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 |
|---|---|---|---|
|
Robert Hatchitt
1601 Nw 114Th St Ste 255 |
$44.23 | 11,353 | 10,773 |
|
Jon Vanroekel
1601 Nw 114Th St. |
$37.16 | 11,118 | 9,130 |
|
Jeffrey Ryan Smit
1601 Nw 114Th St |
$47.29 | 7,852 | 7,498 |
|
Timothy Allen Gerdis
1601 Nw 114Th Street |
$36.34 | 7,688 | 7,316 |
|
Corey Mineck
1601 Nw 114Th St |
$55.12 | 5,941 | 5,677 |
|
Matthew B Morgan
1601 Nw 114Th St |
$50.43 | 5,680 | 5,464 |
|
Lynn Howard
1601 Nw 114Th St |
$34.06 | 5,261 | 4,850 |
|
Sarah Cooper Jackson
1601 Nw 114Th St Ste 345 |
$42.77 | 4,408 | 4,089 |
|
Jeffrey Alan Brannen
1601 Nw 114Th St Ste 342 |
$45.82 | 4,095 | 3,848 |
|
Geethalakshmi Mani
1601 Nw 114Th St |
$41.43 | 3,906 | 3,710 |
|
Erin Netteland-Sandvig
1601 Nw 114Th St |
$36.00 | 3,845 | 3,581 |
|
Melisa Coaker
1275 Nw 128Th St |
$40.95 | 3,690 | 3,492 |
|
Marshall Greiman
1601 Nw 114Th St |
$52.78 | 3,515 | 3,395 |
|
Thomas Powell Luft
1601 Nw 114Th St |
$59.82 | 3,475 | 2,804 |
|
Jeffrey Allen Richards
1601 Nw 114Th St |
$38.62 | 3,381 | 3,005 |
|
Gary Bremen
1601 Nw 114Th St |
$37.42 | 3,122 | 3,005 |
|
Steven Lee Harlan
8131 University Blvd |
$37.47 | 3,081 | 2,912 |
|
Tara Michelle Graff
12495 University Ave Ste 200 |
$37.98 | 2,963 | 2,573 |
|
Elizabeth A Gudgel
1601 Nw 114Th St |
$32.85 | 2,930 | 2,773 |
|
Trisha Hittenmiller
12499 University Ave |
$27.71 | 2,434 | 2,084 |
|
Brian Leo Waggoner
2555 Berkshire Pkwy Ste A |
$40.58 | 2,418 | 2,144 |
|
Lindy A Nordstrom
1601 Nw 114Th St Ste 230 |
$21.93 | 2,242 | 2,097 |
|
Stephanie D O'Brien
1601 Nw 114Th St Ste 345 |
$38.92 | 2,236 | 2,088 |
|
Robin Westrum
1601 Nw 114Th St Ste 255 |
$33.13 | 2,211 | 2,053 |
|
Shannon Becker
1601 Nw 114Th St Ste 242 |
$43.25 | 2,134 | 2,025 |
|
Ernesto Vazquez
1601 Nw 114Th St |
$35.68 | 2,087 | 1,951 |
|
Julie Mclaren
1601 Nw 114Th St |
$32.65 | 2,063 | 1,870 |
|
Stephen Bernard Grant
1449 Nw 128Th St |
$64.71 | 2,002 | 1,930 |
|
Abdalnasser H M Zayed
12499 University Ave Ste 210 |
$57.97 | 1,961 | 1,866 |
|
Debra Dean
1601 Nw 114Th St |
$33.68 | 1,889 | 1,761 |
|
Prachi Singh
1601 Nw 114Th St |
$30.45 | 1,839 | 1,729 |
|
Dale Steinmetz
1601 Nw 114Th St |
$35.62 | 1,837 | 1,733 |
|
Megan Sanders
1601 Nw 114Th St |
$32.21 | 1,765 | 1,636 |
|
Kelly Jo Pfundheller
1601 Nw 114Th St Ste 151 |
$31.64 | 1,681 | 1,552 |
|
Ana Valencia
1370 Nw 114Th St Ste 109 |
$23.74 | 1,668 | 1,547 |
|
Christina L Hendricks
1378 Nw 124Th St Ste 200 |
$37.26 | 1,426 | 1,313 |
|
Charleen Annette Ostrem
1601 Nw 114Th St Ste 342 |
$38.11 | 1,240 | 1,181 |
|
Karen Kay Luken
1378 Nw 124Th St Ste 200 |
$32.74 | 1,064 | 935 |
|
Andrea G Dettmann-Spurgeon
2555 Berkshire Pkwy Ste A |
$35.38 | 1,024 | 910 |
|
Vinaya Vittal Gaduputi
1601 Nw 114Th St Ste 342 |
$67.34 | 1,014 | 851 |
|
Vincent Louis Angeloni
12327 Stratford Dr |
$42.32 | 1,005 | 930 |
|
Stacey Hurst
1449 Nw 128Th St Ste 100 |
$32.56 | 1,004 | 971 |
|
Matthew J Carfrae
12499 University Ave |
$32.60 | 993 | 874 |
|
Lori L Mathis
1378 Nw 124Th St |
$29.37 | 932 | 764 |
|
Kristi Blomberg
1601 Nw 114Th St |
$41.19 | 907 | 875 |
|
Thao Nguyen
1601 Nw 114Th St Ste 342 |
$34.06 | 882 | 843 |
|
Deborah Huber
1601 Nw 114Th St |
$36.73 | 870 | 838 |
|
Laila Ismail
1601 Nw 114Th St |
$50.18 | 732 | 669 |
|
Catherine Wallace
12339 Stratford Dr |
$30.39 | 702 | 673 |
|
Kristin Kuhles
12339 Stratford Dr |
$30.42 | 667 | 647 |
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