Average Medicaid Office Visit Payments in Fredericktown, MO: $65.88
Avg. Paid
$65.88
Range
$15.89 – $167.07
Total Claims
30,848
Providers
21
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 Fredericktown, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Frank T Klima
735 W Main St |
$75.62 | 92 | 89 |
|
Cheryl Akers
611 W Main St |
$153.39 | 108 | 96 |
|
Alanna Guess
611 W Main St |
$128.91 | 147 | 134 |
|
Cindy Lee Dulaney
1201 Highway D |
$55.11 | 166 | 156 |
|
Faith Tabernacle World Outreach Inc
600 Sargent Dr |
$106.15 | 185 | 164 |
|
Madison Medical Center Stockhoff Memorial Nursing Home
611 West Main Street |
$115.37 | 420 | 363 |
|
Julie Marie Buford
611 West Main Street |
$121.70 | 580 | 536 |
|
Corinna D Defrancesco
611 W Main St |
$122.87 | 738 | 661 |
|
Fred Wayne Gaskin
309 Garrett St |
$29.22 | 780 | 648 |
|
Angela R Menz
611 W Main St |
$134.19 | 1,192 | 1,109 |
|
Humberto Jose Olivero Lara
611 West Main Street |
$118.96 | 1,235 | 933 |
|
Melinda Jo Fischer
611 W Main St |
$130.13 | 1,260 | 1,082 |
|
Nancy D Lodge
611 W Main St |
$167.07 | 1,434 | 1,373 |
|
Patrick O'Hara
611 W Main St |
$62.60 | 1,552 | 1,396 |
|
Phillip Marion Beyer
735 W Main St |
$62.75 | 1,680 | 1,511 |
|
Kelsey Marie Kinneman
355 N Chamber Dr |
$50.27 | 1,700 | 1,526 |
|
Eric K Davis
611 W Main St |
$111.06 | 2,456 | 2,124 |
|
Madison County Health Department
105 Armory St |
$16.90 | 2,828 | 2,639 |
|
Edward Burke
735 W Main St |
$33.36 | 3,271 | 2,902 |
|
Sarah Pauline Mueller
309 Garrett St |
$15.89 | 3,613 | 3,376 |
|
Michael D Robbins
355 N Chamber Dr |
$44.93 | 5,411 | 4,876 |
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 Fredericktown, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fredericktown, MO is $65.88 per claim, based on 30,848 claims from 21 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 Fredericktown, MO?
There are 21 Medicaid providers offering Office Visit related services in Fredericktown, MO according to public payment data.
What is the price range for Office Visit in Fredericktown, MO?
Medicaid reimbursement for Office Visit in Fredericktown, MO ranges from $15.89 to $167.07 per claim, with an average of $65.88. 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 Fredericktown, MO
Psychiatric Evaluation
Avg $45.62
31,432 claims
Eye Exam
Avg $27.44
24,901 claims
Nursing Facility Care
Avg $31.05
12,154 claims
Blood Work & Lab Tests
Avg $46.42
5,084 claims
Physical Therapy
Avg $10.95
4,378 claims
Vaccines & Immunizations
Avg $9.71
3,537 claims
Emergency Room Visit
Avg $110.50
1,805 claims
Ambulance Transport
Avg $109.53
1,305 claims