Average Medicaid Office Visit Payments in Mason City, IA: $32.52
Avg. Paid
$32.52
Range
$0.00 – $313.15
Total Claims
251,985
Providers
192
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 Mason City, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Prairie Ridge Integrated Behavioral Healthcare
320 N Eisenhower Ave |
$63.57 | 22,327 | 18,581 |
|
Jaffar A Shaikh
910 N Eisenhower |
$31.58 | 9,900 | 9,190 |
|
Community Health Center Of Fort Dodge, Inc.
404 N Federal Ave |
$0.12 | 8,418 | 6,975 |
|
Hameed M Khan
1420 4Th St Se |
$54.60 | 8,130 | 7,225 |
|
Christopher Michael Morse
1010 4Th St Sw Ste 340 |
$26.81 | 6,929 | 6,478 |
|
Mark D Dankle
1631 4Th St Sw Ste 114A |
$28.60 | 6,406 | 6,052 |
|
Hashim Z. Eldadah
910 N Eisenhower Ave |
$32.48 | 6,300 | 5,863 |
|
Lynne M Senty
1631 4Th St Sw Ste 114A |
$33.53 | 6,237 | 5,973 |
|
Martin G Meindl
1000 4Th St Sw |
$31.22 | 5,918 | 5,532 |
|
Jerrold L White
1010 4Th St Sw Ste 340 |
$27.02 | 5,672 | 5,358 |
|
Rogerio Miranda Ramos
250 S Crescent Dr Ste 10 |
$22.17 | 5,130 | 4,463 |
|
Patrick Alan Courtney
1010 4Th St Sw Ste 240 |
$29.16 | 5,086 | 4,710 |
|
Cherielynn S Wagner
621 S Illinois Ave Ste 100 |
$26.67 | 4,383 | 3,916 |
|
Melinda Ann Struthoff
320 N Eisenhower Ave |
$15.42 | 3,947 | 3,262 |
|
Jalaja Gundrathi
910 N Eisenhower |
$35.60 | 3,786 | 3,516 |
|
Sandra Rohr
404 N Federal Ave |
$23.10 | 3,700 | 3,248 |
|
Alireza Yarahmadi
1000 4Th St Sw |
$20.62 | 3,697 | 3,503 |
|
June B Vogelman
910 N Eisenhower Ave |
$29.26 | 3,660 | 3,572 |
|
Timothy Dettmer
250 S Crescent Dr |
$44.61 | 3,557 | 3,415 |
|
Shumaila Masood
621 S Illinois Ave |
$51.92 | 3,288 | 2,800 |
|
Aileen R Prabhakaran
910 N Eisenhower Ave |
$39.39 | 3,172 | 3,043 |
|
Diane S Frakes-Julius
1000 4Th St Sw |
$26.48 | 3,122 | 2,918 |
|
Tami R Wiegmann
910 N Eisenhower |
$31.09 | 3,093 | 2,876 |
|
Michael David Gerber
404 N Federal Ave |
$21.80 | 3,065 | 2,893 |
|
Yen Chen Liu
1421 4Th St Sw |
$25.90 | 3,003 | 2,868 |
|
Mark C Johnson
910 N Eisenhower Ave |
$26.30 | 3,000 | 2,903 |
|
Mark E Lassise
250 S Crescent Dr Ste 10 |
$13.15 | 2,993 | 2,788 |
|
Shelby Renae Allen-Benitz
235 S Eisenhower Ave |
$30.30 | 2,957 | 2,862 |
|
Vishram Jalukar
250 S Crescent Dr |
$40.85 | 2,789 | 2,704 |
|
Harpreet Kaur
910 N Eisenhower Ave |
$34.24 | 2,751 | 2,624 |
|
Scott Donohoe
250 S Crescent Dr |
$25.67 | 2,701 | 2,535 |
|
Andrea Anderson
250 S Crescent Dr |
$21.77 | 2,557 | 2,283 |
|
Brianna D Jewell
1010 4Th St Sw |
$27.95 | 2,410 | 2,267 |
|
Kelli Badker
1000 4Th St Sw |
$24.32 | 2,389 | 2,254 |
|
Edward S Henrich
250 S Crescent Dr |
$22.05 | 2,378 | 2,224 |
|
Rene Marie Duregger
250 S Crescent Dr |
$32.96 | 2,285 | 2,136 |
|
Analisa R Haberman
621 S Illinois Ave |
$26.93 | 2,250 | 2,040 |
|
Chad M Mccambridge
1010 4Th St Sw |
$26.08 | 2,218 | 2,104 |
|
Khan Medical Associates Pc
1420 4Th St Se |
$58.92 | 2,087 | 1,932 |
|
Luke Armin Hachfeld
2800 4Th St Sw Ste 8 |
$27.83 | 1,933 | 1,691 |
|
Erin C Peterson
910 N Eisenhower Ave |
$17.76 | 1,857 | 1,741 |
|
Joy Schrader
910 N Eisenhower Ave |
$24.10 | 1,814 | 1,763 |
|
Donell M Timpe
1010 4Th St Sw |
$24.50 | 1,786 | 1,636 |
|
North Iowa Community Action Organization
100 1St St Nw, Suite 200 |
$30.51 | 1,764 | 1,243 |
|
John L Boedeker
1010 4Th St Sw |
$22.98 | 1,729 | 1,592 |
|
Nicole Sheffield
250 S Crescent Dr |
$27.36 | 1,729 | 1,570 |
|
Rajendra Singh
1000 4Th St Sw |
$54.72 | 1,696 | 1,533 |
|
Mahala Phillips
910 N Eisenhower Ave |
$26.75 | 1,659 | 1,614 |
|
Henry Richard Diggelmann
250 S Crescent Dr |
$50.92 | 1,588 | 1,513 |
|
Susan E Sieh
1631 4Th St Sw Ste 114B |
$26.01 | 1,483 | 1,322 |
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 Mason City, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mason City, IA is $32.52 per claim, based on 251,985 claims from 192 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 Mason City, IA?
There are 192 Medicaid providers offering Office Visit related services in Mason City, IA according to public payment data.
What is the price range for Office Visit in Mason City, IA?
Medicaid reimbursement for Office Visit in Mason City, IA ranges from $0.00 to $313.15 per claim, with an average of $32.52. 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 Mason City, IA
Psychiatric Evaluation
Avg $72.80
173,529 claims
Blood Work & Lab Tests
Avg $2.12
101,878 claims
Dental Cleaning & Exam
Avg $23.62
93,067 claims
Emergency Room Visit
Avg $114.20
89,920 claims
Chiropractic Care
Avg $22.65
61,891 claims
X-Ray
Avg $14.28
44,313 claims
Vaccines & Immunizations
Avg $18.52
41,423 claims
EKG / ECG (Electrocardiogram)
Avg $7.56
29,813 claims