Average Medicaid Office Visit Payments in Osceola, IA: $18.17
Avg. Paid
$18.17
Range
$0.00 – $337.63
Total Claims
56,212
Providers
19
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 Osceola, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Clarke County Public Hospital
800 S Fillmore St Ste A, B & C |
$1.93 | 34,947 | 29,940 |
|
Iowa Physicians Clinic Medical Foundation
800 S Fillmore St Ste A |
$0.10 | 5,981 | 5,071 |
|
Debra Kay Neuharth
800 S Fillmore St |
$126.68 | 5,032 | 4,670 |
|
Kathleen R Patterson
827 S Jackson St |
$34.37 | 1,952 | 1,771 |
|
Tracy Anna Drinkard
800 S Fillmore St |
$44.57 | 1,225 | 1,093 |
|
Kara Lee A. Thompson
800 S Fillmore St |
$27.10 | 1,175 | 1,088 |
|
Joselle Beth Lawless
800 S Fillmore St |
$26.65 | 993 | 862 |
|
Kylie Hall
312 W Mclane St |
$23.86 | 952 | 743 |
|
George N Fotiadis
827 S Jackson St |
$32.99 | 921 | 815 |
|
Lorie A Marker
800 S Fillmore St |
$32.09 | 785 | 734 |
|
Bonnie Lynn Houg
312 W Mclane St |
$14.74 | 560 | 404 |
|
Benjamin J Hicks
827 S Jackson St |
$33.00 | 504 | 451 |
|
Qv Urgent Care Ia Pllc
312 W Mclane St |
$0.00 | 347 | 306 |
|
Susan R Gilbert
827 S Jackson St |
$33.78 | 335 | 299 |
|
Jannice Marie Taylor
127 W Washington St |
$37.37 | 239 | 217 |
|
David Cash Hoadley
147 S Main St |
$27.52 | 132 | 115 |
|
Julia C Jenkins
827 S Jackson St |
$35.31 | 103 | 98 |
|
Jessica A. Mccullen
147 S Main St |
$28.82 | 15 | 14 |
|
Clarke County Public Hospital
800 S Fillmore St |
$337.63 | 14 | 14 |
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 Osceola, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Osceola, IA is $18.17 per claim, based on 56,212 claims from 19 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 Osceola, IA?
There are 19 Medicaid providers offering Office Visit related services in Osceola, IA according to public payment data.
What is the price range for Office Visit in Osceola, IA?
Medicaid reimbursement for Office Visit in Osceola, IA ranges from $0.00 to $337.63 per claim, with an average of $18.17. 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
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Las Vegas, NV
Avg $54.47
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Other Procedures in Osceola, IA
Eye Exam
Avg $50.42
20,520 claims
Blood Work & Lab Tests
Avg $10.66
18,828 claims
Vaccines & Immunizations
Avg $1.77
9,341 claims
Emergency Room Visit
Avg $111.78
3,087 claims
Personal Care Services
Avg $193.43
1,874 claims
Chiropractic Care
Avg $19.92
1,452 claims
Behavioral & Mental Health Therapy
Avg $104.13
456 claims
Urinalysis & Urine Tests
Avg $0.53
312 claims