Average Medicaid Office Visit Payments in Spencer, IA: $53.75
Avg. Paid
$53.75
Range
$0.00 – $103.93
Total Claims
120,835
Providers
65
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 Spencer, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Northwest Iowa Mental Health Center
201 E 11Th St |
$90.69 | 34,414 | 27,892 |
|
David Paul Robison
116 E 11Th St |
$35.67 | 8,230 | 7,641 |
|
Nathaniel Amiel Meyer
116 E 11Th St |
$38.27 | 5,232 | 4,481 |
|
David Stephen Keith
116 E 11Th St |
$35.57 | 4,871 | 4,448 |
|
Amanda E Young
116 E 11Th St |
$34.96 | 4,447 | 3,943 |
|
Amy C Jochims
116 E 11Th St Ste 101 |
$103.93 | 4,169 | 3,563 |
|
Daniel L Jorgensen
920 Grand Ave |
$39.60 | 3,688 | 3,001 |
|
Travis J. Witt
116 E 11Th St |
$29.69 | 3,227 | 2,831 |
|
Nancy Lu Howe
201 E 11Th St |
$22.52 | 2,913 | 2,755 |
|
William Bensen
116 E 11Th St Ste 101 |
$36.54 | 2,884 | 2,424 |
|
Sara Casey
116 E 11Th St |
$32.60 | 2,854 | 2,655 |
|
Natalie Lynn Potrament
116 E 11Th St |
$31.67 | 2,608 | 2,351 |
|
Bruce Anthony Feldmann
116 E 11Th St |
$34.11 | 2,529 | 2,242 |
|
Yelena Aleh Thomas
116 E 11Th St |
$37.57 | 2,408 | 2,080 |
|
Jay Downing
1801 Norris Pl |
$42.25 | 2,193 | 2,060 |
|
Darrel Richard Forslund
1915 W 4Th St |
$66.07 | 2,109 | 1,909 |
|
Kathi Kae Heckert
116 E 11Th St |
$29.92 | 2,006 | 1,887 |
|
Joshua John Espelund
920 Grand Ave |
$40.55 | 1,980 | 1,702 |
|
Megan M Vanotterloo
1200 1St Ave E |
$39.25 | 1,977 | 1,822 |
|
Morgan Elizabeth Spielman
116 E 11Th St Ste 101 |
$29.00 | 1,823 | 1,642 |
|
Sherry Lynn Kolacia-Tighe
116 E 11Th St |
$38.39 | 1,691 | 1,533 |
|
Briana Wetrich
116 E 11Th St |
$37.86 | 1,498 | 1,381 |
|
Mark Thomas Hepworth
1200 1St Ave E Ste 1 |
$42.23 | 1,256 | 1,176 |
|
Edwin Francisco Suaza
116 E 11Th St Ste 101 |
$33.53 | 1,255 | 1,180 |
|
Glenn Geoffrey Preston
1200 1St Ave E |
$17.03 | 1,254 | 862 |
|
Carol Ann Lamoureux-Lewallen
116 E 7Th St |
$46.84 | 1,117 | 973 |
|
Sharon B Eckhart
2016 Hwy Blvd South |
$22.60 | 1,108 | 922 |
|
Samantha Sheffield
1200 1St Ave E |
$32.19 | 1,053 | 898 |
|
Brian Patrick Wilson
1823 Highway Blvd |
$47.68 | 1,042 | 960 |
|
Alexander Pruitt
20 W 6Th St |
$22.48 | 1,008 | 820 |
|
Kimberly Goslinga
201 E 11Th St |
$53.89 | 976 | 794 |
|
Robert Matthew Baltes
1200 1St Ave E Ste 1 |
$41.83 | 968 | 845 |
|
Andrew Glen Pick
1200 1St Ave E |
$31.77 | 941 | 823 |
|
John Edwin Hilsabeck
116 E 11Th St |
$31.32 | 910 | 812 |
|
Timothy Dean Blankers
1200 1St Ave E |
$26.89 | 899 | 797 |
|
Anna L Waldner
Seasons Center For Behavioral Health |
$68.62 | 720 | 584 |
|
Jason Carter Hough
1200 1St Ave E |
$34.07 | 699 | 636 |
|
Jamie C Westerman Billings
116 E 11Th St Ste 101 |
$29.63 | 683 | 603 |
|
Dawn L Howley
2016 Highway Blvd |
$23.88 | 596 | 543 |
|
Ronald James Creswell
116 E 11Th St |
$30.35 | 530 | 470 |
|
Sonia Albertson Sather
116 E 11Th St |
$38.63 | 498 | 474 |
|
Spencer Municipal Hospital
101 E 10Th St |
$7.49 | 422 | 376 |
|
Jeffry Raymond Peterson
116 E 11Th St |
$39.92 | 380 | 354 |
|
Peyton Hantelman
1801 Norris Pl |
$49.43 | 369 | 324 |
|
Jill A. Hustedt
337 11Th St Sw |
$45.86 | 253 | 219 |
|
Susan Terrell
116 E 11Th St |
$30.29 | 241 | 216 |
|
Yogesh Vinod Kolwadkar
20 W 6Th St |
$32.50 | 235 | 211 |
|
Kayla Vanderhoff
1200 1St Ave E |
$11.30 | 228 | 115 |
|
Lindsay Kristina Harms
201 E 11Th St |
$17.38 | 201 | 181 |
|
Kenneth Ray Hunziker
116 E 11Th St |
$35.57 | 194 | 187 |
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 Spencer, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Spencer, IA is $53.75 per claim, based on 120,835 claims from 65 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 Spencer, IA?
There are 65 Medicaid providers offering Office Visit related services in Spencer, IA according to public payment data.
What is the price range for Office Visit in Spencer, IA?
Medicaid reimbursement for Office Visit in Spencer, IA ranges from $0.00 to $103.93 per claim, with an average of $53.75. 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 Spencer, IA
Psychiatric Evaluation
Avg $91.65
115,834 claims
Non-Emergency Medical Transportation
Avg $50.30
64,181 claims
Chiropractic Care
Avg $23.36
34,154 claims
Blood Work & Lab Tests
Avg $2.20
17,495 claims
Eye Exam
Avg $34.94
17,318 claims
Dental Cleaning & Exam
Avg $28.13
14,900 claims
Case Management Services
Avg $24.94
11,251 claims
Behavioral & Mental Health Therapy
Avg $67.31
10,090 claims