Average Medicaid Office Visit Payments in Fulton, MO: $59.36
Avg. Paid
$59.36
Range
$2.08 – $92.11
Total Claims
47,849
Providers
25
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 Fulton, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Barbara Borde-Koufie
600 E 5Th St |
$9.90 | 14 | 12 |
|
Gregory Keith Ivins
26 S Hospital Dr |
$29.99 | 30 | 25 |
|
Jennifer Esther Wekenborg
600 E 5Th St |
$75.78 | 43 | 42 |
|
Andrew Joseph Peterson
110 N Hospital Dr |
$47.94 | 61 | 58 |
|
Zachary Roberts Barker
110 N Hospital Dr |
$89.83 | 72 | 67 |
|
Tammy Doerhoff
350 Country Meadow Ln |
$92.11 | 110 | 101 |
|
Bryce D Koelling
621 Commons Dr |
$86.05 | 195 | 182 |
|
Robert Parker Pierce
2613 Fairway Dr |
$63.53 | 224 | 221 |
|
Ricci R. Porter
850 W Hospital Dr |
$56.12 | 468 | 438 |
|
Dina Chaney-Goodin
10 S Hospital Dr |
$2.08 | 828 | 713 |
|
Grace Gombe Munthali
600 E 5Th St |
$3.73 | 1,124 | 1,007 |
|
Annette Marie Holt
350 Country Meadows Lane |
$90.19 | 1,148 | 1,113 |
|
Lisa J. Pierce
2613 Fairway Dr |
$68.60 | 1,289 | 1,235 |
|
Laura Elizabeth Morris
110 N Hospital Dr |
$63.56 | 1,897 | 1,780 |
|
Ashlea Elizabeth Horstman
2613 Fairway Dr |
$50.59 | 2,055 | 1,870 |
|
James J Stevermer
110 N Hospital Dr |
$71.93 | 2,557 | 2,429 |
|
Andrew Paul Patel
110 N Hospital Dr |
$50.35 | 2,607 | 2,473 |
|
Kirsten Straub Marshall
581 Commons Dr |
$38.56 | 2,658 | 2,262 |
|
Carl Ryan Tunink
110 N Hospital Dr |
$78.51 | 2,713 | 2,577 |
|
Rezwan Islam
850 N Hospital Dr |
$59.26 | 2,815 | 2,448 |
|
Brice P Windsor
2613 Fairway Dr |
$69.25 | 3,144 | 2,843 |
|
Erica Michelle Small
2613 Fairway Dr |
$77.63 | 3,236 | 3,030 |
|
Abigail Nicole Koetting
10 S Hospital Dr |
$11.79 | 4,520 | 4,132 |
|
Cynthia Susan Mehrer
581 Commons Dr |
$79.37 | 4,638 | 3,820 |
|
Heather L Pierce
110 N Hospital Dr |
$69.03 | 9,403 | 8,799 |
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 Fulton, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fulton, MO is $59.36 per claim, based on 47,849 claims from 25 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 Fulton, MO?
There are 25 Medicaid providers offering Office Visit related services in Fulton, MO according to public payment data.
What is the price range for Office Visit in Fulton, MO?
Medicaid reimbursement for Office Visit in Fulton, MO ranges from $2.08 to $92.11 per claim, with an average of $59.36. 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 Fulton, MO
Blood Work & Lab Tests
Avg $53.49
14,669 claims
Emergency Room Visit
Avg $108.54
12,802 claims
Psychiatric Evaluation
Avg $41.36
8,177 claims
Eye Exam
Avg $38.43
8,106 claims
Chiropractic Care
Avg $25.65
5,601 claims
Ambulance Transport
Avg $190.27
3,473 claims
Speech Therapy
Avg $10.85
2,362 claims
EKG / ECG (Electrocardiogram)
Avg $45.31
2,085 claims