Average Medicaid Office Visit Payments in Spirit Lake, IA: $32.93
Avg. Paid
$32.93
Range
$19.55 – $41.95
Total Claims
30,616
Providers
21
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 Spirit Lake, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Thomas Kalkhoff
2301 Highway 71 Ste C |
$35.43 | 4,005 | 3,492 |
|
Marsha Kay Haar
2700 23Rd St |
$30.60 | 3,925 | 3,450 |
|
Mara Groom Hermiston
2301 Highway 71 Ste C |
$36.69 | 3,908 | 3,358 |
|
Timothy J Taylor
2700 23Rd St |
$19.55 | 3,364 | 3,128 |
|
Averill Fuhs
2301 Highway 71 Ste C |
$37.86 | 2,595 | 2,269 |
|
Brett Joel Olson
2700 23Rd St |
$30.52 | 2,399 | 2,093 |
|
Crystal Elizabeth Meyer
2704 Enterprise Ave |
$36.42 | 1,353 | 1,270 |
|
Jeffrey John Goerss
2700 23Rd St |
$30.09 | 1,279 | 1,048 |
|
Whitney Nelson
2301 Highway 71 |
$39.77 | 1,207 | 1,055 |
|
Jessica Leigh Reinking
2700 23Rd St Ste C |
$32.09 | 1,087 | 1,010 |
|
Zachary A Borus
2700 23Rd St |
$39.16 | 1,079 | 967 |
|
Bradley Russell Meyer
2301 Highway 71 Ste C |
$34.55 | 958 | 775 |
|
Jason Zinnel
1850 Royal Ave |
$34.96 | 878 | 784 |
|
Thomas F Kalkhoff
2700 23Rd St |
$33.98 | 851 | 728 |
|
Steven Paul Vander Leest
2700 23Rd St |
$33.43 | 495 | 422 |
|
John Adrian Leupold
2301 Highway 71 South |
$41.95 | 470 | 420 |
|
Steven L Baskerville
2700 23Rd St |
$32.31 | 351 | 312 |
|
William Jackson Knoer
2301 Highway 71 |
$30.17 | 257 | 243 |
|
Laith Mohamed Mahdi
2301 Highway 71 |
$35.41 | 88 | 86 |
|
James A Gamache
Highway 71 South |
$19.99 | 38 | 36 |
|
Kelly Norland
2312 23Rd St |
$26.21 | 29 | 26 |
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 Spirit Lake, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Spirit Lake, IA is $32.93 per claim, based on 30,616 claims from 21 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 Spirit Lake, IA?
There are 21 Medicaid providers offering Office Visit related services in Spirit Lake, IA according to public payment data.
What is the price range for Office Visit in Spirit Lake, IA?
Medicaid reimbursement for Office Visit in Spirit Lake, IA ranges from $19.55 to $41.95 per claim, with an average of $32.93. 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 Spirit Lake, IA
Chiropractic Care
Avg $20.19
11,165 claims
Psychiatric Evaluation
Avg $72.44
9,507 claims
Blood Work & Lab Tests
Avg $11.30
9,271 claims
Emergency Room Visit
Avg $78.33
8,956 claims
Personal Care Services
Avg $52.02
6,417 claims
Eye Exam
Avg $57.66
5,457 claims
Vaccines & Immunizations
Avg $9.57
3,817 claims
Home Health Visit
Avg $87.93
1,173 claims