Average Medicaid Office Visit Payments in Sioux Center, IA: $21.73
Avg. Paid
$21.73
Range
$0.00 – $102.57
Total Claims
28,588
Providers
23
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 Sioux Center, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Greater Sioux Community Health Center Inc.
33 4Th St Nw |
$3.23 | 10,096 | 8,511 |
|
Anne P Hooyer
1101 9Th St Se |
$29.53 | 6,246 | 5,804 |
|
Jeanne M Kleinhesselink
1101 9Th St Se |
$35.83 | 2,179 | 1,988 |
|
Valerie Angela Van Zandbergen
1101 9Th St Se |
$27.65 | 1,853 | 1,547 |
|
Sarah E. Cam
1101 9Th St Se |
$31.77 | 1,793 | 1,678 |
|
Delwyn Lee Lassen
33 4Th St Nw |
$0.51 | 952 | 887 |
|
Bethany Scholten
1101 9Th St Se |
$33.62 | 817 | 760 |
|
Jason R Koelewyn
1101 9Th St Se |
$37.47 | 762 | 703 |
|
Robert Clemens
1101 9Th St Se |
$38.48 | 757 | 704 |
|
Mary Yvonne Rayborn
1101 9Th St Se |
$102.57 | 608 | 594 |
|
Lorianne S Andersen
1101 9Th St Se |
$39.08 | 569 | 526 |
|
Brett William Hutton
1101 9Th St Se |
$37.45 | 406 | 371 |
|
Morgan Meissner
1101 9Th St Se |
$32.20 | 383 | 351 |
|
Isabella Nicole Garcia
1101 9Th St Se |
$25.14 | 346 | 277 |
|
Beth Strub
338 1St Ave Nw |
$0.34 | 292 | 252 |
|
Casie Leightner
1101 9Th St Se |
$39.38 | 181 | 172 |
|
Emily Leinen
33 4Th St Nw |
$0.00 | 117 | 111 |
|
Kari Maree Ney
33 4Th St Nw |
$0.00 | 110 | 84 |
|
Roy Thomas Slice
255 16Th St Sw |
$34.56 | 52 | 48 |
|
Anthony G Peters
1101 9Th St Se |
$35.41 | 26 | 20 |
|
Nicholas Jon Mouw
1101 9Th St Se |
$27.02 | 16 | 14 |
|
Dale Nystrom
645 S Main Ave |
$37.24 | 14 | 12 |
|
Abby Van Zee
1101 9Th St Se |
$36.75 | 13 | 13 |
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 Sioux Center, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sioux Center, IA is $21.73 per claim, based on 28,588 claims from 23 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 Sioux Center, IA?
There are 23 Medicaid providers offering Office Visit related services in Sioux Center, IA according to public payment data.
What is the price range for Office Visit in Sioux Center, IA?
Medicaid reimbursement for Office Visit in Sioux Center, IA ranges from $0.00 to $102.57 per claim, with an average of $21.73. 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 Sioux Center, IA
Dental Cleaning & Exam
Avg $17.15
43,845 claims
Vaccines & Immunizations
Avg $2.73
9,651 claims
Blood Work & Lab Tests
Avg $13.08
8,735 claims
Dental Filling
Avg $39.41
6,134 claims
Chiropractic Care
Avg $24.82
5,154 claims
Psychiatric Evaluation
Avg $47.01
2,684 claims
Eye Exam
Avg $60.27
2,364 claims
Tooth Extraction
Avg $30.25
1,504 claims