Average Medicaid Office Visit Payments in Urbandale, IA: $33.93
Avg. Paid
$33.93
Range
$0.00 – $230.74
Total Claims
103,029
Providers
68
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 Urbandale, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shawn Spooner
2901 86Th St |
$41.05 | 20,324 | 18,643 |
|
Marc A. Molis
2901 86Th St |
$43.10 | 19,305 | 17,966 |
|
Primary Health Care, Inc.
7555 Hickman Rd |
$0.07 | 11,632 | 10,151 |
|
Charles Vincent Wadle
2500 82Nd Pl |
$35.27 | 6,346 | 5,906 |
|
Nikala Prasasouk
5200 100Th St |
$35.53 | 4,031 | 3,938 |
|
Adrian Rains
4850 100Th St |
$24.40 | 2,583 | 2,493 |
|
Jayson Gesulga
2327 70Th St |
$13.56 | 2,422 | 2,258 |
|
Kimberley P Bauman
6200 Aurora Ave |
$35.19 | 2,417 | 2,171 |
|
Angela Conley
4005 Nw Urbandale Dr |
$29.90 | 2,121 | 1,915 |
|
Jessica Lynn Chiodo
2400 82Nd Pl |
$21.14 | 2,000 | 1,577 |
|
Joseph O Gilg
8421 Plum Dr |
$31.00 | 1,850 | 1,751 |
|
Beth Frettim
2500 82Nd Pl |
$30.40 | 1,828 | 1,651 |
|
Erik D. Swenson
8421 Plum Dr |
$39.14 | 1,432 | 1,318 |
|
Lazaro Rabang
4005 Nw Urbandale |
$31.07 | 1,385 | 1,291 |
|
Mark Burdt
8421 Plum Dr |
$31.38 | 1,385 | 1,304 |
|
Wayne Belling
3403 159Th St |
$24.54 | 1,308 | 1,219 |
|
Cory B Pittman
8421 Plum Dr |
$35.90 | 1,284 | 1,188 |
|
Molly Horton
4711 147Th St |
$27.18 | 1,231 | 1,182 |
|
Susan Jacobi
8421 Plum Dr |
$33.88 | 1,129 | 1,057 |
|
Thomas William Schmidt
8421 Plum Dr |
$51.64 | 979 | 903 |
|
Alyssa Jo Rohrbeck
7555 Hickman Rd |
$33.61 | 929 | 856 |
|
Ron J Pick
6200 Aurora Ave |
$30.76 | 915 | 802 |
|
Megan L Stukenholtz
2815 100Th St # 113 |
$38.99 | 858 | 761 |
|
Anne E Rozeboom
3303 109Th St |
$45.22 | 851 | 747 |
|
Steven Michael Craig
8421 Plum Dr |
$38.11 | 830 | 778 |
|
Kelly Scott Bast
2901 86Th St |
$230.74 | 746 | 698 |
|
Wendy Suzanne Street
2901 86Th St |
$33.91 | 736 | 708 |
|
Kathryn Jo Lindgren
2901 86Th St |
$37.62 | 726 | 677 |
|
Lawrence J Rettenmaier
8421 Plum Dr |
$20.77 | 717 | 661 |
|
Wendy L Fluegel
3112 Pine Cir |
$40.44 | 704 | 648 |
|
Emily Kay Stewart
3011 152Nd St |
$54.21 | 633 | 619 |
|
Martin Mortens
6200 Aurora Ave |
$24.81 | 598 | 546 |
|
Christopher J Ronkar
8421 Plum Dr |
$31.47 | 583 | 518 |
|
Megan Janice Schreck
4323 Nw Urbandale Dr |
$15.12 | 562 | 453 |
|
Susan Elizabeth Herr Mcdowell
5200 Nw 100Th St |
$7.79 | 524 | 502 |
|
Jennifer Ann Daza
2901 86Th St |
$44.65 | 461 | 459 |
|
Chad P Enich
2901 86Th St |
$46.93 | 454 | 450 |
|
Erin Mohr
2500 82Nd Pl |
$39.28 | 388 | 349 |
|
Stephen James Slade
8421 Plum Dr |
$52.25 | 330 | 312 |
|
Iowa Arthritis And Osteoporosis Center Pc
8421 Plum Dr |
$9.96 | 301 | 279 |
|
Malkan Pilipovic
2500 82Nd Pl |
$41.20 | 285 | 250 |
|
Erin Louise Dohlman
4005 Nw Urbandale Dr |
$32.07 | 271 | 247 |
|
Kaaren R Olesen
2540 106Th St |
$24.75 | 263 | 250 |
|
Deana Dawn Hoganson
8421 Plum Dr |
$38.68 | 261 | 242 |
|
Gino Paul Chesini
8421 Plum Dr |
$64.97 | 258 | 246 |
|
Hailey Wilcox
5200 Nw 100Th St |
$43.69 | 257 | 255 |
|
Ara J Robinson
6921 Hickman Rd |
$61.10 | 230 | 227 |
|
Erin Jeanette Fish
4005 Nw Urbandale Dr |
$37.89 | 179 | 167 |
|
Rachel Hersom
7555 Hickman Rd |
$29.59 | 147 | 132 |
|
Jacob Gregory Murray
4319 Nw Urbandale Dr |
$65.38 | 141 | 137 |
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 Urbandale, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Urbandale, IA is $33.93 per claim, based on 103,029 claims from 68 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 Urbandale, IA?
There are 68 Medicaid providers offering Office Visit related services in Urbandale, IA according to public payment data.
What is the price range for Office Visit in Urbandale, IA?
Medicaid reimbursement for Office Visit in Urbandale, IA ranges from $0.00 to $230.74 per claim, with an average of $33.93. 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 Urbandale, IA
Psychiatric Evaluation
Avg $71.15
83,140 claims
Durable Medical Equipment (DME)
Avg $56.16
82,333 claims
X-Ray
Avg $2.70
48,444 claims
Personal Care Services
Avg $46.30
38,138 claims
Home Health Visit
Avg $128.53
35,811 claims
Blood Work & Lab Tests
Avg $4.70
34,030 claims
Chiropractic Care
Avg $22.54
31,148 claims
Behavioral & Mental Health Therapy
Avg $90.41
17,139 claims