Average Medicaid Office Visit Payments in Pleasant Hill, IA: $38.30
Avg. Paid
$38.30
Range
$5.93 – $40.55
Total Claims
69,078
Providers
21
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 Pleasant Hill, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Steven Strang
5900 E University Ave |
$37.34 | 11,259 | 10,590 |
|
Illa Chandani
5900 E University Ave |
$40.31 | 10,576 | 10,063 |
|
Stacey L Milani
5900 E University Ave |
$38.90 | 7,168 | 6,658 |
|
Joseph Patrick Mcgargill
5900 E University Ave |
$40.26 | 6,941 | 6,588 |
|
Libby K Naeve
5900 E. University Ave |
$38.88 | 6,299 | 6,022 |
|
Timothy C Mccoy
5900 E University Ave Ste 100 |
$40.55 | 4,765 | 4,514 |
|
Cory Bryant
5900 E University Ave Ste 100 |
$35.05 | 4,082 | 3,876 |
|
Brittany Ann Sanger
5900 E. University Avenue, Suite 100 |
$39.09 | 3,476 | 3,297 |
|
Ekaterina Roman
1205 Copper Creek Dr |
$39.20 | 3,196 | 2,907 |
|
Stacy Lynn Davis
5900 E University Ave |
$33.52 | 3,144 | 2,931 |
|
Sally S Bennett
5900 E University Ave |
$34.94 | 2,737 | 2,628 |
|
Whitney Milligan Waite
5900 E University Ave Ste 300 |
$39.44 | 1,682 | 1,585 |
|
Esgar Guarin
5191 Maple Dr Ste L |
$38.36 | 1,286 | 1,029 |
|
Leah M Haubrich
1205 Copper Creek Dr |
$32.65 | 1,096 | 1,017 |
|
Annie Penquite Hamilton
5900 E University Ave Ste 100 |
$36.18 | 933 | 879 |
|
Raymond Owens
5900 E University Ave |
$36.06 | 227 | 209 |
|
Maureen Tacke
5900 E University Ave Ste 100 |
$5.93 | 70 | 65 |
|
Amanda Langford
5900 E University Ave Ste 300 |
$27.94 | 58 | 58 |
|
Allison Leigh Roth
1205 Copper Creek Dr |
$25.28 | 29 | 26 |
|
Timothy J Vermillion
1205 Copper Creek Dr |
$38.01 | 27 | 25 |
|
Mercy Clinics Inc
5900 E University Ave |
$15.54 | 27 | 16 |
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 Pleasant Hill, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pleasant Hill, IA is $38.30 per claim, based on 69,078 claims from 21 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 Pleasant Hill, IA?
There are 21 Medicaid providers offering Office Visit related services in Pleasant Hill, IA according to public payment data.
What is the price range for Office Visit in Pleasant Hill, IA?
Medicaid reimbursement for Office Visit in Pleasant Hill, IA ranges from $5.93 to $40.55 per claim, with an average of $38.30. 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 Pleasant Hill, IA
Non-Emergency Medical Transportation
Avg $57.42
56,451 claims
Vaccines & Immunizations
Avg $11.06
22,173 claims
Blood Work & Lab Tests
Avg $4.74
18,141 claims
Home Health Visit
Avg $250.25
16,876 claims
Physical Therapy
Avg $17.24
4,864 claims
Nursing Facility Care
Avg $13.81
2,188 claims
Ambulance Transport
Avg $24.10
1,558 claims
Eye Exam
Avg $1.11
835 claims