Average Medicaid Office Visit Payments in Clive, IA: $40.22
Avg. Paid
$40.22
Range
$0.00 – $85.41
Total Claims
157,015
Providers
114
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 Clive, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christopher M Johnson
12339 Stratford Dr |
$32.69 | 12 | 12 |
|
Nagendra V Myneni
1378 Nw 124Th St |
$28.96 | 12 | 12 |
|
Megan Marie Eeling
1449 Nw 128Th St Ste 100 |
$31.41 | 12 | 12 |
|
Archana Verma
1378 Nw 124Th St |
$39.78 | 12 | 12 |
|
Heidi Lynn Bell
12871 University Ave |
$40.70 | 13 | 13 |
|
Patricia Overton-Keary
1601 Nw 114Th St |
$31.34 | 13 | 13 |
|
Todd Charles Peterson
12499 University Ave |
$85.41 | 13 | 13 |
|
Susan L Beck
1601 Nw 114Th St Ste 151 |
$26.94 | 13 | 12 |
|
Erin Ducharme
16349 Sheridan Drive |
$40.69 | 14 | 13 |
|
Mercy Clinics, Inc.
1601 Nw 114Th St |
$5.38 | 15 | 14 |
|
Rajalakshmi V Iyer
1378 Nw 124Th St |
$29.46 | 16 | 14 |
|
Erin M Jenkins
12495 University Ave Ste 200 |
$16.83 | 20 | 12 |
|
Mark Alvin Kellerman
12129 University Ave Ste 100 |
$83.94 | 24 | 24 |
|
Trevor T Wild
12129 University Ave Ste 100 |
$59.12 | 31 | 27 |
|
Brian L Gallagher
12129 University Ave Ste 100 |
$53.53 | 31 | 30 |
|
Mark Douglas Fish
12499 University Ave |
$24.54 | 37 | 25 |
|
Ryan Dornbier
12129 University Ave Ste 100 |
$54.97 | 45 | 43 |
|
Roscoe F Morton
12495 University Ave Ste 200 |
$39.02 | 47 | 37 |
|
Samantha Dee Jensen
1378 Nw 124Th St # 200 |
$66.86 | 49 | 44 |
|
Gregory J Yanish
12499 University Ave |
$34.44 | 52 | 49 |
|
Hollie Wicker
1601 Nw 114Th St |
$39.21 | 55 | 53 |
|
Jeffrey Allen Pederson
12493 University Ave Ste 100 |
$75.54 | 59 | 54 |
|
Kellie Kristine Hoover
9755 University Ave |
$0.00 | 60 | 41 |
|
Lonnie James Norgaard
1450 Nw 114Th St |
$21.77 | 64 | 31 |
|
Megan Bosak Duff
12129 University Ave Ste 100 |
$21.43 | 64 | 63 |
|
Ava Risa Feldman
12327 Stratford Dr |
$30.34 | 68 | 63 |
|
Joseph J Chen
1401 Campus Dr |
$33.71 | 76 | 66 |
|
Justin C Luneburg
11050 Hickman Rd Ste A |
$0.00 | 81 | 72 |
|
Tiffany A Torstenson
1601 Nw 114Th St Ste 151 |
$31.55 | 90 | 87 |
|
Jacob Jipp
12129 University Ave Ste 100 |
$53.35 | 106 | 101 |
|
Cassie Ann Esdohr
12493 University Ave Ste 100 |
$23.88 | 116 | 94 |
|
Jodi Henning
1370 Nw 114Th St Ste 305 |
$27.05 | 121 | 112 |
|
Benjamin Pottebaum
1378 Nw 124Th St Ste 200 |
$57.09 | 121 | 119 |
|
Ruby Cureg
1601 Nw 114Th St |
$34.32 | 126 | 117 |
|
Zinka Grubel
1601 Nw 114Th St Ste 342 |
$42.07 | 142 | 135 |
|
Stephen Hoelscher
12493 University Ave Ste 110 |
$43.80 | 182 | 165 |
|
Blair Camille Runde
12493 University Ave Ste 100 |
$25.48 | 219 | 209 |
|
Taylor Whitt
12129 University Ave Ste 100 |
$25.07 | 225 | 210 |
|
Nguyen-Ly Vo Huynh
1275 Nw 128Th St |
$27.98 | 234 | 211 |
|
Karrie Vander Sluis
8450 Hickman Road |
$43.45 | 238 | 236 |
|
Corinne Conley
1601 Nw 114Th St Ste 342 |
$44.40 | 245 | 232 |
|
Betsy Jo Bolton
12499 University Ave Ste 210 |
$24.84 | 251 | 225 |
|
Ashok K Manglik
13042 Hazelwood Dr |
$26.91 | 263 | 225 |
|
Andrew Robert Goodrich
1450 Nw 114Th St |
$9.77 | 271 | 249 |
|
Natalie Steinhoff
8131 University Blvd |
$28.41 | 305 | 261 |
|
Annette Marie Heinzman
12495 University Ave Ste 200 |
$14.11 | 323 | 304 |
|
Cassie Mouw
1449 Nw 128Th St Ste 100 |
$26.71 | 340 | 323 |
|
Tracey Jurgensmeier
1601 Nw 114Th St Ste 151 |
$27.21 | 365 | 345 |
|
Anthony Daniel Kopp
12493 University Ave Ste 100 |
$36.93 | 371 | 354 |
|
Samantha Breakbill
12499 University Ave |
$32.17 | 383 | 334 |
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 Clive, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clive, IA is $40.22 per claim, based on 157,015 claims from 114 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 Clive, IA?
There are 114 Medicaid providers offering Office Visit related services in Clive, IA according to public payment data.
What is the price range for Office Visit in Clive, IA?
Medicaid reimbursement for Office Visit in Clive, IA ranges from $0.00 to $85.41 per claim, with an average of $40.22. 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 Clive, IA
Personal Care Services
Avg $81.74
175,141 claims
X-Ray
Avg $8.78
146,548 claims
Blood Work & Lab Tests
Avg $4.31
42,129 claims
CT Scan (Computed Tomography)
Avg $50.55
32,636 claims
Chiropractic Care
Avg $24.94
25,796 claims
Ultrasound
Avg $44.81
23,725 claims
Vaccines & Immunizations
Avg $14.38
23,105 claims
Emergency Room Visit
Avg $127.25
18,370 claims