Average Medicaid Office Visit Payments in Hillsboro, MO: $43.58
Avg. Paid
$43.58
Range
$0.00 – $116.51
Total Claims
12,228
Providers
15
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 Hillsboro, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amanda Kay Barkema
4 Hickory Ridge Rd Ste 600 |
$32.66 | 3,310 | 2,849 |
|
Jefferson Franklin Community Action Corp
2 Merchants Dr |
$11.58 | 2,727 | 2,324 |
|
Danielle Darlene Kennedy
424 Main St |
$84.30 | 1,843 | 1,624 |
|
Fredric Leroy Melton
10738 Business 21 |
$58.01 | 1,746 | 1,631 |
|
Emily June Govro
5194 Jeremiah Blvd |
$88.92 | 829 | 784 |
|
David John Stansfield
10279 Business 21 |
$36.35 | 537 | 497 |
|
Heather Lynn Morgan
4 Hickory Ridge Rd |
$45.38 | 488 | 464 |
|
Ivy Alwell
4 Hickory Ridge Rd Ste 600 |
$0.00 | 430 | 391 |
|
Jacob Yankowitz
10279 Business 21 |
$51.69 | 143 | 119 |
|
Mohammed Ashraf
4 Hickory Ridge Rd |
$116.51 | 62 | 60 |
|
Ashley Elizabeth Scaglione
10279 Business 21 |
$52.64 | 37 | 37 |
|
Mackenzie Lynn Roth
5194 Jeremiah Blvd |
$84.40 | 27 | 27 |
|
Katherine Leigh Wagner
405 Main St |
$1.30 | 23 | 14 |
|
Kevin Marcell Turner
4 Hickory Ridge Rd |
$89.40 | 14 | 14 |
|
Ross Vollmer
10655 Business 21 |
$86.83 | 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 Hillsboro, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hillsboro, MO is $43.58 per claim, based on 12,228 claims from 15 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 Hillsboro, MO?
There are 15 Medicaid providers offering Office Visit related services in Hillsboro, MO according to public payment data.
What is the price range for Office Visit in Hillsboro, MO?
Medicaid reimbursement for Office Visit in Hillsboro, MO ranges from $0.00 to $116.51 per claim, with an average of $43.58. 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 Hillsboro, MO
Eye Exam
Avg $32.76
4,563 claims
Dental Cleaning & Exam
Avg $59.69
4,424 claims
Nursing Facility Care
Avg $18.31
3,058 claims
Psychiatric Evaluation
Avg $59.88
2,742 claims
Chiropractic Care
Avg $22.53
1,504 claims
Vaccines & Immunizations
Avg $6.93
1,312 claims
Speech Therapy
Avg $71.79
1,172 claims
Dental Filling
Avg $168.21
908 claims