Average Medicaid Office Visit Payments in Oelwein, IA: $18.66
Avg. Paid
$18.66
Range
$0.00 – $44.43
Total Claims
39,702
Providers
13
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 Oelwein, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
People'S Memorial Hospital
2405 Rock Island Rd |
$0.63 | 10,724 | 9,674 |
|
Michael R Atherley
129 8Th Ave Se |
$24.87 | 7,852 | 7,281 |
|
Roxanne Lenz
129 8Th Ave Se |
$23.45 | 5,086 | 4,648 |
|
Kristi Marie Steinbronn
129 8Th Ave Se |
$27.48 | 4,208 | 3,835 |
|
Gayla Marie Davis
129 8Th Ave Se |
$29.65 | 4,142 | 3,783 |
|
Danielle Jane Wendel
212 8Th Ave Se |
$44.43 | 3,250 | 2,905 |
|
Iowa Physicians Clinic Medical Foundation
124 1St Ave Se |
$0.46 | 2,692 | 2,422 |
|
Kyla Frost
2405 Rock Island Rd |
$15.92 | 569 | 520 |
|
Sara Ann Shaffer
129 8Th Ave Se |
$31.77 | 404 | 371 |
|
Trisha Ann Kress
124 1St Ave Se |
$15.53 | 354 | 328 |
|
Clay F Hallberg
204 8Th Ave Se |
$32.45 | 212 | 174 |
|
Bradley J Brown
901 E Charles St |
$0.00 | 124 | 111 |
|
Sara Ann Berns
204 8Th Ave Se |
$14.78 | 85 | 79 |
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 Oelwein, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Oelwein, IA is $18.66 per claim, based on 39,702 claims from 13 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 Oelwein, IA?
There are 13 Medicaid providers offering Office Visit related services in Oelwein, IA according to public payment data.
What is the price range for Office Visit in Oelwein, IA?
Medicaid reimbursement for Office Visit in Oelwein, IA ranges from $0.00 to $44.43 per claim, with an average of $18.66. 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
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Chicago, IL
Avg $30.31
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Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Oelwein, IA
Dental Cleaning & Exam
Avg $25.28
22,863 claims
Chiropractic Care
Avg $22.08
21,596 claims
Blood Work & Lab Tests
Avg $16.44
9,047 claims
Physical Therapy
Avg $20.19
8,158 claims
Non-Emergency Medical Transportation
Avg $13.33
4,962 claims
Vaccines & Immunizations
Avg $13.15
4,065 claims
Psychiatric Evaluation
Avg $63.21
3,730 claims
Emergency Room Visit
Avg $103.29
3,685 claims