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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Shenandoah, IA: $9.22

Avg. Paid

$9.22

Range

$0.00 – $63.40

Total Claims

44,117

Providers

30

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 Shenandoah, IA

Provider Avg. Paid Claims Patients
Stephanie Robinette

1 Jack Foster Dr

$5.85 4,902 4,295
Shenandoah Medical Center

1 Jack Foster Dr

$0.11 4,270 3,259
Todd Mikael Isaacson

1 Jack Foster Dr

$7.82 3,811 3,210
Rose Walter

300 Pershing Ave

$3.99 3,301 2,901
Dena Herzberg

300 Pershing Ave

$2.26 2,685 2,527
Martee R Macleod-Kozal

1 Jack Foster Dr

$2.43 2,685 1,903
Michael P Woods

300 Pershing Ave

$5.59 2,345 2,119
Heather Lee Babe

1 Jack Foster Dr

$11.45 2,310 2,001
William Richard Sumner

300 Pershing Ave

$63.40 2,209 1,567
Paul Andrew Rozeboom

1 Jack Foster Dr

$1.23 2,102 1,745
Connie Holmes

300 Pershing Ave

$12.57 1,912 1,547
Crystal Lynn Mick

1 Jack Foster Dr

$35.94 1,703 1,509
Donald L Bumgarner

1 Jack Foster Dr

$8.86 1,547 1,283
Brian Anthony Rowan

1 Jack Foster Dr

$7.09 1,182 956
Linda Newsome

300 Pershing Ave

$2.44 1,144 922
Scott Richard King

300 Pershing Avenue

$0.47 1,093 844
Rachel Lauren Timmerman

1 Jack Foster Dr

$2.16 1,076 973
Jacy Bayless

300 Pershing Ave

$4.13 834 787
Rebecca Judene Rose

1 Jack Foster Dr

$8.51 582 508
Jeffrey P Mccoy

813 Church St

$0.06 508 456
Jennifer Ann Lundgren

300 Pershing Ave

$12.30 502 402
Michael Theodore Salwitz

1 Jack Foster Dr

$7.21 432 366
Jake A Davis

300 Pershing Avvenue

$4.43 425 361
Jacob Walter Muller

505 W Sheridan Ave

$20.77 178 142
Matthew Paul Potratz

813 Church St

$0.00 156 142
Holly Lynn Jorgensen

1 Jack Foster Dr

$5.54 82 79
Jenifer Ann Deziel

Shenandoah Medical Center

$43.59 57 53
Shelby Marie Vanleuven

1 Jack Foster Dr

$1.24 42 41
Renee M. Johnson

300 Pershing Ave

$5.19 29 25
Michael J Morrison

300 Pershing Ave

$24.84 13 12

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 Shenandoah, IA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Shenandoah, IA is $9.22 per claim, based on 44,117 claims from 30 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 Shenandoah, IA?

There are 30 Medicaid providers offering Office Visit related services in Shenandoah, IA according to public payment data.

What is the price range for Office Visit in Shenandoah, IA?

Medicaid reimbursement for Office Visit in Shenandoah, IA ranges from $0.00 to $63.40 per claim, with an average of $9.22. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Shenandoah, IA