Average Medicaid Office Visit Payments in Ottumwa, IA: $19.45
Avg. Paid
$19.45
Range
$0.00 – $131.20
Total Claims
281,947
Providers
93
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 Ottumwa, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
River Hills Community Health Center Inc.
201 S Market St |
$0.34 | 112,168 | 99,216 |
|
Southern Iowa Mental Health Center
1527 Albia Rd |
$71.94 | 31,709 | 28,142 |
|
Mercy Medical Center-Centerville
522 N Hancock St |
$0.00 | 13,226 | 11,481 |
|
American Home Finding Association
333 Church St |
$15.95 | 8,683 | 8,351 |
|
Eric Lynn Dodson
301 W 2Nd St Ste 1 |
$35.09 | 8,083 | 6,583 |
|
Nathan Allan Nicholson
1001 Pennsylvania Ave |
$36.22 | 7,142 | 6,420 |
|
Stephanie Merrill
1255 Theatre Dr |
$1.60 | 5,805 | 4,985 |
|
Jennifer Ann Boley
920 N Quincy Ave |
$0.98 | 5,211 | 4,072 |
|
Jamie Lee Hyde
1001 Pennsylvania Ave |
$23.50 | 4,920 | 4,404 |
|
Kurt M Anderson
123 E 3Rd St |
$48.08 | 4,560 | 4,220 |
|
Shelley Bechtel
1001 Pennsylvania Ave |
$15.25 | 4,341 | 3,502 |
|
Laura Medanic
1013 Pennsylvania Ave # A-C |
$28.63 | 4,272 | 3,911 |
|
Kent D Walker
1005 Pennsylvania Ave |
$34.44 | 4,127 | 3,816 |
|
Stewart John Kanis
920 N Quincy Ave |
$5.17 | 3,656 | 3,045 |
|
Jacy L Kennedy
1207 N Jefferson St Ste 1 |
$29.75 | 3,517 | 2,995 |
|
Natasha Ann Myers
203 W 2Nd St |
$5.09 | 3,486 | 3,014 |
|
Jimmy R. Mascaro
312 E Alta Vista Ave |
$42.58 | 2,969 | 2,732 |
|
Shawn Dawson
1013 Pennsylvania Ave |
$28.50 | 2,809 | 2,565 |
|
Cynthia Myra Wurr
301 W Main St |
$37.02 | 2,545 | 2,214 |
|
David L. Wanner
1005 Pennsylvania Ave |
$31.47 | 2,179 | 1,903 |
|
Heather Lynn Worth
1001 Pennsylvania Ave |
$8.78 | 2,155 | 1,749 |
|
Peggy Sue Swank
1001 Pennsylvania Ave |
$29.68 | 2,102 | 1,839 |
|
Jashim U Ahmed
1005 Pennsylvania Ave |
$43.98 | 2,031 | 1,915 |
|
Taniya Pradhan
1001 Pennsylvania Ave |
$82.62 | 2,005 | 1,945 |
|
Edward Brian Ortell
1005 Pennsylvania Ave |
$30.48 | 1,919 | 1,777 |
|
Heidi Leigh Van Maanen
920 N Quincy Ave |
$5.96 | 1,838 | 1,567 |
|
Susan Marie Turner
312 E Alta Vista Ave |
$0.23 | 1,762 | 1,616 |
|
Theresa Ann Stoker
522 N Hancock St |
$36.65 | 1,586 | 1,378 |
|
Debra Kay Miller
921 Pennsylvania Ave |
$41.07 | 1,521 | 1,271 |
|
Jasmine Benson
1005 Pennsylvania Ave Ste 207 |
$28.78 | 1,486 | 1,352 |
|
Daloris Carol Sylvester
301 W 2Nd St |
$24.88 | 1,374 | 1,172 |
|
Ronda Kim Dennis-Smithart
123 E 3Rd St Ste 2 |
$53.76 | 1,305 | 1,088 |
|
Heather E Easton
522 N Hancock St |
$23.42 | 1,200 | 1,033 |
|
Sheila Kae Kauzlarich
1005 Pennsylvania Ave Ste 207 |
$31.29 | 1,175 | 1,131 |
|
Case Calvin Everett
1009 Pennsylvania Ave |
$52.20 | 1,101 | 988 |
|
Ronald Ray Berges
1112 N Van Buren Ave |
$55.67 | 1,055 | 971 |
|
Quentin Stokes Dickins
1112 N Van Buren Ave |
$24.10 | 1,024 | 850 |
|
Ashley Bland
522 N Hancock St |
$27.92 | 910 | 800 |
|
Allison Marie Crall
920 N Quincy Ave |
$5.68 | 882 | 691 |
|
Brittney Kaye Jansen
920 N Quincy Ave |
$21.28 | 838 | 773 |
|
Sheryl Ann Mulder
1005 Pennsylvania Ave |
$25.11 | 837 | 772 |
|
Bethanne Stevens
920 N Quincy Ave |
$8.61 | 835 | 734 |
|
Marc E Hines
1313 N Court St |
$23.46 | 822 | 758 |
|
Sydney Anderson
1005 Pennsylvania Ave Ste 207 |
$36.55 | 815 | 783 |
|
Cassandra Dunlavy
201 S Market St |
$20.44 | 814 | 650 |
|
Holly Nicole Dunlavy
920 N Quincy Ave |
$4.58 | 713 | 560 |
|
William Peyton Miller
1001 Pennsylvania Ave |
$60.46 | 689 | 575 |
|
Robert J Blommer
522 N Hancock St |
$25.38 | 634 | 563 |
|
Sondra Philips
201 S Market St |
$0.92 | 629 | 564 |
|
Jessica Ann Hicks
1001 Pennsylvania Ave |
$13.49 | 606 | 444 |
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 Ottumwa, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ottumwa, IA is $19.45 per claim, based on 281,947 claims from 93 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 Ottumwa, IA?
There are 93 Medicaid providers offering Office Visit related services in Ottumwa, IA according to public payment data.
What is the price range for Office Visit in Ottumwa, IA?
Medicaid reimbursement for Office Visit in Ottumwa, IA ranges from $0.00 to $131.20 per claim, with an average of $19.45. 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 Ottumwa, IA
Psychiatric Evaluation
Avg $44.17
176,714 claims
Dental Cleaning & Exam
Avg $12.15
84,767 claims
Blood Work & Lab Tests
Avg $6.94
84,556 claims
Chiropractic Care
Avg $22.45
80,951 claims
Home Health Visit
Avg $131.15
59,486 claims
Vaccines & Immunizations
Avg $5.02
38,705 claims
Emergency Room Visit
Avg $119.19
37,857 claims
X-Ray
Avg $8.67
34,356 claims