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 |
|---|---|---|---|
|
Ryan Schulte
1350 Des Moines St Ste 100 |
$74.46 | 12 | 12 |
|
James Halsey
411 Laurel St Ste A120 |
$20.89 | 12 | 12 |
|
Aubrey Anderson Reese
1200 Pleasant St |
$29.08 | 12 | 12 |
|
Craig Alan Shadur
1215 Pleasant Street |
$10.81 | 12 | 12 |
|
Onyebuchi Ukabiala
1206 Pleasant St |
$81.37 | 12 | 12 |
|
Timothy Russell Sexton
6221 Se 14Th St |
$0.00 | 12 | 12 |
|
Mark Brown
317 6Th Ave Ste 400 |
$43.56 | 12 | 12 |
|
Jeffrey Hadwiger
1111 6Th Ave Ste B1 |
$21.44 | 12 | 12 |
|
Shubha Deep Roy
1215 Pleasant St Ste 618 |
$22.43 | 12 | 12 |
|
Nicole Ann Wagaman
1200 Pleasant St |
$26.24 | 12 | 12 |
|
Richard L Deming
411 Laurel St Ste 3300 |
$13.78 | 12 | 12 |
|
Carlye Morgan Townsend
1801 Hickman Rd |
$29.45 | 12 | 12 |
|
Shrey Vazirsultan Velani
411 Laurel St Ste A120 |
$18.13 | 13 | 12 |
|
Daniel David Opheim
1212 Pleasant St Ste 211 |
$21.13 | 13 | 13 |
|
Matthew Jospeh Hartnett
1215 Pleasant St Ste 206 |
$33.85 | 13 | 12 |
|
Allyson Van Sant
350 E Creston Ave |
$25.84 | 13 | 12 |
|
Alexia Marie Chally
1215 Pleasant St Ste 303 |
$83.82 | 13 | 13 |
|
Brittany Sue Trow
1200 Pleasant St # S228 |
$34.67 | 13 | 13 |
|
Jarrod Alexander Smith
3200 Grand Ave |
$37.89 | 13 | 12 |
|
Vilma Bramasco
5608 Sw 9Th St |
$29.83 | 13 | 13 |
|
Craig Robert Mahoney
450 Laurel St Ste A |
$17.76 | 13 | 13 |
|
Primary Health Care, Inc.
4800 Aurora Ave |
$0.00 | 13 | 13 |
|
Denise J Hoevelkamp
700 E University Ave |
$41.58 | 13 | 13 |
|
Musab Alqasrawi
1215 Pleasant St Ste 618 |
$41.72 | 13 | 12 |
|
Clayton Thomas Smith
2353 Se 14Th St |
$149.26 | 13 | 12 |
|
Eugene J Cherny
10611 Hickman Rd |
$65.14 | 13 | 12 |
|
Brittany Tucker
411 Laurel St Ste A300 |
$7.95 | 13 | 13 |
|
Jennifer Cherop Melly
3509 E 29Th St |
$25.76 | 13 | 12 |
|
Esmiralda Yeremeyeva Henderson
1111 6Th Ave |
$74.77 | 13 | 12 |
|
Kelly N Gann
3200 Grand Ave Fl 6 |
$14.66 | 13 | 12 |
|
Shardul Poudyal
1215 Pleasant St |
$22.66 | 14 | 13 |
|
Teresa Lorraine Fuller
1801 Hickman Rd |
$10.50 | 14 | 14 |
|
Taylor Lee Scott
3200 Grand Ave |
$3.36 | 14 | 13 |
|
Christopher Branden Vincent
450 Laurel St Ste A |
$29.16 | 14 | 12 |
|
Sean Barrett
700 E University Ave |
$39.40 | 14 | 14 |
|
Roseanne Hixenbaugh
3600 30Th St |
$31.31 | 14 | 12 |
|
Steven D. Lamer
1111 6Th Ave |
$12.91 | 15 | 12 |
|
Mercy Clinics, Inc
1111 6Th Ave |
$5.79 | 15 | 13 |
|
James Allen Wille
1212 Pleasant St |
$130.85 | 15 | 15 |
|
Mary Ann Mercedes Be
411 Laurel St Ste 3250 |
$0.00 | 15 | 14 |
|
Ravi K Vemuri
411 Laurel St Ste A120 |
$23.03 | 15 | 12 |
|
Dudley Alan Phipps
450 Laurel St |
$19.60 | 15 | 13 |
|
Einar Bogason
1111 6Th Ave |
$51.15 | 15 | 14 |
|
Gregory A Kolb
1200 Pleasant St |
$9.96 | 15 | 14 |
|
Zachary Johnson
1111 6Th Ave |
$1.84 | 16 | 15 |
|
Noah Eric Kelm
1111 6Th Ave |
$334.94 | 16 | 16 |
|
Michael P O'Conner
1221 Pleasant St |
$37.83 | 16 | 14 |
|
John Larson
1750 48Th St |
$32.52 | 16 | 12 |
|
Lynzee Makowski
1200 Pleasant St |
$41.71 | 16 | 16 |
|
Amy Elizabeth Mcgraw
411 Laurel St Ste A300 |
$59.04 | 17 | 13 |
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