Average Medicaid Office Visit Payments in Denison, IA: $7.78
Avg. Paid
$7.78
Range
$0.00 – $51.84
Total Claims
65,045
Providers
21
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 Denison, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rose Mary Mason
1820 Hwy 30 E |
$33.25 | 13 | 12 |
|
David Marc Tan Creti
1820 Hwy 30 E |
$24.26 | 16 | 14 |
|
Sara Nicole Luft
100 Medical Pkwy |
$0.85 | 20 | 18 |
|
Scott A Bowker
210 N Main St |
$36.96 | 27 | 26 |
|
Kathy Berens-Brownmiller
115 N 14Th St |
$10.43 | 30 | 29 |
|
Karl Joseph Hasik
100 Medical Pkwy Ste A |
$0.00 | 34 | 28 |
|
County Of Crawford
105 N Main St |
$17.90 | 115 | 114 |
|
Erin Louise Schechinger
100 Medical Pkwy |
$14.82 | 194 | 175 |
|
Jonathan Hoaglund
201 N Main St |
$51.84 | 199 | 184 |
|
Keith A Schrunk
201 N Main St |
$45.60 | 299 | 248 |
|
Lori Lynn Johannsen
100 Medical Pkwy |
$3.69 | 439 | 403 |
|
Julie L. Graeve
100 Medical Pkwy Ste A |
$8.39 | 620 | 567 |
|
St Anthony Regional Hospital And Nursing Home
1820 4Th Ave S |
$0.06 | 722 | 659 |
|
Abigail Behrens
1820 4Th Ave S |
$27.78 | 882 | 855 |
|
Patrick Luft
100 Medical Pkwy |
$4.87 | 970 | 903 |
|
Elizabeth Jordan Ranniger
100 Medical Parkway |
$6.22 | 1,122 | 992 |
|
John D. Ingram
2016 1St Ave S |
$12.71 | 1,266 | 1,068 |
|
John Lothrop
100 Medical Pkwy Ste A |
$9.92 | 1,929 | 1,604 |
|
Crawford County Memorial Hospital
115 N 14Th St |
$0.36 | 2,280 | 1,947 |
|
Michael P Luft
100 Medical Pkwy Ste A |
$36.92 | 10,533 | 8,696 |
|
Crawford County Memorial Hospital
100 Medical Pkwy |
$0.16 | 43,335 | 36,037 |
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 Denison, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Denison, IA is $7.78 per claim, based on 65,045 claims from 21 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 Denison, IA?
There are 21 Medicaid providers offering Office Visit related services in Denison, IA according to public payment data.
What is the price range for Office Visit in Denison, IA?
Medicaid reimbursement for Office Visit in Denison, IA ranges from $0.00 to $51.84 per claim, with an average of $7.78. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Denison, IA
Dental Cleaning & Exam
Avg $21.95
32,052 claims
Eye Exam
Avg $49.20
31,641 claims
Blood Work & Lab Tests
Avg $30.07
25,803 claims
Vaccines & Immunizations
Avg $1.43
15,243 claims
Emergency Room Visit
Avg $113.61
9,662 claims
Chiropractic Care
Avg $20.31
9,471 claims
Dental Filling
Avg $53.65
6,881 claims
Psychiatric Evaluation
Avg $2.71
2,480 claims