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 |
|---|---|---|---|
|
Peoples Community Health Clinic, Inc.
905 Franklin St |
$0.03 | 131,780 | 116,199 |
|
Black Hawk-Grundy Mental Health Center Inc.
3251 W 9Th St |
$69.20 | 44,406 | 42,108 |
|
Bobbita Nag
2750 Saint Francis Dr |
$40.77 | 17,238 | 16,324 |
|
Kathleen A Megivern
2710 Saint Francis Dr Ste 111 |
$28.92 | 16,819 | 15,873 |
|
Steven W. Tarr
2710 Saint Francis Dr |
$29.28 | 15,001 | 13,921 |
|
Jeffrey J Sutton
2710 Saint Francis Dr Ste 111 |
$28.63 | 14,302 | 13,689 |
|
Brian E Sims
2710 Saint Francis Dr |
$29.65 | 13,893 | 12,760 |
|
Meagan Sue Menken
220 Southbrooke Dr |
$35.97 | 13,116 | 12,463 |
|
Joseph Benjamin
2710 Saint Francis Dr |
$46.82 | 11,237 | 10,142 |
|
Sangeeta Shah
2710 Saint Francis Dr |
$41.64 | 10,206 | 9,635 |
|
Angela S Townsend
2710 Saint Francis Drive Suite 510 |
$36.00 | 9,767 | 8,981 |
|
Benjamin Harrison Davidson
2710 Saint Francis Dr. |
$31.14 | 8,175 | 7,515 |
|
Daniel Wright
2710 Saint Francis Dr Ste 510 |
$31.60 | 7,307 | 6,839 |
|
Samir Chandra
2710 Saint Francis Dr |
$36.36 | 7,204 | 6,688 |
|
Jeffrey David Wilkins
1825 Logan Ave |
$11.35 | 7,092 | 6,726 |
|
Patricia Jane Bischoff
1655 E San Marnan Dr |
$29.19 | 6,921 | 6,480 |
|
Robert Stephen Pranger
220 Southbrooke Dr |
$40.55 | 6,782 | 5,999 |
|
Stacey Marie Marlow Fisher
1825 Logan Ave |
$12.01 | 6,725 | 6,389 |
|
Brian K Sankey
2710 Saint Francis Dr |
$31.67 | 6,431 | 5,868 |
|
Lauren Kelly Gulan
2710 Saint Francis Dr Ste 111 |
$23.95 | 6,121 | 5,830 |
|
Maria Lynn Metcalf
110 Plaza Cir Ste A |
$35.93 | 6,096 | 5,814 |
|
Neil E Wickham
2055 Kimball Ave Ste 400 |
$41.26 | 6,049 | 5,801 |
|
Maria Nguyen
2055 Kimball Ave |
$53.55 | 6,036 | 5,870 |
|
Richard W. Naylor
2710 Saint Francis Dr |
$28.80 | 5,873 | 5,533 |
|
Covenant Medical Center Inc
3421 W 9Th St |
$5.91 | 5,759 | 4,602 |
|
Robin Marie Pattison
1753 W Ridgeway Ave |
$35.39 | 5,624 | 5,438 |
|
Emily Ann Grarup
2140 Logan Ave Ste C |
$34.94 | 5,568 | 5,087 |
|
Kendra L Elwood
2710 Saint Francis Dr Ste 510 |
$33.89 | 5,173 | 4,750 |
|
Gary A Knudson
2710 Saint Francis Dr |
$30.95 | 5,075 | 4,739 |
|
Emily Louise Horrigan
905 Franklin St |
$24.33 | 4,999 | 4,786 |
|
Penumetsa B Raju
2750 Saint Francis Dr |
$35.45 | 4,994 | 4,783 |
|
Matthew J Smith
1753 W Ridgeway Ave Ste 103A |
$34.01 | 4,837 | 4,211 |
|
Lisa Jean Daringer
1655 E San Marnan Dr |
$32.75 | 4,793 | 4,589 |
|
Todd K Lawrence
1825 Logan Ave |
$12.50 | 4,781 | 4,548 |
|
Jeffrey Guse
1731 W Ridgeway Ave |
$34.00 | 4,779 | 4,414 |
|
William Paul Fangman
1825 Logan Ave |
$11.17 | 4,685 | 4,463 |
|
Suzanne E Munns
2055 Kimball Ave |
$31.04 | 4,615 | 4,331 |
|
Chitravathi Yerrapareddy
1717 W Ridgeway Ave |
$54.11 | 4,609 | 4,416 |
|
Cindy L Huwe
2055 Kimball Ave Ste 101 |
$33.67 | 4,555 | 4,248 |
|
Jennifer A Hall
1015 S Hackett Rd |
$28.14 | 4,529 | 4,271 |
|
Kelli Jo Pierce
2710 Saint Francis Dr Ste 320 |
$31.27 | 4,524 | 4,267 |
|
Jens Masters Olsen
1825 Logan Ave |
$11.10 | 4,504 | 4,266 |
|
Joseph Kwofie
1825 Logan Ave |
$11.84 | 4,438 | 4,253 |
|
Tiffany J Mcewan
2710 Saint Francis Dr Ste 210 |
$27.24 | 4,343 | 4,076 |
|
Chelsea Jean Christensen
2710 Saint Francis Dr Ste 210 |
$25.97 | 4,279 | 4,004 |
|
Brittney Michelle Heims
3421 W 9Th St |
$24.28 | 4,268 | 4,030 |
|
Vinko M Bogdanic
3741 Pheasant Ln |
$34.77 | 4,263 | 3,877 |
|
Adrian William Miller
2710 Saint Francis Dr Ste 111 |
$22.84 | 4,162 | 3,941 |
|
Ted Arthur Bonebrake
3640 Canterbury Ct Ste B |
$40.80 | 3,955 | 3,419 |
|
Shawn Thomas Plunkett
146 W Dale St Ste 101 |
$34.64 | 3,919 | 3,709 |
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.
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 Waterloo, IA
Psychiatric Evaluation
Avg $73.45
295,888 claims
Blood Work & Lab Tests
Avg $1.88
292,063 claims
Emergency Room Visit
Avg $132.61
230,395 claims
Behavioral & Mental Health Therapy
Avg $100.02
178,626 claims
Dental Cleaning & Exam
Avg $22.88
146,099 claims
Vaccines & Immunizations
Avg $9.90
141,531 claims
Non-Emergency Medical Transportation
Avg $31.27
140,190 claims
Personal Care Services
Avg $322.89
97,883 claims