Average Medicaid Office Visit Payments in Des Moines, IA: $32.61
Avg. Paid
$32.61
Range
$0.00 – $719.00
Total Claims
1,644,515
Providers
882
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 Des Moines, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Loras R Even
6520 Se 14Th St |
$40.36 | 48,832 | 46,292 |
|
Primary Health Care, Inc.
3509 E 29Th St |
$0.09 | 47,745 | 40,170 |
|
Primary Health Care, Inc.
250 Laurel St |
$0.05 | 35,272 | 29,028 |
|
Primary Health Care, Inc.
2353 Se 14Th St |
$0.05 | 27,830 | 25,352 |
|
Jimmie Rogers Horton
1350 Des Moines St |
$43.25 | 25,762 | 24,593 |
|
Primary Health Care, Inc.
1200 University Ave Ste 120 |
$0.09 | 25,079 | 23,353 |
|
Eyerly Ball Community Mental Health Services
1301 Center St |
$67.55 | 21,930 | 20,034 |
|
Orchard Place
808 5Th Ave |
$82.78 | 21,255 | 18,497 |
|
Matthew Spitzenberger
1801 Hickman Rd |
$29.51 | 17,919 | 16,957 |
|
Julie F. Hanson
330 Laurel St Ste 2100 |
$45.71 | 16,537 | 15,564 |
|
Jeffrey L Bebensee
4631 Merle Hay Rd |
$40.01 | 13,717 | 12,930 |
|
Sunita Tarun Kumar
330 Laurel St |
$42.72 | 11,782 | 10,770 |
|
William F Maher
4631 Merle Hay Rd |
$40.92 | 11,003 | 10,401 |
|
Tracy Ann Dickel
1801 Hickman Rd |
$34.53 | 10,691 | 10,298 |
|
Christopher R Matson
1801 Hickman Rd |
$29.71 | 10,360 | 9,792 |
|
Eric Meyer
1206 Pleasant St Fl 1 |
$28.26 | 10,285 | 10,017 |
|
Kimberly Denise Souza
400 E Court Ave Ste 110 |
$8.54 | 10,213 | 6,632 |
|
Jason Chinwe Nkem Ekwena
6401 Douglas Ave |
$44.25 | 10,000 | 7,463 |
|
Cynthia Ann Coenen
4725 Merle Hay Rd Ste 106 |
$35.12 | 9,982 | 8,727 |
|
Rodney James Clark
5921 Se 14Th St Ste 2500 |
$39.30 | 9,501 | 8,967 |
|
Lisa Klock
2508 E University Ave |
$42.39 | 9,360 | 8,823 |
|
Debra J Borcherding
1200 Pleasant St |
$13.28 | 9,277 | 8,886 |
|
Chad Bradshaw
1801 Hickman Rd |
$26.70 | 9,199 | 8,743 |
|
Tara Brockman
1801 Hickman Rd |
$27.42 | 9,184 | 8,611 |
|
Ashley Lynne Mathes
1801 Hickman Rd |
$30.84 | 9,026 | 8,595 |
|
Jay A Johnson
2103 Ingersoll Ave |
$37.60 | 9,026 | 8,613 |
|
Stephanie Wadle
2103 Ingersoll Ave |
$33.86 | 8,642 | 8,346 |
|
Marc Baumert
1801 Hickman Rd |
$24.72 | 8,630 | 8,078 |
|
Mustafa Eldadah
330 Laurel St |
$42.59 | 8,615 | 8,153 |
|
Sara R. Reichart
1200 Pleasant St |
$35.29 | 8,465 | 8,150 |
|
Lindsey Ann Christianson
1801 Hickman Rd |
$32.82 | 8,324 | 7,855 |
|
Tamara Risen-Trinder
330 Laurel St |
$36.19 | 8,294 | 7,799 |
|
Kevin James Furness
1801 Hickman Rd |
$32.07 | 8,026 | 7,647 |
|
Amy L Lindgren
1212 Pleasant St Ste 300 |
$32.82 | 7,961 | 7,475 |
|
Jeffrey Michael Farber
450 Laurel St |
$53.12 | 7,951 | 7,375 |
|
Kimberly N Roberts
700 E University Ave # 3W |
$28.53 | 7,880 | 7,629 |
|
Christopher M Covert
1221 Pleasant St |
$42.49 | 7,799 | 6,857 |
|
Arvind Kakani
6601 Sw 9Th St |
$43.22 | 7,776 | 7,420 |
|
Kathleen Adams
1801 Hickman Rd |
$34.61 | 7,574 | 7,365 |
|
Staci Lynn Schweder
215 Euclid Ave |
$28.94 | 7,549 | 6,885 |
|
Timothy Olson
1801 Hickman Rd |
$20.84 | 7,503 | 7,236 |
|
Wendy M Hansen-Penman
1801 Hickman Road |
$34.50 | 7,370 | 6,981 |
|
Megan Spreacker
330 Laurel Street |
$34.49 | 7,354 | 6,828 |
|
Erin S Rowan
2301 E 14Th St |
$39.92 | 7,345 | 6,897 |
|
Premnath Chinnaiyan
330 Laurel St Ste 2100 |
$40.94 | 7,230 | 6,728 |
|
Jackie Lynn Shipley
2508 E University Ave |
$39.17 | 7,136 | 6,550 |
|
Lizabeth Marie Price
6200 Aurora Ave |
$25.43 | 7,111 | 6,799 |
|
Broadlawns Medical Center
1801 Hickman Rd |
$6.38 | 6,800 | 5,828 |
|
William E Howard
330 Laurel St |
$38.33 | 6,794 | 6,297 |
|
Ronnie Hawkins
3509 E 29Th St |
$44.67 | 6,705 | 6,391 |
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 Des Moines, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Des Moines, IA is $32.61 per claim, based on 1,644,515 claims from 882 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 Des Moines, IA?
There are 882 Medicaid providers offering Office Visit related services in Des Moines, IA according to public payment data.
What is the price range for Office Visit in Des Moines, IA?
Medicaid reimbursement for Office Visit in Des Moines, IA ranges from $0.00 to $719.00 per claim, with an average of $32.61. 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 Des Moines, IA
Blood Work & Lab Tests
Avg $4.48
1,009,999 claims
Psychiatric Evaluation
Avg $74.70
882,204 claims
Emergency Room Visit
Avg $135.04
702,067 claims
Vaccines & Immunizations
Avg $14.31
507,649 claims
Dental Cleaning & Exam
Avg $23.97
466,251 claims
Personal Care Services
Avg $68.74
403,169 claims
Case Management Services
Avg $98.76
274,116 claims
Behavioral & Mental Health Therapy
Avg $103.07
266,493 claims