Average Medicaid Office Visit Payments in South Sioux City, NE: $42.44
Avg. Paid
$42.44
Range
$0.05 – $64.17
Total Claims
67,355
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 South Sioux City, NE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David J Ensz
501 1St Ave |
$56.92 | 9,811 | 8,810 |
|
Regina Rene Grover
3900 Dakota Ave Ste 6 |
$32.24 | 8,593 | 8,268 |
|
Kevin J Folchert
3250 Plaza Dr |
$19.49 | 6,639 | 6,285 |
|
Thomas Gerald Morgan
3410 Futures Dr |
$56.50 | 5,727 | 4,370 |
|
Michael Brenner
3250 Plaza Dr |
$51.51 | 5,712 | 5,134 |
|
Melissa N. Austreim-Krell
3250 Plaza Dr |
$55.05 | 4,749 | 4,203 |
|
Tracey Ann Pick
3410 Futures Dr |
$46.47 | 3,505 | 3,014 |
|
Michael L Hattan
3250 Plaza Dr |
$51.40 | 2,748 | 2,426 |
|
Matthew Randal Humpal
501 1St Ave |
$34.19 | 2,508 | 2,175 |
|
Thomas J Wente
3250 Plaza Dr |
$49.21 | 2,454 | 2,165 |
|
Nicole Marie Rosenkrans
3410 Futures Dr |
$62.45 | 2,096 | 1,519 |
|
Jill K Bundy
3410 Futures Dr |
$34.38 | 2,019 | 1,571 |
|
David N Faldmo
3410 Futures Dr |
$6.55 | 1,626 | 1,456 |
|
Siouxland Community Health Center
3410 Futures Dr |
$0.05 | 1,448 | 1,222 |
|
Mary Mcgowan
3410 Futures Dr |
$34.79 | 1,378 | 1,065 |
|
Kelly Marie Ragaller
3410 Futures Dr |
$29.01 | 1,265 | 1,114 |
|
Deborah Henry
3250 Plaza Dr |
$43.57 | 1,203 | 1,140 |
|
Suhair Afana Najdawi
501 1St Ave |
$51.37 | 1,193 | 1,095 |
|
Jenna Marie Comstock
3250 Plaza Dr |
$33.58 | 761 | 704 |
|
Ifan Chen
501 1St Ave |
$40.18 | 723 | 636 |
|
Austin T Granatowicz
3250 Plaza Dr |
$38.94 | 601 | 538 |
|
Greater Siouxland Anesthesiology & Pain Prof Llc
201 E 4Th St |
$23.13 | 528 | 309 |
|
Melissa Ellen Watchorn
909 W 21St St |
$64.17 | 68 | 66 |
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 South Sioux City, NE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in South Sioux City, NE is $42.44 per claim, based on 67,355 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 South Sioux City, NE?
There are 23 Medicaid providers offering Office Visit related services in South Sioux City, NE according to public payment data.
What is the price range for Office Visit in South Sioux City, NE?
Medicaid reimbursement for Office Visit in South Sioux City, NE ranges from $0.05 to $64.17 per claim, with an average of $42.44. 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 South Sioux City, NE
Chiropractic Care
Avg $23.75
46,955 claims
Blood Work & Lab Tests
Avg $2.49
29,124 claims
Emergency Room Visit
Avg $130.24
20,413 claims
Psychiatric Evaluation
Avg $108.77
15,084 claims
Physical Therapy
Avg $23.30
13,109 claims
Eye Exam
Avg $24.60
9,842 claims
Dental Cleaning & Exam
Avg $23.61
6,653 claims
Substance Abuse Treatment
Avg $52.76
6,272 claims