Average Medicaid Office Visit Payments in Maryland Heights, MO: $58.77
Avg. Paid
$58.77
Range
$12.91 – $101.73
Total Claims
17,000
Providers
22
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 Maryland Heights, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jessica Ann Kesterson
2022 Dorsett Vlg |
$67.24 | 3,640 | 3,249 |
|
Manju Ramchandani
12445 Dorsett Rd |
$50.52 | 3,141 | 2,654 |
|
Helen R Evans
2022 Dorsett Vlg |
$63.49 | 2,271 | 2,178 |
|
Denise Jacqueline Wagster
2070 Mckelvey Rd |
$69.04 | 2,145 | 1,991 |
|
Galina Rivkin
12131 Dorsett Rd |
$39.47 | 2,030 | 1,829 |
|
Katherine Lee Marshall
2070 Mckelvey Rd |
$65.86 | 758 | 717 |
|
Caleb Owsley
12445 Dorsett Rd |
$90.13 | 609 | 589 |
|
Felicia Adria Benson
13655 Riverport Dr |
$40.20 | 398 | 347 |
|
Marc David Archer
13655 Riverport Dr |
$49.71 | 363 | 347 |
|
Sharon Stecher
2458 Old Dorsett Rd Ste 110 |
$12.91 | 346 | 194 |
|
Michelle Kay Bank
12409 Roth Hill Dr |
$65.01 | 312 | 286 |
|
Katherine Chambers
2022 Dorsett Vlg |
$33.18 | 260 | 251 |
|
Beth Marilyn Glenn
2458 Old Dorsett Rd Ste 110 |
$101.73 | 168 | 144 |
|
Shelly Navato Capps
12445 Dorsett Rd |
$70.80 | 140 | 135 |
|
Marina Fischer
2024 Dorsett Vlg |
$68.22 | 126 | 125 |
|
Phylicia Grossich
13655 Riverport Dr |
$31.34 | 80 | 73 |
|
Leonard G Lucas
2024 Dorsett Vlg |
$47.12 | 73 | 70 |
|
Fredric A Prater
2024 Dorsett Vlg |
$61.36 | 43 | 38 |
|
Sheerin Badri Sturm
2024 Dorsett Vlg |
$64.32 | 37 | 36 |
|
Nikita Schellhardt
2024 Dorsett Vlg |
$89.45 | 32 | 32 |
|
Matthew Hammer
2022 Dorsett Vlg |
$68.37 | 14 | 13 |
|
Charles S Larsen
2024 Dorsett Vlg |
$45.46 | 14 | 13 |
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 Maryland Heights, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Maryland Heights, MO is $58.77 per claim, based on 17,000 claims from 22 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 Maryland Heights, MO?
There are 22 Medicaid providers offering Office Visit related services in Maryland Heights, MO according to public payment data.
What is the price range for Office Visit in Maryland Heights, MO?
Medicaid reimbursement for Office Visit in Maryland Heights, MO ranges from $12.91 to $101.73 per claim, with an average of $58.77. 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 Maryland Heights, MO
Urinalysis & Urine Tests
Avg $7.39
70,479 claims
Culture & Microbiology Tests
Avg $5.53
62,104 claims
Blood Work & Lab Tests
Avg $8.52
51,484 claims
Pathology & Lab Services
Avg $19.64
40,322 claims
Eye Exam
Avg $38.82
12,324 claims
Nursing Facility Care
Avg $23.67
10,391 claims
Dental Cleaning & Exam
Avg $49.74
2,044 claims
Psychiatric Evaluation
Avg $64.16
1,489 claims