Average Medicaid Office Visit Payments in Dubuque, IA: $32.20
Avg. Paid
$32.20
Range
$0.00 – $318.75
Total Claims
373,672
Providers
254
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 Dubuque, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hillcrest Family Services
2005 Asbury Rd |
$44.84 | 29,794 | 27,394 |
|
Crescent Community Health Center
1690 Elm St Ste 300 |
$0.29 | 25,714 | 23,078 |
|
Tassie Ann Carter
1766 Central Ave |
$24.52 | 9,119 | 8,709 |
|
Kenneth Wayne Martin
4025 Westmark Dr |
$38.87 | 9,064 | 8,446 |
|
Philip Scott Zimmerman
350 N Grandview Ave |
$11.84 | 8,959 | 8,337 |
|
Ann Maureen Burkle Robison
1000 Langworthy St |
$86.49 | 8,538 | 8,047 |
|
Paul Thomas Mccaughey
350 N Grandview Ave |
$12.42 | 7,543 | 7,133 |
|
Hillcrest Family Services
2505 Wilbricht Ln |
$38.30 | 7,207 | 6,806 |
|
Jennifer Lee Zalaznik
4025 Westmark Dr Ste 100 |
$7.23 | 6,491 | 6,117 |
|
Karen Scott
1000 Langworthy St |
$43.08 | 5,768 | 5,437 |
|
Jamie Jo Quintana
1500 Delhi St |
$58.87 | 5,732 | 5,280 |
|
Debra Oldaker-Tedrow
2255 John F Kennedy Rd |
$37.00 | 5,683 | 5,362 |
|
Mindy Jo Roberts
2600 Dodge St Ste D4 |
$19.08 | 5,653 | 5,226 |
|
Sarah D Thibadeau
1000 Langworthy St |
$33.99 | 5,374 | 5,030 |
|
John Michael Callahan
1000 Langworthy St |
$45.22 | 5,186 | 4,838 |
|
Rebecca A Watts
1000 Langworthy St |
$43.46 | 5,166 | 5,001 |
|
The Dubuque Visiting Nurse Association
1454 Iowa St |
$16.12 | 4,930 | 4,782 |
|
Heidi Elizabeth Townsend
1000 Langworthy St |
$41.31 | 4,848 | 4,670 |
|
Elizebeth Ann Brake
137 Bluff St |
$49.58 | 4,665 | 3,882 |
|
Lisa A Meyer
1500 Associates Dr |
$34.00 | 4,308 | 4,063 |
|
Angelique Mccoy
350 N Grandview Ave |
$13.24 | 3,916 | 3,638 |
|
Adib Kassas
1000 Langworthy St |
$17.95 | 3,888 | 3,264 |
|
Mary M Drury
799 Main St |
$89.00 | 3,670 | 3,407 |
|
Gretchen Anne Hong
1500 Associates Dr |
$33.41 | 3,560 | 3,262 |
|
Jaffer H Bashey
1000 Langworthy St |
$48.14 | 3,496 | 3,046 |
|
Zhengjin Cao
1515 Delhi St |
$26.48 | 3,478 | 3,128 |
|
Shiny Susan Kunjummen
1500 Delhi St Ste 3500 |
$37.42 | 3,336 | 2,986 |
|
Kala Ave-Lallemant
1000 Langworthy St |
$34.11 | 3,323 | 3,209 |
|
Kyle T. Tevebaugh
320 N Grandview Ave |
$35.26 | 3,276 | 2,999 |
|
Michelle Shafer
1000 Langworthy St |
$41.73 | 3,147 | 2,965 |
|
Christopher G Palmer
4005 Westmark Dr |
$58.95 | 3,128 | 2,792 |
|
Nicole Marie Schlosser
2442 Meinen Ct |
$38.01 | 3,030 | 2,692 |
|
Katie Gudenkauf
2255 John F Kennedy Rd |
$32.76 | 2,959 | 2,819 |
|
Steven G. Haas
320 N Grandview Ave |
$34.23 | 2,929 | 2,442 |
|
Meghan Wendland
1000 Langworthy St |
$49.90 | 2,906 | 2,696 |
|
Katie M Campbell
1690 Elm St Ste 300 |
$10.80 | 2,845 | 2,739 |
|
Sarah Jacobitz-Kizzier
1690 Elm St Ste 300 |
$43.69 | 2,822 | 2,583 |
|
Duane Kent Caylor
1000 Langworthy St |
$43.06 | 2,814 | 2,716 |
|
Jason Michael Tuthill
1000 Langworthy St |
$33.44 | 2,797 | 2,649 |
|
David E Kragenbrink
1500 Delhi St |
$38.20 | 2,772 | 2,619 |
|
Kevin M Mullen
1000 Langworthy St |
$40.63 | 2,723 | 2,538 |
|
Angela Hubanks
1515 Delhi St |
$36.20 | 2,535 | 2,353 |
|
Megan Moser Eisel
1550 University Ave Ste B |
$32.28 | 2,464 | 2,278 |
|
Medical Associates Clinic P C
1500 Associates Dr |
$12.18 | 2,340 | 1,969 |
|
Thomas James Benda
535 Cedar Cross Road |
$45.63 | 2,265 | 2,142 |
|
Thomas Eldon Callahan
1500 Associates Dr |
$43.29 | 2,252 | 2,048 |
|
Frederick Simon Isaak
1000 Langworthy St |
$38.19 | 2,249 | 2,173 |
|
Sarah A Justmann
200 Mercy Dr |
$16.12 | 2,248 | 1,990 |
|
Anupama Upadhyay
1000 Langworthy St |
$28.82 | 2,196 | 2,031 |
|
Thomas Raymond Boxleiter
200 Mercy Dr |
$23.83 | 2,059 | 1,335 |
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 Dubuque, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Dubuque, IA is $32.20 per claim, based on 373,672 claims from 254 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 Dubuque, IA?
There are 254 Medicaid providers offering Office Visit related services in Dubuque, IA according to public payment data.
What is the price range for Office Visit in Dubuque, IA?
Medicaid reimbursement for Office Visit in Dubuque, IA ranges from $0.00 to $318.75 per claim, with an average of $32.20. 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 Dubuque, IA
Home Health Visit
Avg $80.30
197,901 claims
Non-Emergency Medical Transportation
Avg $18.04
191,796 claims
Blood Work & Lab Tests
Avg $4.85
188,839 claims
Dental Cleaning & Exam
Avg $21.68
170,898 claims
Psychiatric Evaluation
Avg $64.62
133,016 claims
Physical Therapy
Avg $32.69
124,259 claims
Emergency Room Visit
Avg $121.29
105,556 claims
Vaccines & Immunizations
Avg $15.59
65,715 claims