Average Medicaid Office Visit Payments in Council Bluffs, IA: $35.12
Avg. Paid
$35.12
Range
$0.51 – $175.48
Total Claims
451,392
Providers
187
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 Council Bluffs, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
All Care Health Center
902 S 6Th St |
$0.51 | 48,739 | 40,409 |
|
Vikrant Salaria
1720 N 16Th St Ste F |
$47.14 | 13,905 | 12,036 |
|
Mel F. Roca
2201 W Broadway |
$43.79 | 13,557 | 12,248 |
|
Jon Gregory Thomas
1288 Valley View Dr |
$40.03 | 12,968 | 10,642 |
|
Shawn D Jones
1 Edmundson Pl |
$42.99 | 12,034 | 11,091 |
|
Barclay A Monaster
3135 W Broadway |
$41.08 | 11,567 | 10,412 |
|
Isam Elias Marar
1701 West Boadway |
$35.39 | 11,270 | 9,243 |
|
Joseph M Wanzek
3434 W Broadway |
$39.58 | 10,690 | 8,895 |
|
Kevin Neil Sheppard
3135 W Broadway |
$32.41 | 9,875 | 8,068 |
|
Christian Jones
1 Edmundson Pl |
$35.61 | 9,116 | 8,320 |
|
Enehomere I. Okoruwa
3135 W Broadway |
$43.60 | 9,089 | 8,334 |
|
Thomas Mcelderry
1 Edmundson Pl |
$40.20 | 8,335 | 7,611 |
|
Cheryl Madson
1751 Madison Ave |
$38.79 | 8,331 | 6,993 |
|
Kavish Rohatgi
3135 W Broadway |
$46.64 | 8,325 | 7,609 |
|
Tessa O'Neill
1288 Valley View Dr |
$35.95 | 7,815 | 7,221 |
|
Michelle E Misek Saub
1 Edmundson Pl |
$53.36 | 7,616 | 6,984 |
|
Sina J Linman
1 Edmundson Pl |
$39.80 | 7,521 | 6,510 |
|
Laura P Denning
3135 W Broadway |
$34.75 | 7,428 | 6,543 |
|
Matthew F Fryzek
201 Ridge St |
$33.34 | 7,168 | 6,033 |
|
Jamie Armbruster
3135 W Broadway |
$36.84 | 7,000 | 6,259 |
|
Takashi Kawamitsu
1 Edmundson Pl |
$41.92 | 6,928 | 6,170 |
|
Benjamin Bolmeier
801 Harmony St Ste 302 |
$30.97 | 6,169 | 5,506 |
|
Molly Beth Johnson
1022 Woodbury Ave |
$45.00 | 6,020 | 5,824 |
|
Angela Marie Madsen
1022 Woodbury Ave |
$37.46 | 5,751 | 5,514 |
|
Michaela M. Lintner
3135 W Broadway |
$35.59 | 5,549 | 4,964 |
|
Kelli Lynn Rudman
320 Mckenzie Ave Ste 202 |
$47.47 | 5,475 | 5,158 |
|
Andrew Maxwell
1 Edmundson Pl |
$45.62 | 5,458 | 5,091 |
|
Krista L Hill
3135 W Broadway |
$33.94 | 5,085 | 4,244 |
|
Alegent Creighton Clinic
800 Mercy Dr |
$4.44 | 4,841 | 2,355 |
|
Crc Recovery, Inc.
1750 W Broadway |
$8.77 | 4,769 | 219 |
|
Jessica Mccool
1 Edmundson Pl |
$38.21 | 4,447 | 4,140 |
|
Stephanie R Gray
801 Harmony St |
$20.80 | 4,223 | 3,916 |
|
Rachel F. Stearnes
1 Edmundson Pl |
$36.03 | 4,184 | 3,808 |
|
Tara L Sands
3135 W Broadway |
$32.22 | 4,183 | 3,708 |
|
Bridget L Buck
1 Edmundson Pl |
$38.23 | 3,968 | 3,754 |
|
Michael Chen
201 Ridge St |
$51.60 | 3,874 | 3,668 |
|
Shelly Nanda
800 Mercy Dr |
$49.84 | 3,871 | 3,548 |
|
Chelsey Fox
1022 Woodbury Ave |
$48.08 | 3,855 | 3,541 |
|
Tammana J Patel
1022 Woodbury Ave |
$37.44 | 3,696 | 3,433 |
|
Clarine I Coker
201 Ridge St |
$37.49 | 3,692 | 3,307 |
|
Family Connections, Inc
500 Willow Ave |
$59.01 | 3,634 | 2,972 |
|
John G Southard
1 Edmundson Pl |
$49.53 | 3,594 | 3,176 |
|
Lisa A. Pape
933 E Pierce St |
$24.99 | 3,432 | 3,085 |
|
Ann Marie Wordekemper
1 Edmundson Pl |
$38.26 | 3,410 | 3,134 |
|
Jorge F Sotolongo
201 Ridge St |
$40.39 | 3,194 | 2,915 |
|
Rochelle Kay Schuka
1022 Woodbury Ave |
$47.63 | 3,097 | 2,861 |
|
Katherine M. Erlandson
1288 Valley View Dr |
$31.26 | 2,792 | 1,979 |
|
Glenn Edward Hurst
201 Ridge St Ste 201 |
$12.01 | 2,751 | 167 |
|
Leann J Rees
801 Harmony St |
$28.04 | 2,615 | 2,163 |
|
Harmit Singh
801 Harmony St |
$31.64 | 2,577 | 2,351 |
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 Council Bluffs, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Council Bluffs, IA is $35.12 per claim, based on 451,392 claims from 187 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 Council Bluffs, IA?
There are 187 Medicaid providers offering Office Visit related services in Council Bluffs, IA according to public payment data.
What is the price range for Office Visit in Council Bluffs, IA?
Medicaid reimbursement for Office Visit in Council Bluffs, IA ranges from $0.51 to $175.48 per claim, with an average of $35.12. 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 Council Bluffs, IA
Psychiatric Evaluation
Avg $70.55
310,267 claims
Blood Work & Lab Tests
Avg $4.11
219,224 claims
Emergency Room Visit
Avg $115.88
172,860 claims
Vaccines & Immunizations
Avg $8.59
121,547 claims
Behavioral & Mental Health Therapy
Avg $124.50
105,157 claims
Dental Cleaning & Exam
Avg $23.19
82,054 claims
Speech Therapy
Avg $12.97
57,840 claims
Eye Exam
Avg $46.30
50,686 claims