Average Medicaid Office Visit Payments in Fenton, MO: $60.71
Avg. Paid
$60.71
Range
$9.64 – $114.90
Total Claims
50,331
Providers
74
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 Fenton, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bassam Malo
1055 Bowles Ave Ste 200 |
$47.22 | 12 | 12 |
|
Courtney Jane Cockerell
1011 Bowles Ave Ste 425 |
$96.40 | 12 | 12 |
|
Pamela Wilbanks Bunting
1011 Bowles Ave Ste G10 |
$28.37 | 12 | 12 |
|
Lindsey Danielle Adams
1011 Bowles Ave Ste 425 |
$81.77 | 12 | 12 |
|
Sara Williams
1923 Waybridge Ln |
$32.94 | 13 | 12 |
|
Patricia White Hodgins
1011 Bowles Ave Ste 425 |
$23.64 | 14 | 12 |
|
Kimberly Michelle Daller
1345 Smizer Mill Rd Ste 1100 |
$29.60 | 15 | 15 |
|
Stephanie L Massey
1345 Smizer Mill Rd Ste 1100 |
$58.77 | 17 | 13 |
|
John Martin Crowe
1670 Fenpark Dr |
$73.63 | 18 | 16 |
|
Sri Devi Kolli
1011 Bowles Ave |
$41.88 | 23 | 13 |
|
Suman Vaddi
1011 Bowles Ave Ste 300 |
$23.67 | 28 | 27 |
|
Ryan Harris
1055 Bowles Ave Ste 202 |
$18.68 | 30 | 25 |
|
Jeannette Marie Bender
1011 Bowles Ave Ste 425 |
$67.91 | 37 | 37 |
|
Michael Harry Mastromichalis
1011 Bowles Ave Ste 425 |
$38.18 | 40 | 39 |
|
Joseph Walter Moleski
1015 Bowles Ave |
$114.90 | 41 | 36 |
|
Natalie Faye Babb
1011 Bowles Ave Ste 300 |
$67.78 | 49 | 44 |
|
Christa Jane Durbin
774 Gravois Bluffs Blvd |
$76.46 | 54 | 54 |
|
John Mellas
1011 Bowles Ave Ste 220 |
$24.16 | 63 | 53 |
|
Lori Hugg
1345 Smizer Mill Rd |
$61.93 | 78 | 71 |
|
Amanda Nicole Breedlove
1203 Smizer Mill Rd |
$53.96 | 79 | 74 |
|
Jessica Miller
1011 Bowles Ave Ste G10 |
$62.03 | 80 | 54 |
|
Melissa Ann Muench
714 Gravois Rd Ste 210 |
$39.89 | 82 | 66 |
|
Sheikh M Zahid
714 Gravois Rd |
$43.25 | 86 | 86 |
|
Denise P Blackburn
1011 Bowles Ave |
$33.26 | 97 | 81 |
|
Naomi Sharon
1101 Bowles Avenue |
$36.98 | 99 | 76 |
|
Ilia Rosa Sumoza
1011 Bowles Ave |
$45.35 | 114 | 101 |
|
Adam Shomstein
520 Center St |
$33.17 | 127 | 110 |
|
Heidi Gioia
1203 Smizer Mill Rd |
$58.30 | 130 | 121 |
|
Katie Callis
676 Gravois Bluffs Blvd Ste A1 |
$9.64 | 164 | 157 |
|
Kelcy Oesterreich
1345 Smizer Mill Rd Ste 1100 |
$74.59 | 173 | 164 |
|
Jessica Laura Phillips
1081 Fenton Park Dr |
$85.21 | 177 | 171 |
|
Pratibha Mary Abraham
1011 Bowles Ave Ste 300 |
$67.53 | 186 | 180 |
|
Jessica Therese Auld
1203 Smizer Mill Rd Ste 105 |
$102.56 | 195 | 186 |
|
Hari Thanigaraj Srihari
1011 Bowles Ave Ste 300 |
$44.46 | 207 | 188 |
|
Marissa P Taylor
714 Gravois Rd Ste 210 |
$45.68 | 238 | 236 |
|
Stephanie Jean Becker-Koepke
1011 Bowles Ave Ste G50 |
$38.96 | 239 | 209 |
|
Jennifer Britt-Ludditt
1203 Smizer Mill Rd |
$52.77 | 253 | 238 |
|
Joseph Theodore Young
1015 Bowles Ave |
$16.52 | 257 | 242 |
|
Jennifer Southward
1203 Smizer Mill Rd |
$111.52 | 268 | 265 |
|
Diane Denise Block
1345 Smizer Mill Rd Ste 1100 |
$88.54 | 272 | 260 |
|
Patricia A. Mills
1203 Smizer Mill Rd |
$68.32 | 293 | 292 |
|
Courtney Haas
2117 Bentley Plz |
$89.56 | 295 | 282 |
|
Kristopher Vaughn Pullam
1203 Smizer Mill Rd Ste 105 |
$98.28 | 322 | 305 |
|
Sue E Jagler
714 Gravois Rd |
$39.25 | 339 | 281 |
|
Timothy Wayne Schloss
1203 Smizer Mill Rd |
$51.41 | 344 | 329 |
|
Kristin Blair Aubuchon
714 Gravois Rd |
$43.38 | 462 | 447 |
|
Pranav R Parikh
1015 Bowles Ave |
$46.93 | 504 | 457 |
|
Michael Scott Boedefeld
1055 Bowles Ave Ste 202 |
$21.48 | 520 | 429 |
|
Melissa K Stein
714 Gravois Rd |
$60.79 | 554 | 542 |
|
Mitchell Elting
1345 Smizer Mill Rd |
$95.72 | 712 | 665 |
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 Fenton, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fenton, MO is $60.71 per claim, based on 50,331 claims from 74 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 Fenton, MO?
There are 74 Medicaid providers offering Office Visit related services in Fenton, MO according to public payment data.
What is the price range for Office Visit in Fenton, MO?
Medicaid reimbursement for Office Visit in Fenton, MO ranges from $9.64 to $114.90 per claim, with an average of $60.71. 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 Fenton, MO
Blood Work & Lab Tests
Avg $19.02
25,416 claims
Emergency Room Visit
Avg $79.59
24,103 claims
Prescription Medications
Avg $0.41
16,399 claims
Dental Cleaning & Exam
Avg $29.17
10,783 claims
Vaccines & Immunizations
Avg $15.30
8,229 claims
Physical Therapy
Avg $5.45
7,809 claims
Eye Exam
Avg $31.99
6,820 claims
EKG / ECG (Electrocardiogram)
Avg $5.19
5,912 claims