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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Le Mars, IA: $47.93

Avg. Paid

$47.93

Range

$0.00 – $64.38

Total Claims

69,886

Providers

30

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 Le Mars, IA

Provider Avg. Paid Claims Patients
Jay T Strittholt

714 Lincoln St Ne

 $14.87 18 12
Gary M Tillman

714 Lincoln St Ne

 $26.65 18 14
Lisa Marie Coleman

1 Blue Bunny Dr Sw

 $31.08 22 14
Conor Robert Kneip

1431 14Th Ave Se

 $0.00 83 49
Cynthia K. Wolff

714 Lincoln St Ne

 $37.02 178 153
Brian Thomas Fulton

180 10Th St Se

 $29.76 191 177
Sean Sutphen

714 Lincoln St Ne

 $40.85 205 179
Jessica L Hudspeth

180 10Th St Se Ste 201

 $29.56 297 277
Deeane Marie Otto

194 6Th Ave Ne

 $30.59 299 268
Kay Lynn Kosters

714 Lincoln St Ne

 $31.73 385 356
Kari Varner

194 6Th Ave Ne

 $31.68 456 429
Paul Martin Parmelee

194 6Th Ave Ne

 $33.24 519 459
Tana Rae Kass

33 Central Ave Nw Ste A

 $0.12 680 628
Sarah Jo Hunt

714 Lincoln St Ne

 $28.78 989 932
Destiny M Miller-Mancuso

714 Lincoln St. Ne

 $46.62 1,384 1,111
Kendra Walker

180 10Th St Se

 $49.17 1,412 1,342
Andrew J Geha

714 Lincoln St Ne

 $37.65 1,448 1,303
Ashley Powell

714 Lincoln St Ne

 $35.45 1,579 1,352
Sheila Rae Holcomb

714 Lincoln St Ne

 $34.68 1,619 1,448
Geri L Schroeder

714 Lincoln St Ne

 $30.65 1,657 1,527
Christel Jean Rinehart

180 10Th St Se

 $56.72 1,666 1,413
Jolene Faye Meis

194 6Th Ave Ne

 $37.21 2,075 1,853
Maria E Catalan-Aquino

194 6Th Ave Ne

 $35.36 2,220 1,997
Charles R Tilley

180 10Th St Se Ste 201

 $37.83 2,316 2,243
Donald E Odens

714 Lincoln St Ne

 $40.87 3,088 2,738
Steven Joseph Meis

714 Lincoln St Ne

 $36.58 3,234 2,919
Cara R Meins

714 Lincoln St Ne

 $30.38 3,363 3,069
Nicole C Thomas

16507 Mahogany Ave

 $49.95 3,447 3,059
Amanda Larson

420 12Th St Se

 $2.26 3,652 3,371
Plains Area Mental Health, Inc.

180 10Th St Se

 $64.38 31,386 28,755

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 Le Mars, IA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Le Mars, IA is $47.93 per claim, based on 69,886 claims from 30 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 Le Mars, IA?

There are 30 Medicaid providers offering Office Visit related services in Le Mars, IA according to public payment data.

What is the price range for Office Visit in Le Mars, IA?

Medicaid reimbursement for Office Visit in Le Mars, IA ranges from $0.00 to $64.38 per claim, with an average of $47.93. 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 Le Mars, IA

Case Management Services

Avg $0.00

128,637 claims

Psychiatric Evaluation

Avg $86.48

112,285 claims

Chiropractic Care

Avg $20.27

22,404 claims

Substance Abuse Treatment

Avg $0.01

15,221 claims

Behavioral & Mental Health Therapy

Avg $165.64

13,182 claims

Vaccines & Immunizations

Avg $6.03

8,864 claims

Eye Exam

Avg $48.01

5,655 claims

Speech Therapy

Avg $57.14

5,615 claims