Average Medicaid Office Visit Payments in Houston, MO: $70.26
Avg. Paid
$70.26
Range
$15.50 – $100.53
Total Claims
15,937
Providers
17
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 Houston, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brigitte Shaffer
1422 S Sam Houston Blvd |
$77.02 | 3,257 | 3,029 |
|
Melissa Dawn Crawford
1340 S Sam Houston Blvd |
$83.97 | 2,273 | 2,041 |
|
Charlene B Furr
1340 S Sam Houston Blvd |
$60.75 | 2,037 | 1,834 |
|
Patricia A Benoist
1337 S Sam Houston Blvd |
$84.26 | 1,505 | 1,232 |
|
William Ryan Errico
1337 S Sam Houston Blvd |
$58.50 | 1,395 | 1,275 |
|
Teresa Lorraine Loden
1337 S Sam Houston Blvd |
$87.05 | 1,011 | 905 |
|
Sheena Caitlyn Painter
1337 S Sam Houston Blvd |
$64.60 | 820 | 780 |
|
Texas County Health Department
950 Highway 63 |
$15.50 | 749 | 722 |
|
William C. Wright
1333 S Sam Houston Blvd |
$100.53 | 742 | 700 |
|
Tommi Jean Alcorn
1337 S Sam Houston Blvd |
$57.64 | 622 | 548 |
|
Texas County Memorial Hospital
1337 S Sam Houston Blvd |
$62.58 | 429 | 401 |
|
Clarisse Tallah
1333 S Sam Houston Blvd |
$45.11 | 359 | 310 |
|
Hollis Tidmore
1422 S Sam Houston Blvd |
$45.00 | 210 | 179 |
|
Christopher O Baldwin
1337 S Sam Houston Blvd |
$97.45 | 195 | 143 |
|
Lynsey Renee Sullivan
1337 S Sam Houston Blvd |
$15.89 | 123 | 83 |
|
John David Harrington
6731 Highway Au |
$30.25 | 121 | 76 |
|
Juan F Mella
1337 S Sam Houston Blvd |
$64.72 | 89 | 89 |
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 Houston, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Houston, MO is $70.26 per claim, based on 15,937 claims from 17 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 Houston, MO?
There are 17 Medicaid providers offering Office Visit related services in Houston, MO according to public payment data.
What is the price range for Office Visit in Houston, MO?
Medicaid reimbursement for Office Visit in Houston, MO ranges from $15.50 to $100.53 per claim, with an average of $70.26. 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 Houston, MO
Emergency Room Visit
Avg $135.88
36,555 claims
Blood Work & Lab Tests
Avg $73.50
19,556 claims
Speech Therapy
Avg $20.92
7,836 claims
Urinalysis & Urine Tests
Avg $41.03
5,493 claims
X-Ray
Avg $95.72
2,771 claims
Ambulance Transport
Avg $269.81
2,492 claims
EKG / ECG (Electrocardiogram)
Avg $64.12
1,842 claims
Nursing Facility Care
Avg $17.99
1,696 claims