Average Medicaid Office Visit Payments in Grimes, IA: $36.04
Avg. Paid
$36.04
Range
$0.00 – $75.54
Total Claims
28,953
Providers
19
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 Grimes, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Samuel Lahr
925 Se Gateway Dr # 300 |
$0.00 | 34 | 32 |
|
Stacy Michelle Lister
101 Se Destination Dr |
$36.87 | 94 | 87 |
|
Shauna Alexis Baker
825 Ne Gateway Dr Ste 148 |
$29.84 | 118 | 108 |
|
Jennifer Lyn Messersmith
250 Sw Brookside Dr |
$35.10 | 388 | 343 |
|
Kurt J Klise
250 Sw Brookside Dr |
$34.18 | 449 | 376 |
|
Paul Eirik Otteson
825 Ne Gateway Dr Ste 148 |
$75.54 | 738 | 713 |
|
Brad Michael Willenbring
825 Ne Gateway Dr Ste 148 |
$37.66 | 996 | 929 |
|
Adam Elliott Culver
250 Sw Brookside Dr |
$34.81 | 1,047 | 932 |
|
Samantha Schwenneker
250 Sw Brookside Dr |
$42.86 | 1,077 | 948 |
|
Mirnes Kadic
825 Ne Gateway Dr Ste 148 |
$34.89 | 1,425 | 1,227 |
|
Hyo Young Seo Smith
101 Se Destination Dr |
$40.80 | 1,658 | 1,554 |
|
Jennifer Linn Gerrietts
250 Sw Brookside Dr |
$42.50 | 1,990 | 1,815 |
|
Erin E Swenka
250 Sw Brookside Dr |
$37.14 | 2,338 | 2,076 |
|
Dennis L Bussey
101 Se Destination Drive |
$39.23 | 2,345 | 2,177 |
|
Tiffany Ketcham
825 Ne Gateway Dr Ste 148 |
$35.62 | 2,452 | 2,238 |
|
Heidi Elizabeth Curtis
1895 Se Grimes Blvd Ste 103 |
$31.35 | 2,595 | 2,428 |
|
Kara Jan Reis
250 Sw Brookside Dr |
$21.75 | 2,642 | 2,162 |
|
Carin A Bejarno
1551 Se 3Rd St |
$31.90 | 3,117 | 2,889 |
|
Nicole Stoecken
825 Ne Gateway Drive |
$36.34 | 3,450 | 2,963 |
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 Grimes, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Grimes, IA is $36.04 per claim, based on 28,953 claims from 19 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 Grimes, IA?
There are 19 Medicaid providers offering Office Visit related services in Grimes, IA according to public payment data.
What is the price range for Office Visit in Grimes, IA?
Medicaid reimbursement for Office Visit in Grimes, IA ranges from $0.00 to $75.54 per claim, with an average of $36.04. 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 Grimes, IA
Dental Cleaning & Exam
Avg $22.72
25,187 claims
Blood Work & Lab Tests
Avg $3.82
7,714 claims
Chiropractic Care
Avg $25.84
6,756 claims
Non-Emergency Medical Transportation
Avg $46.28
6,417 claims
Vaccines & Immunizations
Avg $13.73
5,467 claims
Eye Exam
Avg $46.79
3,105 claims
Tooth Extraction
Avg $50.57
2,120 claims
Dental Filling
Avg $59.96
1,679 claims