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 |
|---|---|---|---|
|
Kristina Payne
1001 Pennsylvania Ave |
$9.19 | 12 | 12 |
|
Thomas H Hoskins
1005 Pennsylvania Ave |
$1.03 | 13 | 13 |
|
Mark Alan Altfillisch
224 E Main Street |
$29.93 | 13 | 13 |
|
Brian Quinn
522 N Hancock St |
$4.45 | 15 | 12 |
|
Scott Byron King
515 Church St |
$77.70 | 17 | 16 |
|
Margaret Maeve Fuller
201 S Market St |
$19.70 | 24 | 24 |
|
Peter J Reiter
522 N Hancock St |
$27.54 | 28 | 25 |
|
David Lee Burrows
920 N Quincy Ave |
$29.16 | 29 | 28 |
|
Donald Conklin
1001 Pennsylvania Ave |
$24.41 | 31 | 28 |
|
Misti Dawn Deutschle
1527 Albia Rd |
$70.43 | 42 | 39 |
|
Juanita M O'Brien
623 Pennsylvania Ave |
$0.57 | 46 | 42 |
|
Amanda J Davis
1005 Pennsylvania Ave Ste 210 |
$16.60 | 65 | 62 |
|
Dallas Black
1011 Pennsylvania Ave |
$0.54 | 82 | 78 |
|
Robert Payson Moreland
1005 Pennsyl Ania Ave |
$30.55 | 86 | 78 |
|
Mary Kay Henderson
522 N Hancock St |
$19.63 | 90 | 80 |
|
Jessica Rae Whitman
301 W 2Nd St |
$131.20 | 101 | 94 |
|
Tara Gooden
1223 Theatre Dr Ste B |
$0.00 | 110 | 105 |
|
Shelbi Dexter
301 W 2Nd St Ste 2 |
$35.47 | 121 | 113 |
|
Joseph Ira Coleman
920 N Quincy Ave |
$7.73 | 123 | 111 |
|
Hazel Marian Ashraf
921 Pennsylvania Ave |
$44.33 | 125 | 109 |
|
Mendy M Shepard
1527 Albia Rd |
$19.28 | 138 | 131 |
|
Elizabeth Jo Tigges
1005 Pennsylvania Ave |
$38.06 | 145 | 128 |
|
Kiley Ann Howell
920 N Quincy Ave |
$7.71 | 197 | 175 |
|
William S Snyder
812 Filmore St |
$13.02 | 225 | 220 |
|
Megan Rutledge
228 E 2Nd St |
$0.00 | 255 | 229 |
|
Nisreen M.A. H. Yaghmour
1005 Pennslyvania Ave |
$38.61 | 262 | 233 |
|
Victoria Lynn Morris
920 N Quincy Ave |
$2.65 | 321 | 288 |
|
Laurie L Glover
201 S Market St |
$0.00 | 326 | 262 |
|
Rebecca E Bowman
201 S Market St |
$2.23 | 333 | 308 |
|
Cyndi J Mccormick
201 S Market St |
$3.69 | 343 | 320 |
|
Cheryll Ann Jones
317 Vanness Ave |
$61.83 | 361 | 342 |
|
Jeffrey P Collett
1005 Pennsylvania Ave |
$33.94 | 367 | 330 |
|
Kimberlee A Walker
201 S Market St |
$2.02 | 412 | 377 |
|
Bret A Moore
920 N Quincy Ave |
$5.53 | 420 | 372 |
|
Mckenna Jo Bond
301 W 2Nd St |
$26.77 | 421 | 311 |
|
Stacy L Walker
522 N Hancock St |
$23.98 | 441 | 397 |
|
Ottumwa Health Group Llc
1001 Pennsylvania Ave |
$6.03 | 458 | 399 |
|
Florita Cezarina Henderson
522 N Hancock St |
$27.50 | 489 | 447 |
|
Mahmoud Alameddine
1003 Pennsylvania Ave |
$28.50 | 503 | 414 |
|
Molly J Franke
1005 Pennsylvania Ave Ste 210 |
$29.83 | 526 | 492 |
|
Pella Regional Health Center
920 N Quincy Ave |
$0.00 | 555 | 428 |
|
Kimberly Joan Brown
522 N Hancock St |
$22.33 | 602 | 526 |
|
Raegan Renee Johns
201 S Market St |
$33.25 | 603 | 567 |
|
Jessica Ann Hicks
1001 Pennsylvania Ave |
$13.49 | 606 | 444 |
|
Sondra Philips
201 S Market St |
$0.92 | 629 | 564 |
|
Robert J Blommer
522 N Hancock St |
$25.38 | 634 | 563 |
|
William Peyton Miller
1001 Pennsylvania Ave |
$60.46 | 689 | 575 |
|
Holly Nicole Dunlavy
920 N Quincy Ave |
$4.58 | 713 | 560 |
|
Cassandra Dunlavy
201 S Market St |
$20.44 | 814 | 650 |
|
Sydney Anderson
1005 Pennsylvania Ave Ste 207 |
$36.55 | 815 | 783 |
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