Average Medicaid Office Visit Payments in West Burlington, IA: $23.20
Avg. Paid
$23.20
Range
$0.00 – $63.22
Total Claims
247,532
Providers
105
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 West Burlington, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carlos Falcon
1221 S Gear Ave |
$28.05 | 13 | 13 |
|
Loren Keith Reed
1221 S Gear Ave |
$30.26 | 13 | 12 |
|
Mary Catherine Bentler
1225 S Gear Ave |
$19.12 | 14 | 13 |
|
Zeina Hajar
1223 S Gear Ave |
$25.67 | 15 | 12 |
|
Thomas Allen Rexroth
2411 W Mount Pleasant St |
$0.00 | 20 | 17 |
|
Robert Douglas Foster
1225 S Gear Ave |
$25.52 | 30 | 28 |
|
Burlington Neurology And Sleep Clinic, Plc
1225 S Gear Ave Ste 153 |
$9.87 | 31 | 24 |
|
Audra Zimmer
1223 S Gear Ave Ste 309 |
$14.22 | 31 | 31 |
|
Ryan Deets
1223 S Gear Ave Ste 202 |
$16.22 | 39 | 36 |
|
Anthony L Lazar
1223 S Gear Ave |
$13.24 | 47 | 42 |
|
Joy Williams
1225 S Gear Ave Ste 252 |
$34.56 | 51 | 49 |
|
Burlington Pediatric Association, P.C.
1223 S Gear Ave |
$43.82 | 52 | 50 |
|
Raj Bhui
1225 S Gear Ave |
$63.22 | 52 | 48 |
|
Maria Story
1223 S Gear Ave |
$31.73 | 60 | 56 |
|
Susan E. Brown
1223 S Gear Ave Ste 101 |
$12.45 | 64 | 62 |
|
Michael J Niehaus
1223 S Gear Ave |
$32.37 | 82 | 77 |
|
Andrew Robert Klein
1221 S Gear Ave |
$33.78 | 85 | 84 |
|
Christina Metternich
1221 S Gear Ave |
$14.95 | 140 | 86 |
|
Meghan Wooster
1223 S Gear Ave Ste 202 |
$58.65 | 145 | 142 |
|
Gary J Mansheim
1201 W Agency Rd |
$33.69 | 154 | 144 |
|
Hubert Ladringan Labio
1221 S Gear Ave |
$23.92 | 156 | 154 |
|
Mark L Woodard
1223 S Gear Ave |
$24.13 | 159 | 148 |
|
Alexander Kudinov
1223 S Gear Ave Ste 109 |
$42.36 | 164 | 154 |
|
Georgia Lois Lauer
1706 West Agency Road |
$4.77 | 166 | 159 |
|
Daniel J. Peasley
1223 S Gear Ave |
$50.36 | 182 | 159 |
|
Thomas C Boyd
1201 W Agency Rd |
$26.47 | 231 | 202 |
|
Krystal Dawn Schmieg
1223 S Gear Ave Ste 304 |
$32.28 | 242 | 228 |
|
Cara Elizabeth Sawyer
1221 S Gear Ave |
$46.70 | 279 | 263 |
|
Craig Alan Bottke
1401 W Agency Rd |
$44.48 | 292 | 260 |
|
Carol A Menke
1225 S Gear Ave Ste 252 |
$28.38 | 298 | 289 |
|
Louis C Kantzavelos
1223 S Gear Ave |
$47.12 | 317 | 288 |
|
Wyatt Dale Baxter
1221 S Gear Ave |
$11.66 | 317 | 304 |
|
Khyla Marie Kline
1225 S Gear Ave Ste 251 |
$27.79 | 375 | 335 |
|
Anjali Katiyar Sobti
1201 W Agency Rd |
$36.12 | 392 | 374 |
|
Valerie Velho Denz
1225 S Gear Ave |
$27.86 | 401 | 369 |
|
Rachel Antoinette Oliverio
1401 W Agency Rd |
$13.78 | 448 | 358 |
|
Gregg W Calderwood
1223 S Gear Ave |
$34.71 | 462 | 428 |
|
Meredith Alicia Lee
1223 S Gear Ave |
$15.21 | 468 | 438 |
|
Rebecka J Longe
1221 S Gear Ave |
$34.67 | 480 | 445 |
|
Jeffery Cole Roberts
1201 W Agency Rd |
$44.88 | 480 | 449 |
|
Christopher Nicholas
1223 S Gear Ave |
$59.90 | 523 | 501 |
|
Southeast Iowa Regional Medical Center, Inc.
1221 S Gear Ave |
$6.40 | 540 | 486 |
|
Kimberly A Marshall
1223 S Gear Ave |
$38.05 | 541 | 498 |
|
Molly Davis
1221 S Gear Ave Ste 208 |
$34.89 | 603 | 549 |
|
Erin Margaret Haeger
1223 S Gear Ave |
$32.81 | 637 | 588 |
|
Dawn Marie Rohrer
1223 S Gear Ave |
$32.69 | 683 | 633 |
|
Kenzie Renee Griffin
1221 S Gear Ave |
$41.05 | 688 | 641 |
|
Mohaddeseh Sharifzadeh
1223 S Gear Ave |
$40.49 | 707 | 678 |
|
Whitney Amelia Hall
1223 S Gear Ave Ste 109 |
$31.58 | 779 | 759 |
|
David W Carlson
1201 W Agency Rd |
$36.96 | 810 | 774 |
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 West Burlington, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Burlington, IA is $23.20 per claim, based on 247,532 claims from 105 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 West Burlington, IA?
There are 105 Medicaid providers offering Office Visit related services in West Burlington, IA according to public payment data.
What is the price range for Office Visit in West Burlington, IA?
Medicaid reimbursement for Office Visit in West Burlington, IA ranges from $0.00 to $63.22 per claim, with an average of $23.20. 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 West Burlington, IA
Blood Work & Lab Tests
Avg $1.80
109,204 claims
Emergency Room Visit
Avg $118.62
97,381 claims
Dental Cleaning & Exam
Avg $6.01
66,211 claims
Vaccines & Immunizations
Avg $4.17
41,862 claims
EKG / ECG (Electrocardiogram)
Avg $6.28
29,184 claims
Psychiatric Evaluation
Avg $26.65
20,991 claims
Urinalysis & Urine Tests
Avg $1.19
18,895 claims
Chiropractic Care
Avg $25.61
15,929 claims