Average Medicaid Office Visit Payments in Ballwin, MO: $46.38
Avg. Paid
$46.38
Range
$21.58 – $248.98
Total Claims
15,214
Providers
23
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 Ballwin, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Laura G Denunzio
323 Consort Dr |
$40.32 | 4,854 | 4,574 |
|
James Dale Toombs
1348 Rusticview Dr |
$47.99 | 2,333 | 2,248 |
|
Tatonya Monique Roberts
14400 Clayton Rd |
$50.56 | 1,875 | 1,673 |
|
Octavio R Chirino
15945 Clayton Rd |
$62.26 | 1,316 | 1,151 |
|
Nishant Poddar
15945 Clayton Rd Ste 120 |
$29.40 | 1,026 | 889 |
|
Azra Niaz
15421 Clayton Rd Ste 202 |
$62.37 | 869 | 780 |
|
Daniel Charles Mulawa
15945 Clayton Rd Ste 330 |
$57.51 | 734 | 629 |
|
Julie May Stout
15945 Clayton Rd Ste 310 |
$22.86 | 517 | 460 |
|
Binwant K Singh
452A Sovereign Ct |
$33.67 | 428 | 387 |
|
David S Rosenberg
58 Meadowbrook Cntry Cl Est |
$21.58 | 392 | 350 |
|
Kristi Ramos
14400 Clayton Rd |
$38.22 | 259 | 239 |
|
Pascale A. Salem
15945 Clayton Rd Ste 120 |
$62.24 | 231 | 210 |
|
Jacob Zembles
15945 Clayton Rd |
$134.76 | 106 | 102 |
|
Michelle Aliece Orescanin
1300 Big Bend Rd Apt 339 |
$51.53 | 46 | 44 |
|
Eneida Resuli
427 Lafayette Ctr |
$90.23 | 42 | 41 |
|
Jeremy Oliver
15945 Clayton Rd Ste 330 |
$81.33 | 40 | 39 |
|
Kelly N Jones
15945 Clayton Rd Ste 310 |
$41.57 | 29 | 28 |
|
Sarah Edwards Colwick
15945 Clayton Rd Ste 120 |
$72.61 | 26 | 24 |
|
Nicholas Austin Greiner
15945 Clayton Rd Ste 210 |
$65.87 | 25 | 25 |
|
Derrick Bark
344 Woodgreen Dr |
$248.98 | 19 | 19 |
|
Amina Spijodic
14400 Clayton Rd |
$54.35 | 17 | 17 |
|
Mojdeh Zahedi
15945 Clayton Rd |
$55.11 | 15 | 14 |
|
Omar Kuzez
452 Sovereign Ct Ste A |
$55.45 | 15 | 15 |
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 Ballwin, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ballwin, MO is $46.38 per claim, based on 15,214 claims from 23 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 Ballwin, MO?
There are 23 Medicaid providers offering Office Visit related services in Ballwin, MO according to public payment data.
What is the price range for Office Visit in Ballwin, MO?
Medicaid reimbursement for Office Visit in Ballwin, MO ranges from $21.58 to $248.98 per claim, with an average of $46.38. 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 Ballwin, MO
Blood Work & Lab Tests
Avg $11.05
11,586 claims
Eye Exam
Avg $36.63
10,654 claims
Emergency Room Visit
Avg $125.66
7,040 claims
Nursing Facility Care
Avg $12.88
4,878 claims
Speech Therapy
Avg $13.10
3,331 claims
Urinalysis & Urine Tests
Avg $30.24
3,151 claims
Physical Therapy
Avg $15.50
2,888 claims
Dental Cleaning & Exam
Avg $25.11
1,975 claims