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 |
|---|---|---|---|
|
Carol Ann Olberding
116 E 11Th St |
$0.32 | 12 | 12 |
|
Bobbi Jeanne Honkomp
1200 1St Ave E |
$75.11 | 12 | 12 |
|
Joni Ruth Breuer
714 S Grand Ave |
$31.36 | 15 | 12 |
|
Bria Schoelerman
1200 1St Ave E Ste C |
$20.46 | 15 | 12 |
|
Paige Elizabeth Evans Smith
206 Grand Ave |
$30.62 | 30 | 24 |
|
Emily Catherine Walton
116 E 11Th St Ste 101 |
$35.45 | 45 | 44 |
|
Stephen P Fox
1200 1St Ave E |
$40.39 | 56 | 52 |
|
Maureen Reeves Horsley
1800 Norris Place |
$46.74 | 63 | 58 |
|
Sue Ann Brugman
1801 Norris Pl |
$40.84 | 72 | 66 |
|
Leah Marie Malmstrom
1025 5Th Ave Se |
$0.00 | 78 | 75 |
|
Sandra Lenette Walker-Lee
201 E 11Th St |
$7.43 | 81 | 78 |
|
Kimberly Whisenant
116 E 11Th St Ste 101 |
$47.04 | 94 | 83 |
|
Miranda Brower
337 11Th St. S.W. |
$44.21 | 135 | 116 |
|
Philip Augustus Deffer
1200 1St Ave E |
$26.57 | 167 | 158 |
|
Christopher James Rierson
1200 1St Ave E |
$37.07 | 173 | 159 |
|
Kenneth Ray Hunziker
116 E 11Th St |
$35.57 | 194 | 187 |
|
Lindsay Kristina Harms
201 E 11Th St |
$17.38 | 201 | 181 |
|
Kayla Vanderhoff
1200 1St Ave E |
$11.30 | 228 | 115 |
|
Yogesh Vinod Kolwadkar
20 W 6Th St |
$32.50 | 235 | 211 |
|
Susan Terrell
116 E 11Th St |
$30.29 | 241 | 216 |
|
Jill A. Hustedt
337 11Th St Sw |
$45.86 | 253 | 219 |
|
Peyton Hantelman
1801 Norris Pl |
$49.43 | 369 | 324 |
|
Jeffry Raymond Peterson
116 E 11Th St |
$39.92 | 380 | 354 |
|
Spencer Municipal Hospital
101 E 10Th St |
$7.49 | 422 | 376 |
|
Sonia Albertson Sather
116 E 11Th St |
$38.63 | 498 | 474 |
|
Ronald James Creswell
116 E 11Th St |
$30.35 | 530 | 470 |
|
Dawn L Howley
2016 Highway Blvd |
$23.88 | 596 | 543 |
|
Jamie C Westerman Billings
116 E 11Th St Ste 101 |
$29.63 | 683 | 603 |
|
Jason Carter Hough
1200 1St Ave E |
$34.07 | 699 | 636 |
|
Anna L Waldner
Seasons Center For Behavioral Health |
$68.62 | 720 | 584 |
|
Timothy Dean Blankers
1200 1St Ave E |
$26.89 | 899 | 797 |
|
John Edwin Hilsabeck
116 E 11Th St |
$31.32 | 910 | 812 |
|
Andrew Glen Pick
1200 1St Ave E |
$31.77 | 941 | 823 |
|
Robert Matthew Baltes
1200 1St Ave E Ste 1 |
$41.83 | 968 | 845 |
|
Kimberly Goslinga
201 E 11Th St |
$53.89 | 976 | 794 |
|
Alexander Pruitt
20 W 6Th St |
$22.48 | 1,008 | 820 |
|
Brian Patrick Wilson
1823 Highway Blvd |
$47.68 | 1,042 | 960 |
|
Samantha Sheffield
1200 1St Ave E |
$32.19 | 1,053 | 898 |
|
Sharon B Eckhart
2016 Hwy Blvd South |
$22.60 | 1,108 | 922 |
|
Carol Ann Lamoureux-Lewallen
116 E 7Th St |
$46.84 | 1,117 | 973 |
|
Glenn Geoffrey Preston
1200 1St Ave E |
$17.03 | 1,254 | 862 |
|
Edwin Francisco Suaza
116 E 11Th St Ste 101 |
$33.53 | 1,255 | 1,180 |
|
Mark Thomas Hepworth
1200 1St Ave E Ste 1 |
$42.23 | 1,256 | 1,176 |
|
Briana Wetrich
116 E 11Th St |
$37.86 | 1,498 | 1,381 |
|
Sherry Lynn Kolacia-Tighe
116 E 11Th St |
$38.39 | 1,691 | 1,533 |
|
Morgan Elizabeth Spielman
116 E 11Th St Ste 101 |
$29.00 | 1,823 | 1,642 |
|
Megan M Vanotterloo
1200 1St Ave E |
$39.25 | 1,977 | 1,822 |
|
Joshua John Espelund
920 Grand Ave |
$40.55 | 1,980 | 1,702 |
|
Kathi Kae Heckert
116 E 11Th St |
$29.92 | 2,006 | 1,887 |
|
Darrel Richard Forslund
1915 W 4Th St |
$66.07 | 2,109 | 1,909 |
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