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
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 Shenandoah, IA
Behavioral & Mental Health Therapy
Avg $93.08
33,602 claims
Blood Work & Lab Tests
Avg $22.93
21,754 claims
Psychiatric Evaluation
Avg $78.72
21,532 claims
Emergency Room Visit
Avg $102.10
8,256 claims
Eye Exam
Avg $41.30
6,959 claims
Vaccines & Immunizations
Avg $0.24
5,035 claims
Ambulance Transport
Avg $33.91
4,338 claims
Chiropractic Care
Avg $25.96
4,290 claims