Average Medicaid Office Visit Payments in Sigourney, IA: $20.70
Avg. Paid
$20.70
Range
$0.04 – $115.24
Total Claims
10,539
Providers
9
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 Sigourney, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Roberto Pepe Castro
23019 Highway 149 |
$9.53 | 18 | 12 |
|
Jessica Webb
23019 Highway 149 |
$9.97 | 154 | 130 |
|
Cheryl Ann Quinn
1314 S Stuart St Ste B |
$33.96 | 474 | 408 |
|
Mariah Johnson
23019 Highway 149 |
$13.84 | 580 | 524 |
|
Megan Ashley Mwangi
113 E Marion St |
$31.64 | 892 | 719 |
|
Lindsey Van Duyn
1314 S Stuart St Ste B |
$7.83 | 1,037 | 825 |
|
Stacy Lynnae Crill
122 S Main St |
$115.24 | 1,198 | 1,145 |
|
Jeffrey M Waddell
1314 S Stuart St Ste B |
$11.08 | 1,599 | 1,412 |
|
Keokuk County Health Center
23019 Highway 149 |
$0.04 | 4,587 | 4,110 |
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 Sigourney, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sigourney, IA is $20.70 per claim, based on 10,539 claims from 9 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 Sigourney, IA?
There are 9 Medicaid providers offering Office Visit related services in Sigourney, IA according to public payment data.
What is the price range for Office Visit in Sigourney, IA?
Medicaid reimbursement for Office Visit in Sigourney, IA ranges from $0.04 to $115.24 per claim, with an average of $20.70. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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New York, NY
Avg $81.86
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Los Angeles, CA
Avg $24.20
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Chicago, IL
Avg $30.31
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Avg $82.40
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Phoenix, AZ
Avg $47.53
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Avg $48.27
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Avg $54.47
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Other Procedures in Sigourney, IA
Behavioral & Mental Health Therapy
Avg $106.60
12,376 claims
Psychiatric Evaluation
Avg $56.93
11,508 claims
Chiropractic Care
Avg $24.18
4,264 claims
Blood Work & Lab Tests
Avg $12.42
3,837 claims
Case Management Services
Avg $0.00
1,630 claims
Urinalysis & Urine Tests
Avg $12.97
1,513 claims
Emergency Room Visit
Avg $84.41
1,153 claims
Substance Abuse Treatment
Avg $59.94
758 claims