Average Medicaid Office Visit Payments in Winterset, IA: $13.10
Avg. Paid
$13.10
Range
$0.00 – $32.54
Total Claims
26,511
Providers
22
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 Winterset, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Madison County Memorial Hospital
300 W Hutchings St Ste 100&110 |
$0.05 | 6,327 | 5,456 |
|
Kevin Vincent De Regnier
300 W. Hutchings St. |
$32.54 | 6,139 | 5,011 |
|
Joseph M. Kimball
300 W Hutchings St |
$3.85 | 3,193 | 2,833 |
|
Amy N. Kimball
300 W Hutchings St |
$0.58 | 2,280 | 2,083 |
|
Laura F Hagen
300 W Hutchings St |
$28.04 | 1,969 | 1,815 |
|
Emma Johnson
300 W Hutchings St |
$1.74 | 1,559 | 1,407 |
|
Jonathan M. Suddarth
300 W Hutchings St |
$5.33 | 1,265 | 1,145 |
|
Carly Marie Parker
116 N 2Nd St |
$30.30 | 779 | 717 |
|
Emily K Nadler
300 W Hutchings St |
$7.35 | 722 | 681 |
|
Sherri D. Broadbent
300 W Hutchings St |
$28.05 | 430 | 371 |
|
Clarice E. Blanchard
300 W Hutchings St |
$4.14 | 380 | 338 |
|
Virginia Hawthorne
300 W Hutchings St |
$29.26 | 377 | 353 |
|
Jeffrey Mckean Swan
300 W Hutchings St |
$29.84 | 375 | 335 |
|
Eve Harris
300 W Hutchings St |
$2.68 | 323 | 278 |
|
Savannah Marker
300 W Hutchings St |
$8.57 | 140 | 129 |
|
Teri S Formanek
300 W Hutchings St |
$7.33 | 112 | 102 |
|
Brandon Dolin
105 E Madison St |
$0.00 | 39 | 38 |
|
Melissa Ann Merritt
300 W Hutchings St |
$28.68 | 30 | 28 |
|
Colton M Westerbeck
105 E Madison St |
$0.00 | 27 | 27 |
|
Regina Barnett
60 E Court Ave |
$4.80 | 20 | 15 |
|
Amanda Renee Queck
108 W Court Ave |
$0.00 | 13 | 13 |
|
Kassidy Kae Chen
60 E Court Ave |
$30.57 | 12 | 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 Winterset, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Winterset, IA is $13.10 per claim, based on 26,511 claims from 22 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 Winterset, IA?
There are 22 Medicaid providers offering Office Visit related services in Winterset, IA according to public payment data.
What is the price range for Office Visit in Winterset, IA?
Medicaid reimbursement for Office Visit in Winterset, IA ranges from $0.00 to $32.54 per claim, with an average of $13.10. 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 Winterset, IA
Chiropractic Care
Avg $22.48
29,873 claims
Behavioral & Mental Health Therapy
Avg $88.41
21,585 claims
Durable Medical Equipment (DME)
Avg $38.19
8,274 claims
Psychiatric Evaluation
Avg $75.16
8,206 claims
Blood Work & Lab Tests
Avg $17.30
7,310 claims
Vaccines & Immunizations
Avg $1.12
4,068 claims
Emergency Room Visit
Avg $83.39
2,797 claims
Ambulance Transport
Avg $26.01
2,078 claims