Average Medicaid Office Visit Payments in Carrollton, MO: $62.93
Avg. Paid
$62.93
Range
$13.37 – $119.79
Total Claims
15,734
Providers
13
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 Carrollton, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Richard Lee Smith
1502 N Jefferson St |
$57.93 | 5,181 | 3,924 |
|
Andrew Douglas Horine
1502 N Jefferson St |
$62.66 | 3,536 | 2,760 |
|
Marvin E Ross
1502 N Jefferson St |
$61.87 | 1,900 | 1,507 |
|
Pamela Lynn Ralls
1502 N.Jefferson Street |
$92.22 | 1,745 | 1,507 |
|
Timothy Neil Reid
1502 N Jefferson St |
$66.97 | 1,005 | 856 |
|
Gregory William Hubbard
1502 N Jefferson St |
$50.08 | 769 | 632 |
|
Carroll County Health Department
5 N Ely St |
$16.12 | 615 | 575 |
|
Tara Lyrae Swan
1502 N Jefferson St |
$87.31 | 487 | 410 |
|
Heidi L Leimkuehler
1502 N Jefferson St |
$88.66 | 188 | 147 |
|
Angela Imgarten
1300 N Us Highway 65 |
$13.37 | 173 | 172 |
|
Jonna Hickcox Rechterman
1502 N Jefferson St |
$119.79 | 76 | 76 |
|
Debra Lorene Stedem
718 Harvest Hills Dr |
$61.57 | 42 | 41 |
|
Amber Renee Hendrix
1413 N Jefferson St |
$65.13 | 17 | 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 Carrollton, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Carrollton, MO is $62.93 per claim, based on 15,734 claims from 13 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 Carrollton, MO?
There are 13 Medicaid providers offering Office Visit related services in Carrollton, MO according to public payment data.
What is the price range for Office Visit in Carrollton, MO?
Medicaid reimbursement for Office Visit in Carrollton, MO ranges from $13.37 to $119.79 per claim, with an average of $62.93. 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 Carrollton, MO
Nursing Facility Care
Avg $30.66
6,967 claims
Eye Exam
Avg $25.95
5,865 claims
Psychiatric Evaluation
Avg $10.59
3,574 claims
Emergency Room Visit
Avg $95.57
1,696 claims
Chiropractic Care
Avg $26.16
1,602 claims
Blood Work & Lab Tests
Avg $44.64
1,527 claims
Ambulance Transport
Avg $194.01
1,243 claims
Wound Care
Avg $70.68
929 claims