Average Medicaid Office Visit Payments in Pella, IA: $30.07
Avg. Paid
$30.07
Range
$0.00 – $69.79
Total Claims
56,804
Providers
62
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 Pella, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jana Renee Rus
405 Monroe St |
$29.19 | 4,539 | 4,042 |
|
Julie A Lautenbach
405 Monroe St |
$28.73 | 4,152 | 3,835 |
|
Christina Rae Sailors
405 Monroe St |
$18.98 | 3,499 | 3,077 |
|
Michael M Mccubbin
1108 Washington Street |
$33.57 | 3,242 | 3,146 |
|
Daniel Joseph Rowley
405 Monroe St |
$48.14 | 3,177 | 2,841 |
|
Kimberly Sue Funston
405 Monroe St |
$26.57 | 2,882 | 2,618 |
|
Mindy Baccam Southammavong
405 Monroe St |
$26.49 | 2,770 | 2,514 |
|
Linda Steimling
405 Monroe St |
$27.26 | 2,634 | 2,396 |
|
Craig A. Wittenberg
405 Monroe St |
$32.69 | 2,452 | 2,251 |
|
Charity Carstensen
1119 E 2Nd St |
$33.93 | 2,332 | 2,188 |
|
Hayley Nicole Sytsma
405 Monroe St |
$30.72 | 1,825 | 1,723 |
|
Spencer L Carlstone
1518 Washington St |
$30.00 | 1,806 | 1,658 |
|
Maria Luz Lao
405 Monroe St |
$43.72 | 1,663 | 1,436 |
|
Heidi Louise Close
405 Monroe St |
$44.08 | 1,579 | 1,470 |
|
Richard Dale Posthuma
405 Monroe St |
$27.72 | 1,553 | 1,374 |
|
Jenna Kay Zoss
404 Jefferson St |
$14.84 | 1,330 | 1,182 |
|
Danielle K Clark
405 Monroe St |
$36.34 | 1,176 | 1,048 |
|
Summer Denise Brown
404 Jefferson St |
$28.68 | 1,045 | 951 |
|
Marsha Collins
405 Monroe St |
$21.44 | 963 | 831 |
|
Jennifer Kristine Sheffield
405 Monroe St |
$26.24 | 884 | 793 |
|
Gerard A Matysik
405 Monroe St |
$40.93 | 874 | 816 |
|
Jody L Van Veen
405 Monroe St |
$30.53 | 781 | 647 |
|
Pella Regional Health Center
405 Monroe St |
$7.20 | 689 | 373 |
|
Quintin E. Treadway
405 Monroe St |
$22.21 | 664 | 624 |
|
Laci Ann Dykstra
615 Washington St |
$30.28 | 637 | 582 |
|
Beth Nichole Grimes
405 Monroe St |
$28.40 | 589 | 549 |
|
Lucas Mihalovich
405 Monroe St |
$30.14 | 581 | 515 |
|
Stephen Ambrose Barnes
405 Monroe St |
$27.06 | 475 | 450 |
|
Karen K Emmert
405 Monroe St |
$18.18 | 444 | 389 |
|
Michael Gary Walsh
710 W 1St St |
$23.97 | 427 | 353 |
|
Christina Noel Kelley
405 Monroe St |
$2.92 | 402 | 351 |
|
Molly Engelhart
405 Monroe St |
$11.11 | 367 | 302 |
|
Mikayla Anne Leo
405 Monroe St |
$14.93 | 363 | 306 |
|
Galyn W Vande Zande
405 Monroe St |
$30.82 | 354 | 315 |
|
Andrew Thomas Ott
518 Franklin St |
$69.79 | 343 | 336 |
|
Kendra Nicole Perry
405 Monroe St |
$36.37 | 331 | 297 |
|
Jennifer L Wadle
405 Monroe St |
$27.79 | 325 | 300 |
|
Cassandra Marie Lanning
405 Monroe St |
$42.18 | 239 | 217 |
|
Robert Scot Dykstra
405 Monroe St |
$36.63 | 230 | 207 |
|
Shelby Dames
405 Monroe St |
$49.78 | 225 | 194 |
|
Russell Evan Bandstra
405 Monroe St |
$28.12 | 210 | 183 |
|
Mario Daniel Martinez
405 Monroe St |
$47.97 | 187 | 178 |
|
Nicholas Van Beek
405 Monroe St |
$25.70 | 167 | 159 |
|
Matthew Gronewold
110 E 10Th St |
$3.64 | 159 | 152 |
|
Garrett Philip Donaldson
404 Jefferson St |
$38.68 | 148 | 133 |
|
Rebecca Dykstra
405 Monroe St |
$32.13 | 141 | 129 |
|
Anne Hellbusch
405 Monroe St |
$34.03 | 137 | 124 |
|
Brett Mueller
1538 Washington St |
$0.00 | 112 | 103 |
|
Jeffrey Hartung
405 Monroe St |
$38.24 | 103 | 100 |
|
Mitchell Lee Blom
405 Monroe St |
$32.78 | 101 | 91 |
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 Pella, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pella, IA is $30.07 per claim, based on 56,804 claims from 62 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 Pella, IA?
There are 62 Medicaid providers offering Office Visit related services in Pella, IA according to public payment data.
What is the price range for Office Visit in Pella, IA?
Medicaid reimbursement for Office Visit in Pella, IA ranges from $0.00 to $69.79 per claim, with an average of $30.07. 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 Pella, IA
Physical Therapy
Avg $20.08
52,555 claims
Blood Work & Lab Tests
Avg $12.48
45,999 claims
Emergency Room Visit
Avg $119.46
31,011 claims
Chiropractic Care
Avg $23.43
27,072 claims
Eye Exam
Avg $37.97
18,149 claims
Vaccines & Immunizations
Avg $10.60
13,750 claims
Psychiatric Evaluation
Avg $62.89
11,521 claims
Dental Cleaning & Exam
Avg $24.35
10,996 claims