Average Medicaid Office Visit Payments in West Des Moines, IA: $38.86
Avg. Paid
$38.86
Range
$0.00 – $308.90
Total Claims
471,042
Providers
372
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 Des Moines, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Richard H Marcus
5880 University Ave Ste 102 |
$41.71 | 12 | 12 |
|
Matthew L Johns
5504 Ashworth Rd |
$19.38 | 12 | 12 |
|
Dianna Maria O'Neill
5950 University Ave Ste 205 |
$34.24 | 12 | 12 |
|
Andrew George Spellman
5901 Westown Pkwy |
$32.42 | 12 | 12 |
|
Elizabeth Jordan Hamer
6000 University Ave |
$36.75 | 12 | 12 |
|
Samantha Brianne Banzhaf
6000 University Ave Ste 101 |
$49.65 | 12 | 12 |
|
Amber Lynn Reighard Tierney
5950 University Ave Ste 221 |
$33.90 | 12 | 12 |
|
Stephanie M Stitt Cox
5950 University Ave |
$51.10 | 12 | 12 |
|
Brittan Amanda Mckinney
5950 University Ave Ste 231 |
$34.87 | 12 | 12 |
|
Jennifer A Vandivier
6000 University Ave |
$24.50 | 12 | 12 |
|
Joshua J Gustafson
6010 Mills Civic Pkwy Ste 100 |
$25.18 | 13 | 13 |
|
Rori Mankins
5950 University Ave Ste 231 |
$31.90 | 13 | 12 |
|
Bianca B Waldschmidt
6000 University Ave Ste 450 |
$95.05 | 13 | 13 |
|
Colleen Adele Thompson
5950 University Ave Ste 341 |
$25.78 | 13 | 12 |
|
Joseph Eugene Nobis
555 51St Street |
$0.00 | 13 | 13 |
|
Nicole Davis
4949 Westown Pkwy Ste 140 |
$35.93 | 13 | 12 |
|
Arpan Ghanshyam Patel
5950 University Ave Ste 380 |
$33.54 | 14 | 14 |
|
Diedre K Benson
4060 Westown Pkwy |
$28.88 | 14 | 12 |
|
Joseph T Newman
2700 University Ave |
$9.26 | 14 | 13 |
|
Nicholas J. Honkamp
6001 Westown Pkwy |
$15.44 | 14 | 13 |
|
Brett Stewart
6000 University Ave Ste 101 |
$37.97 | 15 | 15 |
|
Melissa Diane Young-Szalay
9500 University Ave Ste 1107 |
$59.99 | 15 | 12 |
|
Justin M Schulte
6200 Westown Pkwy |
$40.08 | 15 | 14 |
|
Jennifer Kay Perman
5950 University Ave Ste 265 |
$30.46 | 15 | 13 |
|
Mark W Tunell
6000 University Ave |
$20.67 | 16 | 13 |
|
Ben A Schwab
1355 50Th St |
$268.91 | 16 | 15 |
|
Elizabeth Mae Dodge
6000 University Ave Ste 101 |
$54.64 | 17 | 17 |
|
Jun Xu
5950 University Ave Ste 380 |
$41.30 | 17 | 17 |
|
Mohamed Hassan
2101 Westown Pkwy Ste 2 |
$40.69 | 17 | 14 |
|
James Edward Sykes
5901 Westown Pkwy |
$37.50 | 18 | 17 |
|
Christie A Bosler
4060 Westown Pkwy |
$14.44 | 18 | 18 |
|
Lee Witt
6200 Westown Pkwy |
$18.58 | 18 | 14 |
|
Dustin Mccann
5950 University Ave |
$24.16 | 18 | 14 |
|
Dawn Michelle Schwartz
1755 59Th Place |
$69.70 | 19 | 17 |
|
Carol Ann Smith
5950 University Avenue |
$34.30 | 25 | 25 |
|
Kimberly Alton
5950 University Ave |
$28.39 | 25 | 24 |
|
Jaclyn Ann Bassett
1525 Grand Ave |
$39.80 | 26 | 24 |
|
Ann Marie Bartels
1455 29Th St |
$38.91 | 27 | 26 |
|
William Nathaniel Lewis
2425 Westown Pkwy Ste 100 |
$26.09 | 27 | 26 |
|
Christine Elizabeth Burke
1031 Office Park Rd Ste 2 |
$6.90 | 27 | 26 |
|
James P Lovell
5950 University Ave |
$35.45 | 27 | 25 |
|
Robert D Conner
1401 50Th St Ste 100 |
$3.13 | 28 | 24 |
|
Christopher M Gibbs
5950 University Ave Ste 221 |
$22.93 | 28 | 28 |
|
Matthew John Weresh
6001 Westown Parkway |
$31.26 | 29 | 24 |
|
Danielle R. Valentine
5950 University Ave |
$28.14 | 30 | 27 |
|
Clay Edwards Ransdell
5901 Westown Pkwy |
$26.75 | 30 | 28 |
|
Patricia Mueterthies Kallemeier
6001 Westown Pkwy |
$30.73 | 31 | 25 |
|
Sarah Jayne Smith
5950 University Ave Ste 220 |
$48.88 | 33 | 27 |
|
Whitney Ceretti
6001 Westown Pkwy |
$0.00 | 34 | 29 |
|
Shawna Marie Freeman
4949 Westown Pkwy, Suite 140 |
$20.51 | 34 | 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 West Des Moines, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Des Moines, IA is $38.86 per claim, based on 471,042 claims from 372 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 Des Moines, IA?
There are 372 Medicaid providers offering Office Visit related services in West Des Moines, IA according to public payment data.
What is the price range for Office Visit in West Des Moines, IA?
Medicaid reimbursement for Office Visit in West Des Moines, IA ranges from $0.00 to $308.90 per claim, with an average of $38.86. 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 Des Moines, IA
Psychiatric Evaluation
Avg $67.87
232,722 claims
Dental Cleaning & Exam
Avg $24.28
196,462 claims
Personal Care Services
Avg $56.44
108,793 claims
Blood Work & Lab Tests
Avg $5.45
107,819 claims
Non-Emergency Medical Transportation
Avg $45.82
82,730 claims
Home Health Visit
Avg $96.22
67,935 claims
Chiropractic Care
Avg $24.40
66,143 claims
Vaccines & Immunizations
Avg $21.77
55,967 claims