Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Washington, IA: $3.08

Avg. Paid

$3.08

Range

$0.00 – $52.11

Total Claims

61,844

Providers

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 Washington, IA

Provider	Avg. Paid	Claims	Patients
Washington County Hospital 1230 S Iowa Ave	$0.01	30,650	27,123
Washington County Hospital 444 E Polk St	$0.03	19,045	16,357
Sumin Tammy Li 400 E Polk St	$13.57	1,503	1,423
Tiffany Lynn Knupp 2489 Highway 92	$27.99	1,226	993
Amanda C Kleese 1230 S Iowa Ave	$1.20	962	884
Brian Patrick Murphy 315 S Iowa Ave Ste A	$25.01	942	754
Rey C Lin 400 E Polk St	$27.32	687	509
Tyler Amnie Bayliss 1230 S Iowa Ave	$1.53	627	560
Madelynn Rose Dickinson 2489 Highway 92	$12.32	597	449
Trevor R. Martin 1230 S Iowa Ave	$14.33	562	514
Washington County Public Health And Home Care 110 N Iowa Ave Ste 300	$13.37	547	492
Lindi D Jepson 1230 S. Iowa Avenue	$2.57	545	509
Kelsey Ann Striegel 444 E Polk St	$10.18	525	476
Curtis J Frier 400 E Polk St	$25.22	499	382
Teresa Krueger 1230 S. Iowa Ave	$20.80	478	439
Andrew Randolph Ashby 400 E Polk St	$28.11	472	439
Qv Urgent Care Ia Pllc 2489 Highway 92	$0.00	376	351
Lacie Diana Porter 400 E Polk St	$0.87	284	267
Hillcrest Family Services 2175 Lexington Blvd # 4	$36.53	255	246
Courtney Rose Cochran 400 E Polk St	$3.22	236	224
Debbie L Gibbs 1230 S Iowa Ave	$9.45	154	137
James J Schlichtmann 444 E Polk St	$16.19	153	135
Stephanie Linn Sparks 444 E Polk St	$18.29	130	115
Lauren Marie Burchette 400 E Polk St	$28.71	125	122
Ryan Andrew Flannery 1230 S Iowa Ave	$2.86	108	101
Ernest Todd Ajax 400 E Polk St	$31.34	36	29
Nicole Ann Alsaker 400 E Polk St	$38.22	32	30
Stephan J Schomer 444 E Polk St	$52.11	31	28
Daisy Gillian Hanshaw 400 E Polk St	$0.39	29	28
George David Nacos 1230 S Iowa Ave	$12.11	15	15
Phillip Mark Bruner 418 E Polk St	$42.13	13	12

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 Washington, IA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Washington, IA is $3.08 per claim, based on 61,844 claims from 31 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 Washington, IA?

There are 31 Medicaid providers offering Office Visit related services in Washington, IA according to public payment data.

What is the price range for Office Visit in Washington, IA?

Medicaid reimbursement for Office Visit in Washington, IA ranges from $0.00 to $52.11 per claim, with an average of $3.08. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Washington, IA: $3.08

Providers Offering Office Visit in Washington, IA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Phoenix, AZ

Houston, TX

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