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 |
|---|---|---|---|
|
Leanne K. Knoop
303 Nicholas Dr |
$32.23 | 12 | 12 |
|
Michael Eugene Knutsen
421 E Merle Hibbs Blvd |
$19.09 | 14 | 13 |
|
Ann M Gessner
407 E Main St |
$25.03 | 14 | 12 |
|
Katherine Celia Eaton
412 E Church St |
$0.00 | 14 | 14 |
|
Douglas F Steenblock
9 N 4Th Ave |
$32.05 | 17 | 14 |
|
Kelli Ann Buresh
55 Central Iowa Dr |
$12.83 | 17 | 13 |
|
Darrell A. Jebsen
312 E Main St |
$25.58 | 17 | 13 |
|
Leah A. Bethel
3 South 4Th Ave |
$24.91 | 26 | 25 |
|
Maemie Lynn Miller
405 E Main St |
$36.09 | 29 | 26 |
|
Ann L Jones
303 Nicholas Dr |
$37.05 | 33 | 33 |
|
Jaime M. Hooley
405 E Main St |
$1.92 | 36 | 27 |
|
Darin James Larson
51 Unitypoint Way |
$87.71 | 36 | 35 |
|
Sherri J Stebniski
802 S Center St |
$16.21 | 38 | 38 |
|
Substance Abuse Treatment Unit Of Central Iowa
9 North 4Th Avenue |
$71.26 | 41 | 33 |
|
Connie Jo Feldman
501 E Main St |
$14.41 | 45 | 43 |
|
Christopher M Hanson
312 E Main St Ste 2300 |
$21.11 | 47 | 41 |
|
Melissa Ann Koch
407 E Main St |
$36.64 | 58 | 55 |
|
Amy Marie Huynh
26 S 1St Ave |
$34.15 | 63 | 57 |
|
Michael F. Miriovsky
312 E Main St |
$42.18 | 66 | 64 |
|
Denise C Gimbel
309 E Church St |
$28.22 | 71 | 65 |
|
Melinda Arnold
421 E Merle Hibbs Blvd |
$45.13 | 113 | 112 |
|
Andrew John Dolfie
3 S 4Th Ave |
$19.07 | 123 | 116 |
|
Mariah Hope Fritz-Chyma
3 S 4Th Ave |
$15.55 | 131 | 121 |
|
John Michael Mccune
405 E. Main |
$11.48 | 133 | 89 |
|
Cindy S Cruikshank
412 E Church St |
$0.30 | 142 | 121 |
|
Rebecca M Driscoll
1704 S Center St |
$35.47 | 246 | 240 |
|
Mckenzie Mae Cooper
3 S 4Th Ave |
$17.73 | 262 | 251 |
|
Unitypoint Health - Marshalltown
55 Unitypoint Way |
$6.05 | 278 | 251 |
|
Faith Thompson
421 E Merle Hibbs Blvd |
$48.43 | 346 | 326 |
|
Joshua Heejae Choi
421 E Merle Hibbs Blvd |
$48.85 | 354 | 334 |
|
Andrea J Storjohann
412 E Church St |
$58.97 | 383 | 355 |
|
Christine Anne Taylor
412 E Church St |
$177.20 | 391 | 386 |
|
Grace N. Ayafor
312 E Main St Ste 2100 |
$41.58 | 399 | 332 |
|
Megan Eichmeier
9 North 4Th Avenue |
$54.90 | 457 | 411 |
|
Bradley A Lister
312 East Main |
$0.00 | 490 | 432 |
|
Richard L Dowell
407 E Main St |
$40.56 | 599 | 535 |
|
Roy E Metzger
9 N 4Th Ave |
$53.11 | 636 | 593 |
|
John R Trible
309 E Church St |
$37.29 | 651 | 577 |
|
Timothy Wayne Swinton
412 E Church St |
$7.78 | 697 | 583 |
|
Nicole Richardson
802 S Center St |
$34.51 | 720 | 664 |
|
Mid-Iowa Community Action, Inc
1001 S 18Th Ave |
$13.15 | 765 | 716 |
|
Brooke Ashton Ibeling
802 S Center St |
$5.91 | 949 | 834 |
|
Wolfe Clinic Inc
309 E Church St |
$6.52 | 1,015 | 960 |
|
Taylor Nicole Frizzell
1704 S Center St |
$33.60 | 1,061 | 1,018 |
|
Karissa J Junior
802 S Center St |
$42.01 | 1,104 | 1,067 |
|
Daniel M Delaney
421 E Merle Hibbs Blvd |
$38.70 | 1,168 | 1,059 |
|
Somaia Selim
312 East Main |
$46.11 | 1,273 | 1,174 |
|
Gail Marie Dooley
26 S 1St Ave Ste 100 |
$40.65 | 1,345 | 1,279 |
|
Primary Health Care, Inc.
704 May St |
$0.03 | 1,523 | 1,287 |
|
John Adam Hamilton
421 E Merle Hibbs Blvd |
$42.80 | 1,552 | 1,437 |
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