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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Fort Madison, IA: $35.47

Avg. Paid

$35.47

Range

$0.00 – $338.53

Total Claims

84,935

Providers

44

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 Fort Madison, IA

Provider Avg. Paid Claims Patients
Amanda Christine Garr

5409 Avenue O

 $29.68 7,887 7,483
Carrie Skibba

5409 Avenue O

 $35.44 6,023 5,767
Nicole Frances Wilcox

5409 Avenue O

 $34.48 5,951 5,669
Bobbi Jo Marshall

5409 Avenue O

 $35.28 5,924 5,657
Gregory F Gorski

5409 Avenue O

 $46.41 5,837 5,391
Robert J Goodwill

5 High Pt

 $32.01 5,137 4,594
David C Wenger-Keller

5409 Avenue O

 $42.64 4,570 4,036
Michelle Lynn Hornung

5409 Avenue O

 $34.67 3,841 3,700
Jennifer Cooper

1501 39Th St

 $37.46 3,441 3,123
Amy D Wallis

5409 Avenue O

 $36.83 3,418 3,200
Bryan Christopher Blacker

5409 Avenue O Ste 121

 $45.56 3,255 3,099
Mariah Skelley

5409 Avenue O

 $29.78 3,146 2,783
Kolleen Burnett

5409 Avenue O

 $47.94 2,609 2,472
Lee County Auditor

3 John Bennett Drive

 $15.03 2,228 2,011
Michelle L Houghton

5445 Avenue O

 $32.67 2,017 1,898
Ruth Barosy

5409 Avenue O

 $50.53 1,763 1,630
Kyle Gibson

5409 Avenue O

 $31.13 1,611 1,455
Paul Francis Ostby

5409 Avenue O

 $29.81 1,560 1,408
Heather Leigh Perry

5409 Avenue O

 $19.49 1,520 1,349
Susan J Holtkamp

5409 Avenue O

 $40.87 1,358 1,267
Kaitlyn Marie Fedler

5445 Avenue O

 $39.32 1,323 1,246
Pauline Mungai

5409 Avenue O

 $30.13 1,203 1,089
Maureen Ann Heitmeier

5409 Avenue O

 $43.96 888 812
Curt C. Mcclellan

5409 Avenue O

 $45.61 873 803
Kathy J Anderson

5409 Avenue O

 $33.55 790 723
Susan E Teggatz

5409 Avenue O

 $38.85 785 706
Timothy Staudte

5409 Avenue O

 $31.93 750 467
Fort Madison Community Hospital

5409 Avenue O

 $5.98 730 626
Amy Gnann

5409 Avenue O

 $42.47 628 588
Chase A. Newton

5409 Avenue O

 $31.92 532 492
Qv Urgent Care Ia Pllc

1501 39Th St

 $0.00 531 495
Roseller Libarnes

5409 Avenue O

 $28.01 511 449
Tatenda Goronga

5409 Avenue O

 $45.64 463 406
Tiffany Rhoades

5445 Avenue O

 $37.46 386 331
Brent Gray Woodbury

5409 Avenue O

 $27.29 335 296
Sara Marie Gudenkauf

5409 Avenue O

 $41.69 293 251
William Napier

5409 Avenue O

 $38.14 283 257
Mark A. Saathoff

702 23Rd St

 $19.71 225 198
Jennifer Griffith

3009 Timberlane Dr

 $15.68 166 155
Lisa Bishop

5409 Avenue O

 $41.16 56 49
Richard Mark Goddard

5445 Avenue O

 $48.79 41 40
Mark Douglas Reynolds

5409 Avenue O

 $17.21 19 14
Christina Goebel

5409 Ave O

 $338.53 15 15
Meenakshi Devi Palani

5409 Avenue O

 $31.43 13 12

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 Fort Madison, IA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fort Madison, IA is $35.47 per claim, based on 84,935 claims from 44 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 Fort Madison, IA?

There are 44 Medicaid providers offering Office Visit related services in Fort Madison, IA according to public payment data.

What is the price range for Office Visit in Fort Madison, IA?

Medicaid reimbursement for Office Visit in Fort Madison, IA ranges from $0.00 to $338.53 per claim, with an average of $35.47. 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 Fort Madison, IA

Blood Work & Lab Tests

Avg $8.82

34,803 claims

Emergency Room Visit

Avg $86.65

25,051 claims

Vaccines & Immunizations

Avg $17.48

21,194 claims

Chiropractic Care

Avg $20.76

11,672 claims

Non-Emergency Medical Transportation

Avg $10.17

9,047 claims

Eye Exam

Avg $36.99

8,589 claims

Personal Care Services

Avg $34.94

6,957 claims

Urinalysis & Urine Tests

Avg $6.97

4,823 claims