Average Medicaid Office Visit Payments in Guthrie Center, IA: $28.57
Avg. Paid
$28.57
Range
$2.78 – $37.75
Total Claims
12,898
Providers
14
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 Guthrie Center, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sara Ann Vaneffen
710 N 12Th St |
$25.01 | 2,938 | 2,629 |
|
Cody Marie Silker-Wilhite
710 N 12Th St |
$26.21 | 2,381 | 2,175 |
|
Steven R Bascom
502 Main St |
$35.19 | 2,157 | 1,855 |
|
David R Ahrens
502 Main |
$35.74 | 1,577 | 1,367 |
|
Stephanie M Reinhart
710 N 12Th St |
$18.16 | 907 | 848 |
|
Anuj Wadhwa
710 N 12Th St |
$34.22 | 844 | 679 |
|
Jeffrey Ronald Roske
710 N 12Th St |
$34.51 | 834 | 772 |
|
Guthrie County Hospital
710 N 12Th St |
$15.74 | 296 | 256 |
|
Bethany Jean Woods
710 N 12Th St |
$21.32 | 285 | 268 |
|
Amber C Dardanes
710 N 10Th St |
$24.38 | 278 | 268 |
|
Marcia Carol Roenfeld
710 N 12Th St |
$28.55 | 207 | 177 |
|
Eric L Jones
710 N 12Th St |
$2.78 | 122 | 106 |
|
Austin J Boeckman
710 N 12Th St |
$37.75 | 54 | 45 |
|
Jane K Deets
710 N 12Th St |
$22.87 | 18 | 17 |
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 Guthrie Center, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Guthrie Center, IA is $28.57 per claim, based on 12,898 claims from 14 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 Guthrie Center, IA?
There are 14 Medicaid providers offering Office Visit related services in Guthrie Center, IA according to public payment data.
What is the price range for Office Visit in Guthrie Center, IA?
Medicaid reimbursement for Office Visit in Guthrie Center, IA ranges from $2.78 to $37.75 per claim, with an average of $28.57. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Guthrie Center, IA
Emergency Room Visit
Avg $113.71
6,421 claims
Tooth Extraction
Avg $92.98
5,977 claims
Chiropractic Care
Avg $21.29
5,816 claims
Blood Work & Lab Tests
Avg $8.40
5,216 claims
Dental Cleaning & Exam
Avg $27.01
3,781 claims
Vaccines & Immunizations
Avg $9.03
1,918 claims
Urinalysis & Urine Tests
Avg $0.59
890 claims
Home Health Visit
Avg $71.75
505 claims