Average Medicaid Office Visit Payments in Emmetsburg, IA: $4.53
Avg. Paid
$4.53
Range
$0.00 – $101.98
Total Claims
23,342
Providers
9
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 Emmetsburg, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Palo Alto County Hospital
3201 1St St |
$0.05 | 20,708 | 17,500 |
|
Markie Lynn Sargent
3201 1St St |
$41.86 | 820 | 724 |
|
Tracey Henderson
3201 1St St |
$42.01 | 714 | 640 |
|
Thomas Jude Getta
3201 1St St |
$43.67 | 502 | 447 |
|
Palo Alto County Hospital
3201 1St St |
$0.00 | 189 | 129 |
|
Amber Houge
3201 1St St |
$36.86 | 165 | 142 |
|
Sara Boysen
3201 1St St |
$32.34 | 145 | 142 |
|
Daniel James Reedy
2217 Main St |
$101.98 | 64 | 62 |
|
Jason Michael Patton
3201 1St St |
$35.12 | 35 | 27 |
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 Emmetsburg, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Emmetsburg, IA is $4.53 per claim, based on 23,342 claims from 9 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 Emmetsburg, IA?
There are 9 Medicaid providers offering Office Visit related services in Emmetsburg, IA according to public payment data.
What is the price range for Office Visit in Emmetsburg, IA?
Medicaid reimbursement for Office Visit in Emmetsburg, IA ranges from $0.00 to $101.98 per claim, with an average of $4.53. 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
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Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Emmetsburg, IA
Chiropractic Care
Avg $24.14
31,783 claims
Dental Cleaning & Exam
Avg $26.93
18,775 claims
Blood Work & Lab Tests
Avg $21.44
12,109 claims
Dental Filling
Avg $64.17
6,172 claims
Psychiatric Evaluation
Avg $20.53
5,549 claims
Eye Exam
Avg $31.10
3,073 claims
Vaccines & Immunizations
Avg $0.19
2,020 claims
Emergency Room Visit
Avg $96.04
1,612 claims