Average Medicaid Office Visit Payments in Iowa City, IA: $49.62
Avg. Paid
$49.62
Range
$0.00 – $334.44
Total Claims
731,963
Providers
943
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 Iowa City, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Katherine L Imborek
3640 Middlebury Rd |
$38.64 | 29,317 | 27,674 |
|
Jeffrey F Jones
740 Elliott Ct |
$37.64 | 14,685 | 14,107 |
|
Chao Li
200 Hawkins Dr |
$70.95 | 12,862 | 11,702 |
|
State University Of Iowa
200 Hawkins Dr |
$6.72 | 12,804 | 10,877 |
|
Planned Parenthood Of The Heartland, Inc
850 Orchard St |
$51.23 | 8,392 | 7,995 |
|
Molly Kristine Cousin
200 Hawkins Dr |
$36.15 | 6,809 | 6,237 |
|
Joshua D Petersen
200 Hawkins Dr |
$37.63 | 6,610 | 6,008 |
|
Joseph D Boysen
605 E Jefferson St |
$34.89 | 5,694 | 5,249 |
|
Desire Christensen
200 Hawkins Dr |
$63.17 | 5,431 | 4,419 |
|
Eilene M Swartz
201 S Clinton St Ste 168 |
$35.67 | 5,363 | 4,293 |
|
Ferhat Evliyaoglu
200 Hawkins Dr |
$135.22 | 5,262 | 4,673 |
|
Delwyn D Miller
200 Hawkins Dr |
$43.40 | 5,127 | 4,780 |
|
George Samuel Sehl
805 S Gilbert St |
$19.35 | 5,053 | 3,923 |
|
Douglas A Powell
200 Hawkins Dr |
$49.74 | 4,977 | 4,671 |
|
Brent L Kinsey
200 Hawkins Dr |
$69.65 | 4,885 | 4,582 |
|
Anne M Boileau
269 N 1St Ave |
$40.38 | 4,764 | 4,603 |
|
Nathan Alan Shaw
200 Hawkins Dr |
$87.27 | 4,739 | 4,519 |
|
Jose A Morcuende
200 Hawkins Dr |
$46.11 | 4,658 | 4,368 |
|
Christopher Callahan Schuster
269 N 1St Ave |
$37.53 | 4,521 | 4,064 |
|
Miriam Clarke Gardner
1360 N Dodge St |
$36.18 | 4,421 | 4,046 |
|
Susan M. Duffy
200 Hawkins Dr |
$47.98 | 4,397 | 4,195 |
|
Michael Maharry
200 Hawkins Dr |
$53.15 | 4,346 | 4,026 |
|
Kathleen Wild
200 Hawkins Dr |
$52.10 | 4,279 | 4,134 |
|
Jill L Liesveld
200 Hawkins Dr |
$49.92 | 4,186 | 3,791 |
|
Michael James Reed
2615 Northgate Dr |
$51.45 | 4,185 | 3,951 |
|
Heather Renee Kowalski
200 Hawkins Dr |
$45.28 | 4,068 | 3,913 |
|
Rebecca Lyn Zwanziger
200 Hawkins Dr |
$40.47 | 3,965 | 3,720 |
|
Renee Elizabeth Nydegger
4189 Westlawn S |
$38.65 | 3,910 | 3,737 |
|
Todd A Pentico
269 N 1St Ave |
$40.47 | 3,829 | 3,475 |
|
Monika R Jindal
3640 Middlebury Rd |
$48.77 | 3,768 | 2,251 |
|
Udaya Marie Kabadi
200 Hawkins Drive |
$27.39 | 3,762 | 3,549 |
|
Lauren M Thomann
200 Hawkins Dr |
$46.76 | 3,750 | 3,368 |
|
Stacy Ann Granner
1360 N Dodge St |
$35.63 | 3,696 | 3,478 |
|
Nicole Ann Payne
200 Hawkins Dr |
$32.46 | 3,639 | 3,484 |
|
Allison Judge
201 S Clinton St Ste 168 |
$8.47 | 3,568 | 2,766 |
|
Ingrid Goldenstein
1360 N Dodge St |
$34.86 | 3,562 | 3,320 |
|
Aaron John Kauer
200 Hawkins Dr |
$60.52 | 3,532 | 3,384 |
|
Joshua Tokita
200 Hawkins Dr |
$178.81 | 3,493 | 3,356 |
|
Stuart L Weinstein
200 Hawkins Dr |
$42.77 | 3,420 | 3,324 |
|
Jodi T Tate
200 Hawkins Dr |
$32.32 | 3,382 | 2,946 |
|
Michelle L Schnack
200 Hawkins Dr |
$49.12 | 3,380 | 3,187 |
|
Joshua B Holt
200 Hawkins Dr |
$57.90 | 3,340 | 3,246 |
|
Leah Marie Zhorne
200 Hawkins Dr |
$74.97 | 3,306 | 3,236 |
|
Sandra Kay Koppes
201 S Clinton St Ste 168 |
$35.99 | 3,117 | 3,003 |
|
Julie Kathryn Osterhaus
200 Hawkins Dr |
$69.65 | 3,077 | 3,015 |
|
Nancy M Bauman
University Of Iowa Hospitals & Clinics |
$70.22 | 3,068 | 2,949 |
|
Shalina Shaik
200 Hawkins Dr |
$61.47 | 3,063 | 2,860 |
|
Daniel Robert Olney
2615 Northgate Dr |
$52.63 | 2,972 | 2,803 |
|
Melissa Sue Jay Willis
200 Hawkins Dr |
$57.04 | 2,950 | 2,835 |
|
Tinu Bastian
3640 Middlebury Rd |
$43.55 | 2,892 | 2,810 |
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 Iowa City, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Iowa City, IA is $49.62 per claim, based on 731,963 claims from 943 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 Iowa City, IA?
There are 943 Medicaid providers offering Office Visit related services in Iowa City, IA according to public payment data.
What is the price range for Office Visit in Iowa City, IA?
Medicaid reimbursement for Office Visit in Iowa City, IA ranges from $0.00 to $334.44 per claim, with an average of $49.62. 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 Iowa City, IA
Blood Work & Lab Tests
Avg $3.36
396,970 claims
X-Ray
Avg $9.32
315,070 claims
Emergency Room Visit
Avg $119.10
302,845 claims
Dental Cleaning & Exam
Avg $30.93
280,322 claims
EKG / ECG (Electrocardiogram)
Avg $8.44
178,871 claims
Ultrasound
Avg $58.44
165,568 claims
Vaccines & Immunizations
Avg $19.42
124,999 claims
Tooth Extraction
Avg $84.79
101,532 claims