Average Medicaid Office Visit Payments in Decorah, IA: $51.56
Avg. Paid
$51.56
Range
$10.30 – $263.73
Total Claims
37,829
Providers
41
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 Decorah, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sarah J Wymer
901 Montgomery St |
$42.18 | 12 | 12 |
|
Anna Christine Mark
901 Montgomery St |
$43.23 | 14 | 12 |
|
Paul D Pellett
1830 State Highway 9 |
$25.90 | 19 | 18 |
|
Lalit Gupta
1830 State Highway 9 |
$165.75 | 20 | 12 |
|
Ann Elizabeth Grimstad
901 Montgomery St |
$38.02 | 41 | 39 |
|
Ricky Duane Wilkerson
901 Montgomery St |
$31.46 | 45 | 42 |
|
Sarah M Kach
901 Montgomery St |
$61.70 | 62 | 58 |
|
Gregory James Valkosky
1830 State Highway 9 |
$30.40 | 73 | 64 |
|
Andrea Gail Wilson
1830 State Highway 9 |
$40.48 | 96 | 92 |
|
Heather Kay Levinson
901 Montgomery St |
$31.54 | 97 | 93 |
|
Tyler C Menke
901 Montgomery St |
$41.12 | 101 | 95 |
|
Daniel S Wientzen
1830 State Highway 9 |
$37.14 | 110 | 105 |
|
Anthony M Coppola
1830 State Highway 9 |
$35.99 | 117 | 110 |
|
Rebecca L Gesing
901 Montgomery St |
$35.38 | 170 | 158 |
|
Eric William Svestka
901 Montgomery St |
$10.30 | 241 | 215 |
|
John Vogel
901 Montgomery St |
$37.26 | 256 | 245 |
|
Lisa A. Zittergruen
901 Montgomery St |
$38.74 | 292 | 264 |
|
William J Remington
901 Montgomery St |
$27.79 | 313 | 289 |
|
Shelly Sue Weiland
901 Montgomery St |
$53.83 | 356 | 311 |
|
Jennifer Marie Becker
901 Montgomery St |
$30.01 | 392 | 361 |
|
Craig P Sullivan
1830 State Highway 9 |
$20.67 | 448 | 381 |
|
Sherri K Schilling
1830 State Highway 9 |
$33.65 | 489 | 451 |
|
James Williams Ott
901 Montgomery St |
$38.20 | 538 | 503 |
|
Ian J Stock
1830 State Highway 9 |
$28.69 | 554 | 520 |
|
Janet S Ryan
1830 State Highway 9 |
$35.92 | 585 | 538 |
|
Jenny L Stegen
1830 State Highway 9 |
$32.90 | 675 | 635 |
|
Carol Ludeking
901 Montgomery St |
$61.43 | 754 | 701 |
|
Ryan S Stever
1830 State Highway 9 |
$36.06 | 862 | 763 |
|
Carla K Abel-Zieg
905 Montgomery Street |
$34.15 | 955 | 859 |
|
Elizabeth K Leschensky
901 Montgomery St |
$42.95 | 1,051 | 912 |
|
Samantha Jo Mikota Reicks
901 Montgomery St |
$47.58 | 1,162 | 1,071 |
|
Catherine A Nelson
1830 State Highway 9 |
$35.18 | 1,195 | 1,092 |
|
Danielle Jo Bakewell
1830 State Highway 9 |
$33.68 | 1,282 | 1,197 |
|
Kurt A Swanson
1830 State Highway 9 |
$37.04 | 1,313 | 1,216 |
|
Randall J Bremner
901 Montgomery St |
$263.73 | 1,424 | 1,254 |
|
John M Evelsizer Olson
901 Montgomery St |
$61.95 | 1,471 | 1,324 |
|
Gregory Madsen
901 Montgomery St |
$118.41 | 2,237 | 2,082 |
|
Stephen M. Ellestad
502 Mound St |
$15.29 | 2,656 | 2,480 |
|
Jason A Maret
1830 State Highway 9 |
$26.02 | 3,636 | 3,260 |
|
Kevin Vincent Quinn
1830 State Highway 9 |
$40.02 | 4,746 | 4,477 |
|
Northeast Iowa Mental Health Center
905 Montgomery St |
$49.04 | 6,969 | 5,544 |
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 Decorah, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Decorah, IA is $51.56 per claim, based on 37,829 claims from 41 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 Decorah, IA?
There are 41 Medicaid providers offering Office Visit related services in Decorah, IA according to public payment data.
What is the price range for Office Visit in Decorah, IA?
Medicaid reimbursement for Office Visit in Decorah, IA ranges from $10.30 to $263.73 per claim, with an average of $51.56. 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 Decorah, IA
Psychiatric Evaluation
Avg $79.85
62,489 claims
Emergency Room Visit
Avg $82.86
20,385 claims
Case Management Services
Avg $5.28
14,999 claims
Non-Emergency Medical Transportation
Avg $9.39
13,341 claims
Eye Exam
Avg $32.60
10,164 claims
Chiropractic Care
Avg $24.46
8,798 claims
Dental Cleaning & Exam
Avg $25.12
8,375 claims
Blood Work & Lab Tests
Avg $11.07
8,301 claims