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Based on public Medicaid payment data.

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

Other Procedures in Clear Lake, IA