Average Medicaid Office Visit Payments in Grinnell, IA: $20.78
Avg. Paid
$20.78
Range
$0.00 – $53.37
Total Claims
50,379
Providers
29
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 Grinnell, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Grinnell Regional Medical Center
202 4Th Ave |
$0.06 | 19,995 | 18,128 |
|
Luke Robert Perrin
210 4Th Ave |
$37.86 | 7,405 | 6,803 |
|
Matthew Christopher Mcknight
202 4Th Ave |
$24.79 | 2,972 | 2,396 |
|
Lynn Marie Moorman
210 4Th Ave |
$29.87 | 2,821 | 2,705 |
|
Laura Marie Ferguson
224 3Rd Ave |
$35.36 | 2,190 | 1,961 |
|
Joseph Whitman
122 4Th Avenue |
$53.37 | 2,156 | 2,016 |
|
Ryan Dahlby Albright
224 3Rd Ave |
$35.67 | 1,983 | 1,746 |
|
Corinne E Fogle
303 East St |
$43.83 | 1,516 | 1,341 |
|
Mathew Severidt
122 4Th Ave |
$42.80 | 1,258 | 1,218 |
|
Stefanie Noun
122 4Th Ave |
$26.79 | 1,201 | 1,098 |
|
Lisa R James
217 4Th Ave W |
$30.66 | 1,128 | 1,023 |
|
Gene Stebbins Gessner
210 4Th Ave |
$23.71 | 865 | 781 |
|
David D Coster
122 4Th Ave |
$34.04 | 823 | 744 |
|
Guy M Mccaw
210 4Th Ave |
$36.68 | 797 | 701 |
|
Clayton A Francis
210 4Th Ave |
$15.58 | 584 | 550 |
|
Patrick J Cogley
210 4Th Ave |
$30.78 | 534 | 510 |
|
Mahmod Fathi El-Tayash
122 4Th Ave |
$48.06 | 383 | 371 |
|
Qv Urgent Care Ia Pllc
213 West St S |
$0.00 | 287 | 260 |
|
Felicia Hoerner
200 4Th Ave W |
$12.66 | 256 | 225 |
|
Brittany Lee Hinkle
213 West St S |
$21.80 | 252 | 237 |
|
Anthony Tedesco
202 4Th Ave Ste 201 |
$47.98 | 220 | 203 |
|
Ryan Hargraves
200 4Th Ave W |
$27.39 | 164 | 148 |
|
Kenzie Leanne Huyser
217 4Th Ave W |
$38.45 | 132 | 123 |
|
James R Paulson
217 4Th Ave W |
$32.04 | 99 | 84 |
|
Jennifer Marie Slifer
809 4Th Ave |
$0.00 | 98 | 85 |
|
Jacob Daniel Boyer
210 4Th Ave |
$12.79 | 88 | 78 |
|
Grinnell Regional Medical Center
210 4Th Ave |
$7.38 | 77 | 70 |
|
Katelyn Sue Beyer
210 4Th Ave |
$19.08 | 65 | 59 |
|
Wendi Lynn Beck
210 4Th Ave |
$16.11 | 30 | 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 Grinnell, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Grinnell, IA is $20.78 per claim, based on 50,379 claims from 29 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 Grinnell, IA?
There are 29 Medicaid providers offering Office Visit related services in Grinnell, IA according to public payment data.
What is the price range for Office Visit in Grinnell, IA?
Medicaid reimbursement for Office Visit in Grinnell, IA ranges from $0.00 to $53.37 per claim, with an average of $20.78. 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 Grinnell, IA
Psychiatric Evaluation
Avg $72.39
27,616 claims
Vaccines & Immunizations
Avg $5.65
14,546 claims
Blood Work & Lab Tests
Avg $5.17
10,886 claims
Chiropractic Care
Avg $22.40
8,600 claims
Dental Cleaning & Exam
Avg $22.36
7,261 claims
Emergency Room Visit
Avg $111.06
4,857 claims
Behavioral & Mental Health Therapy
Avg $77.97
4,402 claims
Eye Exam
Avg $26.60
2,993 claims