Average Medicaid Office Visit Payments in Marshalltown, IA: $27.72
Avg. Paid
$27.72
Range
$0.00 – $177.20
Total Claims
193,666
Providers
77
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 Marshalltown, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Primary Health Care, Inc.
101 Iowa Ave W |
$0.06 | 44,189 | 37,421 |
|
Center Associates
3809 S Center St |
$61.01 | 23,287 | 21,170 |
|
Laura Ellen Lasack
421 E Merle Hibbs Blvd |
$41.58 | 11,475 | 10,743 |
|
Unitypoint Health - Marshalltown
303 Nicholas Dr Ste 100 |
$0.40 | 10,501 | 9,348 |
|
Wendy Kay Thiessen
421 E Merle Hibbs Blvd |
$42.59 | 7,409 | 6,864 |
|
Kerri Jo Metzger
2001 Gethmann Dr |
$41.40 | 7,088 | 6,551 |
|
Blaine Brian Westemeyer
3 S 4Th Ave |
$17.66 | 6,849 | 6,319 |
|
Lance M. Vangundy
3 S 4Th Ave |
$20.65 | 6,794 | 6,231 |
|
Brach Rene Jones
312 E Main St Ste 1000 |
$32.75 | 5,426 | 4,689 |
|
Jacob Flinkman
3 S 4Th Ave |
$16.55 | 5,061 | 4,717 |
|
Joseph Clair Pollpeter
421 E Merle Hibbs Blvd |
$37.85 | 4,930 | 4,559 |
|
Shannon A Appel
312 E Main St Ste 1000 |
$37.69 | 4,627 | 4,465 |
|
Lynne Janine Desotel
421 E Merle Hibbs Blvd |
$39.79 | 3,848 | 3,611 |
|
Carol B Barlow
421 E Merle Hibbs Blvd |
$32.65 | 3,752 | 3,395 |
|
Marilyn Harter
412 E Church St |
$32.44 | 3,267 | 3,068 |
|
Ross O. Huffman
3 S 4Th Ave |
$21.86 | 2,653 | 2,466 |
|
Jeffrey W Dikis
421 E Merle Hibbs Blvd |
$32.92 | 2,555 | 2,216 |
|
Maria L.M. Olberding
421 E Merle Hibbs Blvd |
$29.37 | 2,315 | 2,156 |
|
Milton J Vangundy
3 S 4Th Ave |
$49.51 | 2,212 | 1,995 |
|
Melissa Michelle Rachuy
3 S 4Th Ave |
$31.55 | 2,186 | 1,764 |
|
Lauren Kay Mancieri
101 Iowa Avenue W |
$43.17 | 2,050 | 1,774 |
|
Heather Diane Stevenson
421 E Merle Hibbs Blvd |
$39.13 | 2,040 | 1,757 |
|
Erin Voyles Hatcher
3809 S Center St |
$58.96 | 2,016 | 1,910 |
|
Stefanie Anne Jimenez
421 E Merle Hibbs Blvd |
$33.75 | 1,858 | 1,703 |
|
Christine M Schmitt
55 Central Iowa Dr |
$44.58 | 1,847 | 1,685 |
|
James David Demmel
312 E Main St |
$10.73 | 1,746 | 1,437 |
|
Lisa Ann Rock
9 N 4Th Ave |
$53.67 | 1,685 | 1,582 |
|
John Adam Hamilton
421 E Merle Hibbs Blvd |
$42.80 | 1,552 | 1,437 |
|
Primary Health Care, Inc.
704 May St |
$0.03 | 1,523 | 1,287 |
|
Gail Marie Dooley
26 S 1St Ave Ste 100 |
$40.65 | 1,345 | 1,279 |
|
Somaia Selim
312 East Main |
$46.11 | 1,273 | 1,174 |
|
Daniel M Delaney
421 E Merle Hibbs Blvd |
$38.70 | 1,168 | 1,059 |
|
Karissa J Junior
802 S Center St |
$42.01 | 1,104 | 1,067 |
|
Taylor Nicole Frizzell
1704 S Center St |
$33.60 | 1,061 | 1,018 |
|
Wolfe Clinic Inc
309 E Church St |
$6.52 | 1,015 | 960 |
|
Brooke Ashton Ibeling
802 S Center St |
$5.91 | 949 | 834 |
|
Mid-Iowa Community Action, Inc
1001 S 18Th Ave |
$13.15 | 765 | 716 |
|
Nicole Richardson
802 S Center St |
$34.51 | 720 | 664 |
|
Timothy Wayne Swinton
412 E Church St |
$7.78 | 697 | 583 |
|
John R Trible
309 E Church St |
$37.29 | 651 | 577 |
|
Roy E Metzger
9 N 4Th Ave |
$53.11 | 636 | 593 |
|
Richard L Dowell
407 E Main St |
$40.56 | 599 | 535 |
|
Bradley A Lister
312 East Main |
$0.00 | 490 | 432 |
|
Megan Eichmeier
9 North 4Th Avenue |
$54.90 | 457 | 411 |
|
Grace N. Ayafor
312 E Main St Ste 2100 |
$41.58 | 399 | 332 |
|
Christine Anne Taylor
412 E Church St |
$177.20 | 391 | 386 |
|
Andrea J Storjohann
412 E Church St |
$58.97 | 383 | 355 |
|
Joshua Heejae Choi
421 E Merle Hibbs Blvd |
$48.85 | 354 | 334 |
|
Faith Thompson
421 E Merle Hibbs Blvd |
$48.43 | 346 | 326 |
|
Unitypoint Health - Marshalltown
55 Unitypoint Way |
$6.05 | 278 | 251 |
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 Marshalltown, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Marshalltown, IA is $27.72 per claim, based on 193,666 claims from 77 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 Marshalltown, IA?
There are 77 Medicaid providers offering Office Visit related services in Marshalltown, IA according to public payment data.
What is the price range for Office Visit in Marshalltown, IA?
Medicaid reimbursement for Office Visit in Marshalltown, IA ranges from $0.00 to $177.20 per claim, with an average of $27.72. 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 Marshalltown, IA
Physical Therapy
Avg $17.11
104,733 claims
Psychiatric Evaluation
Avg $75.92
79,528 claims
Blood Work & Lab Tests
Avg $2.32
78,511 claims
Emergency Room Visit
Avg $154.51
74,521 claims
Dental Cleaning & Exam
Avg $17.27
50,156 claims
Non-Emergency Medical Transportation
Avg $19.01
48,294 claims
Vaccines & Immunizations
Avg $10.49
46,751 claims
Home Health Visit
Avg $118.75
40,626 claims