Average Medicaid Office Visit Payments in Hiawatha, IA: $36.26
Avg. Paid
$36.26
Range
$0.00 – $66.21
Total Claims
96,814
Providers
42
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 Hiawatha, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alecia P Allen
400 S Blairsferry Xing |
$42.33 | 13,315 | 12,676 |
|
Katherine Elizabeth Andersen
1001 N Center Point Rd |
$35.81 | 7,731 | 7,484 |
|
Brian David Ray
400 S. Blairsferry Crossing |
$38.73 | 6,994 | 6,547 |
|
Vanessa Solomon
1940 Blairs Ferry Rd Ste 104 |
$28.20 | 6,814 | 6,447 |
|
Kristin M. Devore
1075 N Center Point Rd |
$35.30 | 6,108 | 5,517 |
|
Kimberly Stromert
1075 N Center Point Rd |
$36.61 | 5,584 | 4,969 |
|
Mercy Rajesh
1075 N Center Point Rd |
$41.49 | 5,337 | 5,042 |
|
John E Sevening
1075 N Center Point Rd |
$38.86 | 5,213 | 4,837 |
|
Barbara L Neitzel-Schneider
1075 N Center Point Rd |
$37.03 | 5,139 | 4,848 |
|
Lance Allen Goodall
1075 N Center Point Rd |
$40.05 | 4,953 | 4,587 |
|
Shannon C Throndson
400 S Blairsferry Xing |
$38.04 | 3,737 | 3,529 |
|
Stephanie Robinson
1790 Blairs Ferry Rd |
$32.09 | 3,466 | 3,253 |
|
Kelsey Lamb
1214 Dina Ct Ste A |
$30.03 | 2,567 | 2,076 |
|
Karen Harmon
1790 Blairs Ferry Rd |
$29.09 | 2,462 | 2,272 |
|
James William Metzger
1075 N Center Point Rd |
$46.17 | 2,382 | 2,281 |
|
Emily C Fitzpatrick
1001 N Center Point Rd Ste C |
$36.09 | 1,695 | 1,557 |
|
Timothy Sagers
1790 Blairs Ferry Rd |
$37.38 | 1,582 | 1,453 |
|
Paula Marie Ferring
1340 Blairs Ferry Rd |
$29.67 | 1,404 | 1,308 |
|
Paul Steven Boeke
1195 Boyson Rd Ste 200 |
$29.72 | 1,203 | 1,081 |
|
Laura B Lipsett
400 South Blairsferry Crossing |
$34.22 | 1,045 | 911 |
|
Mindy Jean Mensen
1275 N Center Point Rd |
$2.20 | 997 | 956 |
|
Bradley Beer
1790 Blairs Ferry Rd |
$30.16 | 989 | 906 |
|
Kenneth A Cearlock
1350 Boyson Rd Ste 1 |
$42.25 | 738 | 649 |
|
Angela D Dolphin
1790 Blairs Ferry Rd |
$35.38 | 680 | 636 |
|
Erin A Swailes
1350 Boyson Rd Ste 1 |
$29.14 | 629 | 554 |
|
Mackenzie Jeanne Van Rees
1940 Blairs Ferry Rd Ste 104 |
$35.51 | 621 | 598 |
|
Carol A Gunnett
1350 Boyson Road |
$41.89 | 486 | 405 |
|
Brian Robert Dvorak
1350 Boyson Rd |
$14.91 | 484 | 404 |
|
Jody M Hostert
1510 Boyson Rd |
$29.81 | 465 | 441 |
|
Kelsey T Miller
1450 Boyson Rd Ste A |
$28.97 | 462 | 370 |
|
Regina A Torson
1095 N Center Point Rd |
$45.29 | 406 | 386 |
|
Zackery Vandenhout
655 N Center Point Rd |
$0.00 | 249 | 221 |
|
Karen R Dreiling
1075 N Center Point Rd |
$38.88 | 197 | 185 |
|
Shane Kasner
1790 Blairs Ferry Rd |
$24.28 | 193 | 164 |
|
Kassiani Alexandra Kelleher
1340 Blairs Ferry Rd |
$31.11 | 121 | 116 |
|
Shawn Lee Schwabe
400 S Blairsferry Xing |
$37.54 | 81 | 78 |
|
Todd F Dolphin
1450 Boyson Rd Ste A |
$19.25 | 80 | 66 |
|
Erica Anne Craw
400 S Blairsferry Xing |
$35.31 | 67 | 64 |
|
Barbara Jean Roth
1340 Blairs Ferry Rd |
$26.61 | 45 | 41 |
|
Maci Nicole Griffith
400 S Blairsferry Xing |
$33.77 | 44 | 42 |
|
Keenan Paul Laraway
1001 N Center Point Rd Ste C |
$23.38 | 30 | 29 |
|
Edward H Hu
1195 Boyson Rd Ste 200 |
$66.21 | 19 | 16 |
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 Hiawatha, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hiawatha, IA is $36.26 per claim, based on 96,814 claims from 42 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 Hiawatha, IA?
There are 42 Medicaid providers offering Office Visit related services in Hiawatha, IA according to public payment data.
What is the price range for Office Visit in Hiawatha, IA?
Medicaid reimbursement for Office Visit in Hiawatha, IA ranges from $0.00 to $66.21 per claim, with an average of $36.26. 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 Hiawatha, IA
Chiropractic Care
Avg $22.15
35,089 claims
Vaccines & Immunizations
Avg $21.20
33,204 claims
Psychiatric Evaluation
Avg $72.02
25,202 claims
Durable Medical Equipment (DME)
Avg $41.64
15,303 claims
Personal Care Services
Avg $31.24
8,608 claims
Eye Exam
Avg $22.70
6,810 claims
Physical Therapy
Avg $23.80
6,659 claims
Dental Cleaning & Exam
Avg $20.97
5,550 claims