Average Medicaid Office Visit Payments in Tama, IA: $3.29
Avg. Paid
$3.29
Range
$0.01 – $219.62
Total Claims
60,375
Providers
11
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 Tama, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mercy Physician Associates, Inc
402 Siegel St |
$0.01 | 27,455 | 21,688 |
|
Sac & Fox Of The Miss In Iowa
1646 305Th Street |
$0.18 | 18,589 | 15,173 |
|
Amanda Heck
402 Siegel St |
$0.04 | 3,157 | 2,650 |
|
Christa Slagle
402 Siegel St |
$0.43 | 2,392 | 2,018 |
|
Jerry Wille
402 Siegel St |
$4.13 | 2,247 | 1,857 |
|
Alicia D Barron
1646 305Th St |
$31.59 | 1,920 | 1,794 |
|
Jenifer Mariann Cooper
402 Siegel St |
$41.29 | 1,653 | 1,535 |
|
Sherri Lynn Vesely
402 Siegel St |
$1.46 | 1,550 | 1,295 |
|
Erica Alexandra Quigley
402 Siegel St |
$8.01 | 904 | 795 |
|
Jason Sanders
402 Siegel St |
$0.80 | 300 | 248 |
|
Meskwaki Pharmacy
1646 305Th Street |
$219.62 | 208 | 155 |
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 Tama, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Tama, IA is $3.29 per claim, based on 60,375 claims from 11 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 Tama, IA?
There are 11 Medicaid providers offering Office Visit related services in Tama, IA according to public payment data.
What is the price range for Office Visit in Tama, IA?
Medicaid reimbursement for Office Visit in Tama, IA ranges from $0.01 to $219.62 per claim, with an average of $3.29. 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 Tama, IA
Blood Work & Lab Tests
Avg $2.43
41,495 claims
Vaccines & Immunizations
Avg $0.00
20,836 claims
Psychiatric Evaluation
Avg $0.02
7,000 claims
Urinalysis & Urine Tests
Avg $0.04
4,558 claims
Chiropractic Care
Avg $25.16
4,224 claims
Culture & Microbiology Tests
Avg $6.56
2,915 claims
Ambulance Transport
Avg $48.48
1,938 claims
Prescription Medications
Avg $0.00
1,173 claims