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 |
|---|---|---|---|
|
Jared A Cooke
1500 Associates Dr |
$57.59 | 12 | 12 |
|
Theresa M Hughes
1500 Associates Dr |
$14.55 | 12 | 12 |
|
Tara Leann Holste
1500 Associates Dr |
$22.47 | 13 | 12 |
|
Katy Ann Wethal
1000 Langworthy St |
$44.19 | 13 | 12 |
|
Ashley Marie Biedermann
1690 Elm St Ste 300 |
$0.00 | 13 | 13 |
|
Rami Sabbah Eltibi
1000 Langworthy |
$15.57 | 13 | 12 |
|
Jason Rosco E Keppler
1500 Associates Dr |
$16.79 | 13 | 12 |
|
Phillip Gabriel Bailey
1515 Delhi St Ste 200 |
$19.95 | 13 | 12 |
|
Mary Margaret Oconnell
1000 Langworthy St |
$33.06 | 13 | 13 |
|
Derek Salow
2000 University Ave |
$32.99 | 14 | 14 |
|
Mark Kimble Janes
1000 Langworthy St |
$8.26 | 14 | 12 |
|
Craig Charles Herther
310 N Grandview Ave |
$61.03 | 14 | 13 |
|
Kellie Ruba
1000 Langworthy St |
$318.75 | 14 | 14 |
|
Krista Dewar
4855 Asbury Rd Ste 7 |
$24.50 | 15 | 13 |
|
Catherine Ann Miller-Simington
1500 Delhi St Ste 4300 |
$57.89 | 15 | 15 |
|
Marc E Dicklin
1000 Langworthy St |
$42.06 | 15 | 13 |
|
Tammi Noonan
150 Mercy Dr |
$30.77 | 15 | 14 |
|
Amy Marie Henry
1500 Delhi St Ste 3100 |
$34.86 | 16 | 15 |
|
Julie T. Ehlinger
1000 Langworthy St |
$21.51 | 16 | 13 |
|
James L. Livermore
1789 Elm St |
$0.00 | 17 | 15 |
|
Shelby Lynn Beyer
1000 Langworthy St |
$3.87 | 19 | 14 |
|
Connie L Kramer
1515 Delhi St |
$11.85 | 23 | 21 |
|
Jessica D Dunne
200 Mercy Dr Ste 200 |
$2.27 | 25 | 25 |
|
Ahmad Yasser El-Hattab
1515 Delhi St Ste 200 |
$61.46 | 27 | 27 |
|
Christina Mcnamara
200 Mercy Dr Ste 200 |
$10.12 | 28 | 25 |
|
Jared J Freiburger
1500 Associates Dr |
$18.18 | 28 | 24 |
|
Regan A Wolbers
1515 Delhi St |
$23.59 | 30 | 26 |
|
Jenna Marie Hefel
200 Mercy Dr Ste 201 |
$13.83 | 30 | 25 |
|
Heather-Lynn Menezes
1000 Langworthy St |
$39.83 | 31 | 31 |
|
Dennis Robert Pruckler
200 Mercy Dr |
$16.35 | 32 | 30 |
|
Gretchen Marea Wenger
1515 Delhi St |
$31.80 | 34 | 34 |
|
Chelsey Zitelman
4025 Westmark Dr Ste 100 |
$1.27 | 34 | 31 |
|
Naomi Hasselblad
1500 Associates Dr |
$18.91 | 34 | 25 |
|
Morgan Leigh Nichols
250 Mercy Dr |
$37.43 | 34 | 33 |
|
Kelly Sue Mcmahon
1075 Cedar Cross Rd Ste 1 |
$86.58 | 35 | 24 |
|
Louis Peter Alt
1000 Langworthy St |
$17.12 | 36 | 30 |
|
Timothy William Martin
350 N Grandview Ave |
$42.50 | 40 | 38 |
|
Mark William Niemer
1500 Associates Dr |
$14.04 | 40 | 39 |
|
Lindsey Erin Schulz
1000 Langworthy St |
$64.40 | 41 | 38 |
|
Thomas Anthony Sinsky
1000 Langworthy St |
$13.59 | 48 | 38 |
|
Alethea Ann Hein
1500 Associates Dr |
$36.61 | 50 | 49 |
|
Renee Lynn Scheitzach
250 Mercy Dr |
$32.38 | 51 | 33 |
|
Lisa Ma Hansen
4200 Dodge St |
$79.03 | 53 | 53 |
|
Ann M Weltin
1690 Elm St Ste 300 |
$1.24 | 53 | 53 |
|
Ursula C. Livermore
1690 Elm St Ste 300 |
$4.32 | 53 | 53 |
|
Crista Noelle Weber
1500 Associates Dr |
$32.47 | 56 | 52 |
|
Andrea Lea Ries
1500 Associates Dr |
$14.89 | 59 | 56 |
|
Justin W Hunn
535 Cedar Cross Rd |
$50.94 | 59 | 59 |
|
Andrea Simmons
2442 Meinen Ct |
$34.78 | 60 | 57 |
|
Carrie Hesse
1500 Delhi St Ste 4300 |
$6.21 | 70 | 67 |
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