Average Medicaid Office Visit Payments in Carthage, MO: $62.12
Avg. Paid
$62.12
Range
$14.86 – $182.70
Total Claims
75,530
Providers
36
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 Carthage, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jonathan Lyle Manzer
3071 S Grand Ave |
$39.75 | 13,082 | 9,903 |
|
Harold A Smart
719 W Centenial |
$39.27 | 6,634 | 6,093 |
|
Luke Douglas Pyron
1615 Hazel Ave |
$46.01 | 5,903 | 5,538 |
|
Lawrence Andrade
1615 Hazel Ave |
$72.15 | 5,678 | 5,017 |
|
Elizabeth M Barlet
1515 Hazel St |
$111.12 | 4,699 | 3,449 |
|
Roger A. Sacry
433 S Garrison Ave |
$34.94 | 4,102 | 3,017 |
|
Joseph William Mayo
1911 Buena Vista Ave |
$89.19 | 3,704 | 3,391 |
|
Asefa K Gebre
327 E Airport Dr |
$138.89 | 3,058 | 2,496 |
|
Joy Annette Mayfield
3125 Dr Russell Smith Way |
$38.81 | 2,979 | 2,666 |
|
Annette Noel Mense
3125 Dr Russell Smith Way |
$55.27 | 2,766 | 2,609 |
|
Gretchen Anette Barone
3125 Dr Russell Smith Way |
$52.61 | 2,479 | 2,399 |
|
Crystal Campbell
2600 S River St |
$71.93 | 2,447 | 2,275 |
|
Chad Eric Wagoner
1615 Hazel St |
$47.28 | 1,718 | 1,636 |
|
Johnny L Venter
3125 Dr Russell Smith Way |
$38.34 | 1,498 | 1,418 |
|
Jill A Parmley
3125 Dr Russell Smith Way |
$37.25 | 1,467 | 1,327 |
|
Jill Lynn Feurt
1515 Hazel St |
$82.07 | 1,369 | 1,154 |
|
Aubri Danielle Ashbacher
3071 S Grand Ave |
$76.27 | 1,324 | 1,156 |
|
Randi S Norman
3125 Dr Russell Smith Way |
$58.80 | 1,249 | 1,160 |
|
William Park Triplett
3125 Dr Russell Smith Way |
$93.87 | 1,222 | 1,199 |
|
Wendy Mulder
3071 S Grand Ave |
$33.59 | 1,221 | 1,033 |
|
Carrie M. Osiier
3071 S Grand Ave |
$45.23 | 1,162 | 985 |
|
Lydia W Keisler
1515 Hazel St |
$182.70 | 1,148 | 909 |
|
Amy O Puderbaugh
3071 S Grand Ave |
$83.42 | 912 | 858 |
|
Katherine Laytham
433 S Garrison Ave |
$60.56 | 739 | 550 |
|
Melinda L Hoover
327 E Airport Dr |
$123.45 | 654 | 606 |
|
Denise M. Hamar
1221 Oak St. |
$37.12 | 508 | 468 |
|
Laura A Weiss
3125 Dr Russell Smith Way |
$45.53 | 468 | 449 |
|
Barbara G. Chilton
1911 Buena Vista Ave |
$138.59 | 365 | 343 |
|
Alexandra Marie Cutler
3125 Dr Russell Smith Way |
$63.26 | 340 | 286 |
|
Mckenzie Elizabeth Turner
3071 S Grand Ave |
$21.25 | 168 | 110 |
|
Jonathan David Haffner
3116 Medical Park Drive |
$59.88 | 162 | 152 |
|
Larry D Deffenbaugh
3114 Medical Park Dr |
$14.86 | 158 | 120 |
|
Joan Marie Dutton
3125 Dr Russell Smith Way |
$39.75 | 88 | 66 |
|
Michele L Callahan
433 S Garrison |
$94.87 | 32 | 31 |
|
Delores A. Vandergrift
2425 Fairlawn Dr |
$19.89 | 15 | 12 |
|
Anne E. Winkler
3125 Dr Russell Smith Way |
$34.29 | 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 Carthage, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Carthage, MO is $62.12 per claim, based on 75,530 claims from 36 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 Carthage, MO?
There are 36 Medicaid providers offering Office Visit related services in Carthage, MO according to public payment data.
What is the price range for Office Visit in Carthage, MO?
Medicaid reimbursement for Office Visit in Carthage, MO ranges from $14.86 to $182.70 per claim, with an average of $62.12. 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 Carthage, MO
Speech Therapy
Avg $7.48
17,336 claims
Blood Work & Lab Tests
Avg $30.74
12,976 claims
Psychiatric Evaluation
Avg $60.44
10,698 claims
Urinalysis & Urine Tests
Avg $37.39
7,842 claims
Emergency Room Visit
Avg $148.60
7,620 claims
Nursing Facility Care
Avg $16.13
3,512 claims
Eye Exam
Avg $16.10
2,068 claims
Chiropractic Care
Avg $19.82
2,019 claims