Average Medicaid Office Visit Payments in Clinton, IA: $32.87
Avg. Paid
$32.87
Range
$0.08 – $67.89
Total Claims
161,041
Providers
79
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 Clinton, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bridgeview Community Mental Health Center
1320 19Th Ave Nw |
$50.39 | 18,974 | 17,013 |
|
Mona S Alqulali
507 S 4Th St |
$28.76 | 15,373 | 10,524 |
|
Virgilio D Corpuz
915 13Th Ave N |
$51.44 | 12,221 | 10,829 |
|
Erin Kimberly Herndon
221 Main Ave |
$0.88 | 12,216 | 10,034 |
|
Stephanie M Hoff
915 13Th Ave N |
$45.48 | 10,550 | 10,008 |
|
Dorothy Metz
1320 19Th Ave Nw |
$22.46 | 7,551 | 4,830 |
|
Randy R Robinson
2027 S 21St Street |
$34.89 | 5,553 | 4,629 |
|
Thersa Kauffman
915 13Th Ave N |
$37.66 | 5,101 | 4,867 |
|
Community Health Care Inc
925 South 4Th Street |
$0.08 | 5,035 | 3,919 |
|
Amy Marie Kibler
915 13Th Ave N |
$43.70 | 4,548 | 4,264 |
|
William A Nickles
915 13Th Ave N |
$24.17 | 4,225 | 3,961 |
|
Cynthia Ann Wildemuth
2635 Lincoln Way Ste A |
$25.75 | 3,263 | 3,052 |
|
Michael Nasr Mankarious
638 S Bluff Blvd |
$24.70 | 3,133 | 2,752 |
|
Aubrey Matthiesen
915 13Th Ave N |
$39.21 | 2,962 | 2,755 |
|
Anoop Aggarwal
915 13Th Ave N |
$28.36 | 2,630 | 2,233 |
|
Christina Marie Shimak Morton
1410 N 4Th St |
$10.42 | 2,426 | 2,322 |
|
Paul G Manning
915 13Th Ave N |
$30.73 | 2,363 | 1,998 |
|
Cassie Noreen Carney
915 13Th Ave N |
$41.92 | 1,792 | 1,679 |
|
Joan Marie Anderson
1320 19Th Ave Nw |
$14.07 | 1,738 | 1,326 |
|
Suheil I Barakat
915 13Th Ave N |
$40.84 | 1,719 | 1,613 |
|
Anis U Ansari
915 13Th Ave N |
$23.12 | 1,635 | 1,494 |
|
Mel G Marilim
915 13Th Ave N |
$35.22 | 1,617 | 1,470 |
|
Saadi J Albaghdadi
2745 Lincoln Way |
$25.59 | 1,594 | 1,430 |
|
Ann Marie Mojeiko
915 13Th Ave N |
$38.17 | 1,548 | 1,405 |
|
Womens Health Services Of Eastern Iowa Inc
2635 Lincoln Way |
$23.12 | 1,513 | 1,335 |
|
Shanna Maureen Krogman
915 13Th Ave N |
$35.90 | 1,459 | 1,392 |
|
Rachel R Riedesel
638 S Bluff Blvd |
$27.77 | 1,442 | 1,333 |
|
Katie Flood
915 13Th Ave N |
$29.92 | 1,438 | 1,342 |
|
Kelli Lynn Schultz
240 N Bluff Blvd |
$46.57 | 1,375 | 1,200 |
|
Donald G Flory
915 13Th Ave N |
$46.74 | 1,359 | 1,290 |
|
Medical Associates Of Clinton, Iowa P.L.C.
915 13Th Ave N |
$22.00 | 1,285 | 1,091 |
|
Darcie Scott
2400 Lillian Way |
$25.44 | 1,264 | 1,206 |
|
Shona Rae Ernst
1737 Highway 67 |
$54.34 | 1,255 | 1,142 |
|
Amanda S Dalaska
221 Main Ave |
$43.87 | 1,194 | 1,147 |
|
Ali S. Albaghdadi
2745 Lincoln Way |
$40.66 | 1,060 | 1,001 |
|
Robert Edward Magnus
1410 N 4Th St |
$20.71 | 1,038 | 890 |
|
Xerxes R Colah
915 13Th Ave N |
$37.40 | 979 | 856 |
|
Kristie A Melvin
915 13Th Ave N |
$41.99 | 966 | 919 |
|
Megan Lee Sokolovich
915 13Th Ave N |
$26.44 | 921 | 783 |
|
Teresa R Gilmore
1410 N 4Th St |
$38.59 | 873 | 851 |
|
Joseph Leonard Monahan
915 13Th Ave N |
$40.67 | 850 | 787 |
|
Ashlee Michelle Sheridan
915 13Th Ave N |
$40.74 | 786 | 739 |
|
Lindsey Mcdonnell
915 13Th Ave N |
$34.96 | 760 | 685 |
|
Steven P Breaux
242 N Bluff Blvd |
$51.70 | 696 | 585 |
|
Laura Beth Thayer
915 13Th Ave N |
$36.40 | 680 | 661 |
|
Mercy Specialty Clinic
915 13Th Ave N |
$5.02 | 599 | 445 |
|
Margaret C Wolf
915 13Th Ave N |
$35.98 | 588 | 561 |
|
Ricky Maddox
2745 Lincoln Way |
$45.54 | 578 | 477 |
|
Qaiser Rasheed
915 13Th Ave N |
$28.23 | 550 | 507 |
|
Oliver M Ancheta
915 13Th Ave N |
$46.31 | 481 | 460 |
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 Clinton, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clinton, IA is $32.87 per claim, based on 161,041 claims from 79 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 Clinton, IA?
There are 79 Medicaid providers offering Office Visit related services in Clinton, IA according to public payment data.
What is the price range for Office Visit in Clinton, IA?
Medicaid reimbursement for Office Visit in Clinton, IA ranges from $0.08 to $67.89 per claim, with an average of $32.87. 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 Clinton, IA
Physical Therapy
Avg $48.62
108,541 claims
Chiropractic Care
Avg $24.24
82,298 claims
Blood Work & Lab Tests
Avg $4.53
72,394 claims
Psychiatric Evaluation
Avg $72.61
65,667 claims
Speech Therapy
Avg $67.99
38,579 claims
Dental Cleaning & Exam
Avg $15.70
37,763 claims
Home Health Visit
Avg $84.80
29,150 claims
Vaccines & Immunizations
Avg $9.17
25,736 claims