Average Medicaid Office Visit Payments in Newton, IA: $43.53
Avg. Paid
$43.53
Range
$0.00 – $72.17
Total Claims
129,482
Providers
42
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 Newton, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Capstone Behavioral Healthcare, Inc
1123 1St Ave E |
$72.17 | 25,262 | 23,350 |
|
Ryan Scott Bakke
204 N 4Th Ave E |
$46.80 | 22,851 | 21,758 |
|
Tze Y. Chan
300 N 4Th Ave E |
$31.51 | 9,412 | 8,010 |
|
Andrew Lloyd Cope
300 N 4Th Ave E Ste 200 |
$38.08 | 8,098 | 7,131 |
|
James Michael Metts
300 N 4Th Ave E Ste 140A |
$41.27 | 6,469 | 5,900 |
|
Zachary C Alexander
300 N 4Th Ave E |
$36.92 | 5,751 | 5,150 |
|
Min S. Pak
300 N 4Th Ave E |
$37.98 | 5,455 | 4,829 |
|
Neeraja Kakade
306 N 3Rd Ave E |
$30.84 | 4,942 | 4,710 |
|
Orville W Bunker
300 N 4Th Ave E |
$34.94 | 4,108 | 3,720 |
|
Duane M Jolivette
300 N 4Th Ave E |
$37.86 | 3,863 | 3,507 |
|
Kelsey Angela Tish
300 N 4Th Ave E Ste 200 |
$31.65 | 3,181 | 2,775 |
|
Steven C. Hill
300 N 4Th Ave E |
$32.18 | 3,169 | 2,785 |
|
Patrick J. Edwards
300 N 4Th Ave E |
$35.51 | 3,051 | 2,692 |
|
Christopher Garold Kearse
204 N 4Th Ave E |
$19.62 | 2,877 | 2,470 |
|
Elizabeth (Beth) M Preston
300 N 4Th Ave E |
$29.80 | 2,050 | 1,590 |
|
Sarah Sue Neal
300 N 4Th Ave E Ste 200 |
$31.52 | 1,960 | 1,728 |
|
Tara Gravenstine
300 N 4Th Ave E Ste 200 |
$40.28 | 1,827 | 1,598 |
|
Cindy R Goshorn
935 W 18Th St S |
$22.76 | 1,751 | 1,504 |
|
Sean Joseph Mcmurray
204 N 2Nd Ave W |
$37.07 | 1,613 | 1,410 |
|
Angela Ladwig
1817 1St Ave E |
$31.59 | 1,520 | 1,265 |
|
Linda S Schilling
204 N 4Th Ave E |
$22.19 | 1,480 | 1,243 |
|
Rebecca Elaine Nunn-Ryan
315 W 3Rd St N |
$35.17 | 1,400 | 1,343 |
|
Paul E. Ruggle
300 N 4Th Ave E |
$33.84 | 1,287 | 1,121 |
|
Rosa Nicosia
300 N 4Th Ave E |
$37.57 | 988 | 910 |
|
Sarah Kristin Crudden Florence
300 N 4Th Ave E Ste 200 |
$34.97 | 854 | 730 |
|
Mureema M. Solberg
300 N 4Th Ave E |
$41.45 | 837 | 712 |
|
Qv Urgent Care Ia, Pllc
1817 1St Ave E |
$0.00 | 739 | 661 |
|
Jacquelyn Johnston
306 N 3Rd Ave E |
$25.66 | 585 | 513 |
|
Newton Clinic Pc
300 N 4Th Ave E |
$12.72 | 569 | 370 |
|
Terra Ann Goldsberry
306 N 3Rd Ave E |
$52.11 | 334 | 284 |
|
Sara Elizabeth Kuhn
110 W 3Rd St S |
$28.28 | 332 | 312 |
|
Laurie A. Siddall
300 N 4Th Ave E |
$24.70 | 213 | 181 |
|
Kelsey J Frame
1123 1St Ave E Ste 200 |
$12.10 | 182 | 156 |
|
Angela L. Nelson
300 N 4Th Ave E |
$18.32 | 131 | 74 |
|
Kevin Jon Mulvey
204 N 2Nd Ave W |
$49.06 | 85 | 81 |
|
Jessica Leigh Ogden
300 N 4Th Ave E Ste D |
$20.39 | 81 | 50 |
|
Nicolle L Medina
1817 1St Ave E |
$54.52 | 76 | 62 |
|
Leighton E. Frost
300 N 4Th Ave E |
$34.84 | 40 | 32 |
|
Steven James Mattes
119 1St Ave W |
$0.00 | 19 | 15 |
|
Paige Reed
1123 1St Ave E Ste 200 |
$0.00 | 14 | 14 |
|
Jodi F Holloway
315 W 3Rd St N |
$26.21 | 13 | 13 |
|
Dominic A Formaro
300 N 4Th Ave E |
$44.48 | 13 | 12 |
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 Newton, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Newton, IA is $43.53 per claim, based on 129,482 claims from 42 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 Newton, IA?
There are 42 Medicaid providers offering Office Visit related services in Newton, IA according to public payment data.
What is the price range for Office Visit in Newton, IA?
Medicaid reimbursement for Office Visit in Newton, IA ranges from $0.00 to $72.17 per claim, with an average of $43.53. 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 Newton, IA
Psychiatric Evaluation
Avg $87.55
78,885 claims
Vaccines & Immunizations
Avg $11.12
25,117 claims
Non-Emergency Medical Transportation
Avg $65.30
18,817 claims
Physical Therapy
Avg $22.90
16,638 claims
Blood Work & Lab Tests
Avg $4.21
12,828 claims
Emergency Room Visit
Avg $118.25
12,043 claims
Case Management Services
Avg $0.01
11,627 claims
Chiropractic Care
Avg $23.89
11,290 claims