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 |
|---|---|---|---|
|
North Iowa Mercy Clinics
1631 4Th St Sw |
$27.43 | 12 | 12 |
|
Sepideh Darbandi
250 S Crescent Dr |
$12.63 | 12 | 12 |
|
James P Karkos
1421 4Th St Sw |
$29.65 | 12 | 12 |
|
Kari L Swisher
250 S Crescent Dr |
$14.20 | 12 | 12 |
|
Michael Todd Spooner
250 S Crescent Dr |
$12.79 | 13 | 13 |
|
Rachel Hupke
1000 4Th St Sw |
$16.04 | 13 | 12 |
|
Khaled Mohamed Sharkawy Nada
1000 4Th St Sw |
$7.26 | 13 | 12 |
|
Lisa A Quigley
1000 4Th St Sw |
$22.17 | 13 | 12 |
|
Kyle William Ryan
250 S Crescent Dr |
$15.92 | 13 | 13 |
|
David William Haas
1403 S. Federal Ave. |
$0.00 | 13 | 13 |
|
James Tatkon-Coker
250 S Crescent Dr |
$7.18 | 13 | 13 |
|
Richard R Rattin
1446 N Carolina Ave |
$48.75 | 14 | 14 |
|
Megan Marie Hejlik
621 S Illinois Ave |
$21.45 | 14 | 12 |
|
Mark I Chieh Hong
1000 4Th St Sw |
$14.02 | 14 | 14 |
|
Louise H Cragg
1000 4Th St Sw |
$35.10 | 17 | 13 |
|
North Iowa Mercy Clinics
1631 4Th St Sw Ste 114B |
$14.27 | 18 | 13 |
|
Michael L Korthals
422 S Pierce Ave |
$44.53 | 18 | 12 |
|
Paige Burtness
250 S Crescent Dr |
$25.49 | 21 | 17 |
|
Charles A Debrah
1010 4Th St Sw |
$26.23 | 24 | 24 |
|
Claire Williams
1421 4Th St Sw |
$41.33 | 24 | 24 |
|
Tina J Reid
1000 4Th St Sw |
$8.87 | 25 | 25 |
|
Harsha R Jayawardena
250 S Crescent Dr |
$41.39 | 26 | 24 |
|
Nimalka Panamulla Jayatilleka
621 S Illinois Ave |
$30.27 | 26 | 25 |
|
Nancy K Beavers
1010 4Th St Sw |
$22.64 | 27 | 26 |
|
Sandra Leticia Reis Crosara
1000 4Th St Sw |
$22.62 | 31 | 26 |
|
Rene Recinos
250 S Crescent Dr |
$53.72 | 38 | 37 |
|
Darron M Jones
250 S Crescent Dr |
$20.81 | 40 | 36 |
|
Ryan Douglas Beardsley
1010 4Th St Sw Ste 220 |
$34.12 | 44 | 39 |
|
Chad H Boyer
250 S Crescent Dr |
$17.64 | 46 | 43 |
|
North Iowa Mercy Clinics
1010 4Th St Sw Ste 120 |
$16.22 | 49 | 47 |
|
Mark M Leduc
1010 4Th St Sw |
$28.47 | 56 | 51 |
|
Lindsey Faber
1010 4Th St Sw Ste 220 |
$20.65 | 60 | 57 |
|
Kimberly A Larson
1421 4Th St Sw |
$17.57 | 63 | 58 |
|
Andrea Nicholson
250 S Crescent Dr |
$62.99 | 63 | 62 |
|
Bibi S Khoyratty
1000 4Th St Sw |
$46.38 | 63 | 59 |
|
North Iowa Mercy Clinics
621 S Illinois Ave |
$11.24 | 72 | 61 |
|
Linda G Floden
1010 4Th St Sw Ste 305 |
$13.80 | 73 | 67 |
|
Sandeep Singh Bhangoo
1010 4Th St Sw |
$40.28 | 80 | 76 |
|
Ali H Mardan
1000 4Th St Sw |
$22.61 | 86 | 81 |
|
Timothy A Gibbons
250 S Crescent Dr |
$22.54 | 98 | 95 |
|
Kevin R Rier
250 S Crescent Dr |
$29.55 | 103 | 96 |
|
Melissa M Summerfield
3121 4Th St Sw |
$44.92 | 110 | 106 |
|
Ashley Matern
1000 4Th St Sw |
$5.84 | 110 | 106 |
|
Anna Levan
1000 4Th St Sw |
$22.29 | 111 | 94 |
|
Daniel L Hamilos
250 S Crescent Dr |
$39.36 | 118 | 110 |
|
Ashley Fjeldheim
1000 4Th St Sw |
$23.75 | 119 | 113 |
|
Emma Marie Henze
910 N Eisenhower Ave |
$33.06 | 123 | 119 |
|
Michael W Faust
1010 4Th St Sw |
$17.83 | 124 | 116 |
|
Heather H Lamb
1421 4Th St Sw |
$21.62 | 138 | 137 |
|
Jean C Eichmeier
1010 4Th St Sw |
$16.90 | 140 | 129 |
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