Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Waterloo, IA: $28.16

Avg. Paid

$28.16

Range

$0.00 – $259.98

Total Claims

739,153

Providers

354

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 Waterloo, IA

Provider	Avg. Paid	Claims	Patients
Dileepa Chathuranga Ramanayake Pathirannehelage 1015 S Hackett Rd	$68.73	12	12
Patrick J Weires 927 W 4Th St	$55.73	12	12
Jessica Nicole Clark 1825 Logan Ave	$30.76	12	12
Uwem Ben Ekwo Ne Ia Family Medicine Residency Program	$25.22	12	12
Richard Alexander Manfready 1015 S Hackett Rd	$44.53	12	12
Eromosele Anthony Otoadese 1753 W Ridgeway Ave Ste 111	$78.55	12	12
Thomas Stewart Gorsche 1631 Logan Ave	$61.03	12	12
Amy L Hartmann 2515 Cyclone Dr	$26.60	13	12
Kristina Hunter Mercyone Waterloo Ob/Gyn	$16.86	13	13
Amy Elizabeth Reppert 2710 Saint Francis Dr Ste 410	$84.41	13	13
Scott Sherman Hinze 2710 Saint Francis Dr Ste 410	$64.96	13	12
Kelsey Lee Wagner 146 W Dale St Ste 102	$45.57	13	12
Jessica Troyna 3421 W 9Th St Ste G4500	$24.58	13	12
Andrea Leigh Hansen 1825 Logan Ave	$27.12	14	13
Eric M Dolash 3741 Pheasant Ln	$64.22	14	14
Kathryn Ann Heetland 200 E Ridgeway Ave	$33.87	15	13
Michelle Lee Mcpoland 2530 University Ave Ste 1	$16.20	15	12
Ravindra Mallavarapu 1015 S Hackett Rd	$41.79	15	14
Melissa Tiffiny Garrett 1753 W Ridgeway Ave Ste 107	$46.76	16	14
Yadunath Pokharel 3421 W 9Th St	$28.21	16	14
Gyobanna C Driver 2055 Kimball Ave	$24.39	16	15
Sarah Jessica Seuntjens 146 W Dale St Ste 102	$27.40	18	18
Kaila Cynthia Egan 918 Decathlon Dr	$36.15	18	16
Irmela Salihovic 2710 Saint Francis Dr Ste 320	$20.27	25	24
Andrew H Rikkers 1753 W Ridgeway Ave Ste 107	$70.76	26	25
Marcia A Rellihan 3421 W 9Th St	$30.10	26	25
Gregory Bedynek 2710 Saint Francis Dr Ste 110	$50.97	26	25
Benjamin L Mason 999 Home Plz	$56.43	26	26
Jennifer M Lucas 2710 Saint Francis Dr	$21.64	27	26
Taha Ashraf 1015 S Hackett Rd	$60.78	29	29
Mary Ann Amend 146 W Dale St Ste 201	$17.48	30	28
Darron Paul Cutler 4719 Ansborough Ave	$44.53	30	26
Jessica Elizabeth Kepple 3421 W 9Th St Ste G4500	$20.70	31	28
Barbara L Weno 3421 W 9Th St	$22.66	33	27
Assumpta Grace Twekise 3421 W 9Th St Ste G4500	$38.10	34	31
Brett R Richman 1015 S Hackett Rd	$34.84	34	25
David Carter Redfern 1753 W Ridgeway Ave	$60.30	34	31
Brian Harold Cunningham 1825 Logan Ave	$62.87	35	33
Michele L. Friedman 1825 Logan Ave	$33.60	35	35
John Whitt 927 W 4Th St	$22.50	36	31
Sue Ann Burnett 3421 W 9Th St	$41.88	37	33
Crystal Dawn Schrader 110 Plaza Cir Ste A	$33.92	39	39
Stephanie Anne Giesler 3251 W 9Th St	$20.03	39	38
Carla J Springer 1015 S Hackett Rd	$46.44	41	37
Kimberlee Kay Borneman 146 W Dale St	$32.86	41	40
Lisa D Pisney 3500 E Donald St	$29.35	43	38
Manraj Padda 3251 W 9Th St	$33.61	44	42
Lindsey Northness 3421 W 9Th St	$21.23	44	40
Jim Eldon Crouse 1753 W Ridgeway Ave	$28.10	45	42
Cydney Ferguson 1825 Logan Ave	$12.72	45	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 Waterloo, IA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Waterloo, IA is $28.16 per claim, based on 739,153 claims from 354 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 Waterloo, IA?

There are 354 Medicaid providers offering Office Visit related services in Waterloo, IA according to public payment data.

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

Medicaid reimbursement for Office Visit in Waterloo, IA ranges from $0.00 to $259.98 per claim, with an average of $28.16. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Waterloo, IA: $28.16

Providers Offering Office Visit in Waterloo, IA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Waterloo, IA

Psychiatric Evaluation

Blood Work & Lab Tests

Emergency Room Visit

Behavioral & Mental Health Therapy

Dental Cleaning & Exam

Vaccines & Immunizations

Non-Emergency Medical Transportation

Personal Care Services