Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Waverly, IA: $35.42

Avg. Paid

$35.42

Range

$0.00 – $73.85

Total Claims

69,653

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 Waverly, IA

Provider	Avg. Paid	Claims	Patients
Pathways Behavioral Services Inc 111 10Th St Sw	$73.85	14,136	12,966
Christopher James Goetzinger 312 9Th St Sw	$34.00	5,776	5,186
Julie Anne Leary 312 9Th St Sw	$37.44	4,806	4,651
Jan Paula Davis 312 9Th St Sw Ste 3300	$32.90	4,286	4,074
Unitypoint Health - Marshalltown 312 9Th St Sw Ste 1200	$0.02	3,963	3,682
Kelsey Masters 312 9Th St Sw	$32.98	3,702	3,495
Waverly Health Center 312 9Th Street Sw	$0.00	2,930	2,783
Iowa Physicians Clinic Medical Foundation 312 9Th St Sw	$0.26	2,902	2,640
Daniel J Darnold 312 9Th St Sw	$34.94	2,790	2,571
Mary Jo Emily Stromberg 217 20Th St Nw	$25.25	2,773	2,572
Timothy C Horrigan 217 20Th St Nw	$37.05	2,759	2,524
Lee O Fagre 217 20Th St Nw	$31.74	2,256	2,011
Megan Rose Miller 312 9Th St Sw Ste 1200	$34.07	1,928	1,832
Teresa Anne Isaacson 312 9Th St Sw	$20.96	1,796	1,619
Michael T Berstler 312 9Th St Sw	$45.03	1,722	1,648
Jacob Nagel 312 9Th St Sw	$38.91	1,198	1,164
Waverly Health Center 312 9Th St Sw	$0.00	1,191	1,131
Alyssa Marie Woods 312 9Th St Sw	$30.22	1,056	919
Samantha Jo Wolff 312 9Th St Sw	$20.02	988	755
Todd Larry Shover 312 9Th St Sw	$12.08	768	725
Amber Lynn Weber 312 9Th St Sw	$32.78	764	726
Trisha Lynn Tibbitts 101 Cedar River Pkwy Ste 101	$52.68	622	599
Courtney C Bochmann 312 9Th St Sw	$20.58	603	547
Kristen Grapp 312 9Th St Sw	$33.33	556	536
Kathleen Ranae Heise 312 9Th St Sw	$36.00	506	459
Ann L Rathe 312 9Th St Sw	$11.63	445	428
Scott B Johnson 312 9Th St Sw	$33.40	401	384
Stacia Linn Danielson 312 9Th St Sw	$9.39	347	310
Ellen Elizabeth Jacque 312 9Th St Sw	$18.60	335	322
Leeann Hoodjer Waverly Health Center	$1.47	270	233
Stacy Jo Huck 312 9Th St Sw	$1.22	264	238
Andrea Lynne Johnson 111 10Th St Sw	$9.05	218	210
Madison Ann Albert 312 9Th St Sw Ste 3400	$26.19	137	125
Megan Mcmillin 100 Wartburg Blvd	$26.82	124	93
Janel R Thompson 312 9Th St Sw	$26.69	120	97
Cassie Mae Stone 217 20Th St Nw	$24.47	41	38
David J Rathe 312 9Th St Sw	$29.66	38	34
Julie Marie Cousin 312 9Th St Sw	$12.77	35	30
Jodi Bangasser 312 9Th St Sw	$13.19	31	31
Alaa Al-Talla 312 9Th St Sw	$35.34	26	25
Amber Jane Lacina 111 10Th St Sw	$40.60	16	16
Kerri Marie Vanee 99 E Bremer Ave Ste 100	$26.95	15	12
Waverly Health Center 312 9Th St Sw	$29.93	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 Waverly, IA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Waverly, IA is $35.42 per claim, based on 69,653 claims from 43 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 Waverly, IA?

There are 43 Medicaid providers offering Office Visit related services in Waverly, IA according to public payment data.

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

Medicaid reimbursement for Office Visit in Waverly, IA ranges from $0.00 to $73.85 per claim, with an average of $35.42. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Waverly, IA: $35.42

Providers Offering Office Visit in Waverly, IA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Houston, TX

Las Vegas, NV

Other Procedures in Waverly, IA

Psychiatric Evaluation

Case Management Services

Substance Abuse Treatment

Dental Cleaning & Exam

Vaccines & Immunizations

Chiropractic Care

Physical Therapy

Behavioral & Mental Health Therapy