Average Medicaid Office Visit Payments in Sioux City, IA: $30.79
Avg. Paid
$30.79
Range
$0.00 – $310.09
Total Claims
749,417
Providers
273
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 City, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Siouxland Community Health Center
1021 Nebraska St |
$11.93 | 140,217 | 117,161 |
|
Siouxland Mental Health Services, Inc.
625 Court St |
$75.17 | 42,219 | 37,898 |
|
Kornelia Kellogg
2501 Pierce St |
$0.50 | 17,594 | 9,167 |
|
Frank S Marino
2600 Outer Dr N |
$41.29 | 13,656 | 12,188 |
|
Dorothy J Todt
5885 Sunnybrook Dr |
$39.97 | 11,253 | 10,718 |
|
Ashar Luqman
600 4Th Street |
$27.82 | 10,909 | 9,744 |
|
Paul D Peterson
2600 Outer Dr N |
$36.79 | 10,896 | 9,377 |
|
Jeffrey D. Krohn
2600 Outer Dr N |
$38.35 | 9,267 | 7,973 |
|
Alisa M Olson
2600 Outer Dr N |
$42.40 | 8,934 | 8,211 |
|
Family Health Care Of Siouxland Plc
814 Pierce St Ste 300 |
$30.99 | 8,755 | 6,592 |
|
Stephen R Pallone
3035 Hamilton Blvd |
$37.14 | 8,385 | 7,498 |
|
Nitya L Brenner
1125 Pierce St |
$54.63 | 8,231 | 7,516 |
|
Kristi D Walz
1021 Nebraska St |
$3.25 | 8,008 | 7,475 |
|
Bryce A Robison
4545 Sergeant Rd |
$40.68 | 7,654 | 7,022 |
|
Patrick B Beck
1125 Pierce St |
$45.35 | 7,425 | 6,671 |
|
Tyler J. Wendel
1021 Nebraska St |
$4.18 | 7,413 | 6,907 |
|
Thomas S Waters
2501 Pierce St |
$40.94 | 7,366 | 6,380 |
|
Dylan C Greene
1021 Nebraska St |
$3.59 | 6,849 | 6,380 |
|
Ginger Dawn Hamilton
801 5Th St |
$31.79 | 6,790 | 4,974 |
|
Fady F Jabre
2720 Stone Park Blvd |
$20.14 | 6,702 | 6,359 |
|
Jackson Recovery Centers, Inc.
800 5Th St |
$56.74 | 6,641 | 4,544 |
|
Andrew J. Mueting
2501 Pierce St |
$37.10 | 6,617 | 5,654 |
|
Susan M Caldwell
1125 Pierce St |
$48.61 | 6,519 | 5,944 |
|
Rita K Jenkins
2720 Stone Park Blvd |
$24.67 | 6,256 | 5,894 |
|
Courtney Jean Marie Mayo
2600 Outer Dr N |
$32.85 | 6,204 | 5,665 |
|
Jeffrey D O'Tool
2720 Stone Park Blvd |
$41.13 | 6,176 | 5,740 |
|
Heather N. Longval
4545 Sergeant Rd |
$41.19 | 5,882 | 5,346 |
|
Melanie Dawn Lund
1125 Pierce St |
$35.98 | 5,506 | 4,964 |
|
Lindsey Renee Dutler
309 Cook St |
$31.70 | 5,438 | 4,963 |
|
Richard C Andersen
4545 Sergeant Rd |
$41.03 | 5,416 | 4,784 |
|
Rebecca E Walding
1021 Nebraska St |
$13.78 | 5,279 | 4,957 |
|
Amir A Andrawis
4545 Sergeant Rd |
$40.75 | 5,081 | 4,656 |
|
Elizabeth N Pratt
1021 Nebraska St |
$9.49 | 5,077 | 4,684 |
|
Nicholas C. Bechtold
4545 Sergeant Rd |
$39.86 | 5,040 | 4,581 |
|
Randall Glen Wood
2720 Stone Park Blvd. |
$20.34 | 4,981 | 4,718 |
|
Melissa Ann Levering
3520 Singing Hills Blvd |
$36.72 | 4,964 | 4,793 |
|
Jeannie Lynn Franklin
600 4Th St |
$24.02 | 4,955 | 4,099 |
|
Michael A Jennings
4545 Sergeant Rd |
$33.99 | 4,950 | 4,267 |
|
Alfred D Fleming
2730 Pierce St |
$75.25 | 4,910 | 4,357 |
|
Gary R Hattan
1021 Nebraska St |
$0.64 | 4,850 | 4,483 |
|
Holli Surber
4545 Sergeant Rd |
$29.10 | 4,801 | 4,471 |
|
Stephanie Lanae Burger
4301 Sergeant Road- Ear Nose & Throat Consultants |
$49.85 | 4,724 | 4,431 |
|
Kelly Ryder
1021 Nebraska St |
$4.95 | 4,715 | 4,444 |
|
Dena R Neiman
1021 Nebraska St |
$14.23 | 4,659 | 4,291 |
|
Joseph Edmund Kinzey
2720 Stone Park Blvd |
$17.76 | 4,633 | 4,367 |
|
Jeremy Julian Granger
5885 Sunnybrook Dr Ste E100 |
$39.90 | 4,514 | 4,010 |
|
Joseph Adam Kurth
4230 Hamilton Blvd |
$37.02 | 4,494 | 4,070 |
|
Michael John Jung
2501 Pierce St |
$34.35 | 4,448 | 4,041 |
|
Michael A Piplani
1021 Nebraska St |
$32.63 | 4,412 | 3,443 |
|
Christopher Wolf
2501 Pierce St |
$32.98 | 4,310 | 3,893 |
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 City, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sioux City, IA is $30.79 per claim, based on 749,417 claims from 273 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 City, IA?
There are 273 Medicaid providers offering Office Visit related services in Sioux City, IA according to public payment data.
What is the price range for Office Visit in Sioux City, IA?
Medicaid reimbursement for Office Visit in Sioux City, IA ranges from $0.00 to $310.09 per claim, with an average of $30.79. 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 City, IA
Psychiatric Evaluation
Avg $70.45
487,919 claims
Blood Work & Lab Tests
Avg $3.23
453,284 claims
Emergency Room Visit
Avg $138.20
200,767 claims
Vaccines & Immunizations
Avg $8.35
170,173 claims
Speech Therapy
Avg $17.63
147,408 claims
Non-Emergency Medical Transportation
Avg $28.66
136,584 claims
Chiropractic Care
Avg $22.48
133,348 claims
Behavioral & Mental Health Therapy
Avg $98.35
127,966 claims