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Based on public Medicaid payment data.

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
Vanessa B Ogundipe

801 5Th St

$41.81 12 12
Victoria Ann Barkley

801 5Th St

$16.70 12 12
Angela Waugh

2720 Stone Park Blvd

$8.11 13 12
Adam Scott Gordon

2501 Pierce St

$57.45 13 13
Michael G Wadzinski

5855 Sunnybrook Dr.

$13.30 13 12
Johnathan Lawrence Colling

801 5Th St

$9.03 14 12
Heather Rose Kreber

801 5Th St

$30.90 15 12
Ricardo Osorio

625 Court St

$43.51 16 14
Danielle Jessica Hay

1000 Jackson St

$5.66 16 13
Danika Leigh Hansen

625 Court Street

$66.78 16 16
Zachary Steven Boltjes

2608 Hamilton Blvd

$0.00 17 16
Steven Patrick Feeney

801 5Th St

$77.03 17 12
Siouxland Regional Cancer Center

230 Nebraska St

$9.17 17 14
Anthony Galloway

801 5Th St

$9.18 18 18
Emily Oberle

2730 Pierce St Ste 201

$43.56 25 24
Joseph A Morris

2800 Pierce St

$58.59 26 25
Tyler Jon Lesko

625 Court St

$80.41 26 25
Deborah A Majerus

5885 Sunnybrook Dr

$38.51 27 25
Dean Poss

3403 Singing Hills Blvd

$0.00 28 25
Curtis Hoogendoorn

801 5Th St

$26.68 28 27
Daniela Ferrell

801 5Th St Ste 201

$11.49 30 27
Scott R. Beecher

4600 Singing Hills Blvd

$26.34 31 26
Ryan Rudloff

431 Pierce St

$24.73 32 24
Kayla Marie Folsom

801 5Th St

$31.47 34 31
Christopher S Diehl

4405 Hamilton Blvd

$40.27 34 29
Tri-State Specialists, Llp

2730 Pierce St Ste 300

$11.07 36 25
Josie L Schaeffer

4545 Sergeant Rd

$35.00 36 36
Kathleen Michele Dorcey Lafavor

1000 Jackson St

$16.33 38 27
David Gerhardt Paulsrud

800 5Th St

$39.00 42 40
Roha Abera

1021 Nebraska St

$300.00 46 46
Julia S Heaton

1021 Nebraska St

$62.68 48 47
Sarah Renee Sorensen

4010 Morningside Ave

$0.00 51 50
Luis Lebredo

2730 Pierce St

$89.72 52 50
Sunu John Philip

2730 Pierce St Ste 402

$51.69 52 50
James A Webb

5885 Sunnybrook Dr

$62.39 53 40
Christopher Vincent Laures

3403 Singing Hills Blvd

$1.23 54 50
Cindy Mammen

2501 Pierce St

$0.00 55 26
Northwest Iowa Hospital Corporation

2720 Stone Park Blvd

$5.24 67 66
Jeffrey S Sykes

5885 Sunnybrook Dr

$29.22 68 64
Eileen M Middleton

600 4Th St

$19.89 69 63
Sally Jo Mcmahon

5885 Sunnybrook Dr

$35.58 73 69
Gregory J Mccarthy

2916 Hamilton Blvd

$39.91 73 71
Siouxland Medical Education Foundation, Inc

2501 Pierce St

$9.56 79 51
Jerome Pierson

801 5Th St

$26.94 83 80
Amy Lynde

801 5Th St Ste 201

$59.54 91 85
Olivia Skaare

230 Nebraska St

$34.96 92 88
Frederick Richard Stack

801 5Th St

$18.99 94 85
Dawn M Bricker

1605 Douglas St

$27.92 101 56
Stephanie M. Walker

5885 Sunnybrook Dr

$33.89 114 110
Richard J. Kipp

3520 Singing Hills Blvd

$31.36 114 105

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

Other Procedures in Sioux City, IA