
$33.61 | 884 | 770 |
|
Kelly Nieman
401 South 15Th Street |
$27.46 | 861 | 810 |
|
Suzanne N Kersbergen
1410 6Th Ave So |
$25.10 | 610 | 544 |
|
Jaclyn Marie Dohlman
401 S 17Th St |
$28.99 | 567 | 526 |
|
Traci Goll
1410 6Th Ave S |
$24.45 | 471 | 438 |
|
Mckenzie Brekken
1410 6Th Ave S |
$25.32 | 395 | 365 |
|
Cassandra Lee Vandenberg
1410 6Th Ave S |
$22.32 | 335 | 310 |
|
Krista Ann Ysker
401 S 17Th St |
$31.68 | 197 | 184 |
|
North Iowa Mercy Clinics
1410 6Th Ave S |
$18.20 | 56 | 45 |
|
Roger O Barillas
1801 Us Highway 18 E |
$1.23 | 56 | 54 |
|
Nicholas David Mccolley
506 Main Ave |
$0.00 | 14 | 13 |
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 Clear Lake, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clear Lake, IA is $27.43 per claim, based on 28,108 claims from 21 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 Clear Lake, IA?
There are 21 Medicaid providers offering Office Visit related services in Clear Lake, IA according to public payment data.
What is the price range for Office Visit in Clear Lake, IA?
Medicaid reimbursement for Office Visit in Clear Lake, IA ranges from $0.00 to $33.61 per claim, with an average of $27.43. 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 Clear Lake, IA
Physical Therapy
Avg $14.34
14,982 claims
Chiropractic Care
Avg $17.97
14,095 claims
Vaccines & Immunizations
Avg $21.11
10,242 claims
Psychiatric Evaluation
Avg $66.15
9,921 claims
Dental Cleaning & Exam
Avg $22.27
6,656 claims
Blood Work & Lab Tests
Avg $12.49
3,924 claims
Personal Care Services
Avg $156.04
1,328 claims
Ambulance Transport
Avg $20.45
1,116 claims