Average Medicaid Office Visit Payments in Sergeant Bluff, IA: $35.48
Avg. Paid
$35.48
Range
$31.94 – $44.47
Total Claims
12,846
Providers
3
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 Sergeant Bluff, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eileen M Barto
319 Sergeant Square Dr |
$44.47 | 2,630 | 2,486 |
|
Susan Jane Handke
319 Sergeant Square Dr |
$35.06 | 3,997 | 3,805 |
|
Cynthia S. Lewin
319 Sergeant Square Dr |
$31.94 | 6,219 | 5,837 |
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 Sergeant Bluff, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sergeant Bluff, IA is $35.48 per claim, based on 12,846 claims from 3 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 Sergeant Bluff, IA?
There are 3 Medicaid providers offering Office Visit related services in Sergeant Bluff, IA according to public payment data.
What is the price range for Office Visit in Sergeant Bluff, IA?
Medicaid reimbursement for Office Visit in Sergeant Bluff, IA ranges from $31.94 to $44.47 per claim, with an average of $35.48. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Other Procedures in Sergeant Bluff, IA
Personal Care Services
Avg $59.00
11,359 claims
Eye Exam
Avg $55.16
4,073 claims
Dental Cleaning & Exam
Avg $26.08
2,818 claims
Blood Work & Lab Tests
Avg $4.66
2,752 claims
Home Health Visit
Avg $93.02
2,133 claims
Vaccines & Immunizations
Avg $15.71
750 claims
Chiropractic Care
Avg $22.31
262 claims
Culture & Microbiology Tests
Avg $5.65
77 claims