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 |
|---|---|---|---|
|
Bryan J Krajicek
1 Edmundson Pl |
$46.76 | 12 | 12 |
|
Clifton R. Davis
933 E Pierce St |
$48.52 | 12 | 12 |
|
Huy Dinh Trinh
1 Edmundson Pl |
$22.11 | 14 | 12 |
|
Jennifer Marie Thiellen
801 Harmony St Ste 202 |
$88.51 | 15 | 15 |
|
Margaret E Kinney
1 Edmundson Pl |
$35.19 | 16 | 16 |
|
Sydni Billesbach
132 W Broadway |
$40.85 | 16 | 16 |
|
Michael Zlomke
201 Ridge St |
$63.11 | 24 | 24 |
|
Stefanie Till
933 E Pierce St |
$175.48 | 27 | 26 |
|
Stephanie Marie Harris
800 Mercy Dr Ste 110 |
$40.18 | 29 | 28 |
|
Brittany Victoria Simon
1288 Valley View Dr |
$27.21 | 30 | 28 |
|
Melissa Jo Frazier
800 Mercy Dr |
$13.17 | 30 | 28 |
|
Robert M Cunningham
201 Ridge St Ste 214 |
$57.84 | 30 | 27 |
|
Ivy Orellana
1 Edmundson Pl |
$32.11 | 32 | 30 |
|
Blake Michael Bodendorfer
1 Edmundson Pl Ste 500 |
$46.79 | 39 | 38 |
|
Danelle Catherine Peterson
1288 Valley View Dr |
$42.51 | 40 | 38 |
|
Lou Ann M. Mcstay
715 Harmony St |
$1.58 | 43 | 37 |
|
Jennifer D Stone
1 Edmundson Pl |
$28.21 | 43 | 39 |
|
James Whalen
1751 Madison Ave |
$32.63 | 53 | 50 |
|
Wendy Marie Johnson
3434 W Broadway |
$23.11 | 58 | 53 |
|
Kyle M Cheatham
2514 W Broadway |
$53.01 | 63 | 52 |
|
Jessalyn Cochran
1 Edmundson Pl Ste 200 |
$37.33 | 70 | 67 |
|
Cyilee Martin
1720 N 16Th St Ste K |
$55.91 | 77 | 68 |
|
Cindy Marie Shupe
201 Ridge St Ste 206 |
$5.67 | 78 | 48 |
|
Casie I Dorr
800 Mercy Dr |
$37.31 | 78 | 75 |
|
Terrence Thomas Slattery
800 Mercy Dr |
$42.93 | 85 | 79 |
|
Tana Friesth Perry
201 Ridge St Ste 312 |
$42.29 | 90 | 83 |
|
Douglas Vonderfecht
1 Edmundson Pl |
$21.19 | 90 | 76 |
|
Nitu Maharjan
201 Ridge St Ste 206 |
$10.62 | 90 | 67 |
|
Krista Smith
300 W Broadway |
$67.53 | 92 | 84 |
|
Alan S Kricsfeld
201 Ridge St |
$23.90 | 122 | 116 |
|
Amanda Mccormick
902 S 6Th St |
$6.66 | 123 | 111 |
|
Brian C Gartrell
1001 Risen Son Blvd |
$41.55 | 132 | 120 |
|
Marcella Louise Sorrell
1 Edmundson Pl Ste 306 |
$26.03 | 134 | 123 |
|
Luris Cecilia De Calero
801 Harmony St |
$18.39 | 137 | 96 |
|
Tonweya Willow Langille
300 W Broadway |
$0.63 | 152 | 110 |
|
Gregory Vincent Stanislav
933 E Pierce St Ste 206 |
$11.83 | 158 | 98 |
|
Kristin Elizabeth Markel
1 Edmundson Pl Ste 100 |
$32.05 | 158 | 141 |
|
John M Ippolito
201 Ridge St Ste 301 |
$17.66 | 163 | 117 |
|
Inderjit Singh Panesar
1 Edmundson Pl |
$44.98 | 165 | 153 |
|
Leah Abebe
902 S 6Th St |
$30.81 | 166 | 148 |
|
Thomas R. Brandt
1 Edmundson Pl |
$30.16 | 169 | 155 |
|
Roy Abraham
1 Edmundson Pl |
$22.06 | 180 | 167 |
|
Isabella Ann Phillips
412 Forest Glen Dr |
$43.87 | 190 | 177 |
|
Emily E Lorenz
1022 Woodbury Ave |
$89.13 | 201 | 186 |
|
Anthony Decicco
1 Edmundson Pl Ste 306 |
$79.35 | 206 | 185 |
|
David Frederick Widitz
421 W Broadway Ste 302 |
$116.79 | 212 | 183 |
|
Melissa Spencer Marshall
1001 Risen Son Blvd |
$1.96 | 213 | 180 |
|
Patrick C Farrell
933 E Pierce St |
$76.83 | 222 | 214 |
|
Lauren Elizabeth Warneke
1 Edmundson Pl |
$43.10 | 231 | 204 |
|
Lori Ann Platt
201 Ridge St |
$30.84 | 243 | 219 |
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