Average Medicaid Office Visit Payments in Marion, IA: $24.24
Avg. Paid
$24.24
Range
$11.89 – $50.99
Total Claims
201,900
Providers
39
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 Marion, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Arleen Zahn-Houser
3701 Katz Dr |
$11.89 | 106,008 | 7,113 |
|
Richard M Hodge
1100 35Th St |
$41.36 | 29,217 | 27,574 |
|
Timothy R Winters
1100 35Th St |
$44.58 | 14,123 | 13,548 |
|
Ali Safdar
1860 County Home Rd |
$36.15 | 5,538 | 5,118 |
|
Shelby Meyer
3701 Katz Dr |
$31.96 | 4,787 | 4,531 |
|
Kim Lee Keiser
3701 Katz Dr |
$34.73 | 3,648 | 3,395 |
|
Jessica Elise Konarske
2996 7Th Ave |
$40.21 | 3,284 | 3,043 |
|
Deepti Smitha Kurra
2996 7Th Ave Ste B |
$41.73 | 2,955 | 2,816 |
|
Megan O'Brien
3701 Katz Dr |
$36.27 | 2,926 | 2,819 |
|
Ann M Metzger
2996 7Th Ave |
$38.00 | 2,675 | 2,460 |
|
Noel Adams
1655 Blairs Ferry Rd |
$28.95 | 2,458 | 2,105 |
|
Eugene Louis Nassif
1215 Blairs Ferry Rd |
$29.72 | 2,413 | 1,970 |
|
Thomas J Richmann
1100 35Th St |
$34.00 | 2,307 | 2,164 |
|
David K Hemmes
1215 Blairs Ferry Rd |
$17.33 | 2,304 | 1,788 |
|
Megan Kazuye Iannaci
3701 Katz Dr |
$33.93 | 2,206 | 2,059 |
|
Jaclyn M Price
3701 Katz Dr |
$35.48 | 2,144 | 1,970 |
|
Rebekah Siegert
3701 Katz Dr |
$34.36 | 1,660 | 1,602 |
|
Cassandra M Zimmerman
Unitypoint Clinic Family Medicine Tower Terrace |
$30.89 | 1,076 | 992 |
|
Sarah Katherine Storm Gross
2590 6Th Ave Ste 103 |
$40.12 | 1,062 | 973 |
|
Andrea Kay Childs
3731 Irish Dr |
$34.40 | 1,027 | 880 |
|
Amber Nicole Green
2996 7Th Ave |
$29.18 | 976 | 934 |
|
Larae Gail Stemmerman
905 29Th Ave Ste 120 |
$42.09 | 935 | 765 |
|
Julie Hoffmann
3701 Katz Dr |
$30.64 | 849 | 810 |
|
Haley Joy Lammers
3701 Katz Dr |
$33.86 | 793 | 763 |
|
Nancy Ann Boelter
3701 Katz Dr |
$38.73 | 696 | 645 |
|
Roy Lidtke
1215 Blairs Ferry Rd |
$15.65 | 557 | 507 |
|
Taylor King
3731 Irish Dr |
$50.99 | 495 | 456 |
|
Carrie Brown-Benn
3701 Katz Dr |
$26.87 | 473 | 408 |
|
Lisa Marie Schwiebert
2996 7Th Ave Ste B |
$36.05 | 409 | 364 |
|
Matthew Fox
3701 Katz Dr |
$34.99 | 336 | 303 |
|
Janelle Rowan Koenen
2996 7Th Ave |
$26.80 | 316 | 278 |
|
Alyssa Ryanne Goddard Verheyen
3731 Irish Dr |
$32.29 | 303 | 284 |
|
Chelsie Marie Snyder
1215 Blairs Ferry Rd |
$23.02 | 300 | 265 |
|
Megan Renee Hart-Fernandez
1035 Blairs Ferry Rd |
$45.08 | 295 | 223 |
|
Fred Goldblatt
2996 7Th Ave |
$38.55 | 170 | 164 |
|
Jordan Barber
2996 7Th Ave |
$36.72 | 87 | 85 |
|
Jessica Lynn Jacobson
1195 E Post Rd Unit 4 |
$30.00 | 45 | 38 |
|
Jessica Quinn
3701 Katz Dr |
$37.23 | 28 | 26 |
|
David Christensen
1065 East Post Rd |
$38.68 | 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 Marion, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Marion, IA is $24.24 per claim, based on 201,900 claims from 39 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 Marion, IA?
There are 39 Medicaid providers offering Office Visit related services in Marion, IA according to public payment data.
What is the price range for Office Visit in Marion, IA?
Medicaid reimbursement for Office Visit in Marion, IA ranges from $11.89 to $50.99 per claim, with an average of $24.24. 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 Marion, IA
Home Health Visit
Avg $186.68
59,634 claims
Non-Emergency Medical Transportation
Avg $16.36
52,296 claims
Chiropractic Care
Avg $24.81
42,523 claims
Psychiatric Evaluation
Avg $69.83
25,935 claims
Blood Work & Lab Tests
Avg $10.72
7,059 claims
Durable Medical Equipment (DME)
Avg $28.26
6,950 claims
Dental Cleaning & Exam
Avg $12.93
5,320 claims
Eye Exam
Avg $42.24
4,888 claims