Average Medicaid Office Visit Payments in Mount Vernon, MO: $44.80
Avg. Paid
$44.80
Range
$14.35 – $105.87
Total Claims
31,095
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 Mount Vernon, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lawrence County Health Department
105 W North St |
$16.88 | 10,077 | 9,852 |
|
Cheryl G Williams
1011 S East St |
$23.93 | 8,232 | 5,952 |
|
Thomas G Douglas
108 S Hickory St |
$104.62 | 2,962 | 2,770 |
|
William Lewis Mckay
108 S Hickory St |
$105.87 | 2,433 | 2,165 |
|
Mauricio Gomez
1319 S Landrum St |
$26.91 | 2,415 | 1,951 |
|
Ashley Nicole Parks
1319 S Landrum St Ste A |
$74.38 | 1,255 | 1,174 |
|
Lawrence L. Dybedock
10763 Highway 39 |
$96.44 | 1,208 | 1,071 |
|
Cox-Monett Hospital Inc
10763 Highway 39 |
$85.55 | 919 | 756 |
|
Lisa L Parker
320 W Mount Vernon Blvd |
$92.12 | 570 | 520 |
|
Malinda K Kendrick
108 S Hickory St |
$45.78 | 403 | 389 |
|
Mary Anne Loftis
1011 S East St |
$60.03 | 337 | 328 |
|
Cheryl G Williams Do Pc
1011 S East St |
$16.92 | 151 | 123 |
|
Julia Marie Eden
320 W Mount Vernon Blvd |
$95.71 | 108 | 100 |
|
Kendel L Klein
101 W Patterson St |
$14.35 | 13 | 12 |
|
Samuel M. Watts
1319 S Landrum St |
$50.01 | 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 Mount Vernon, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mount Vernon, MO is $44.80 per claim, based on 31,095 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 Mount Vernon, MO?
There are 15 Medicaid providers offering Office Visit related services in Mount Vernon, MO according to public payment data.
What is the price range for Office Visit in Mount Vernon, MO?
Medicaid reimbursement for Office Visit in Mount Vernon, MO ranges from $14.35 to $105.87 per claim, with an average of $44.80. 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
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Mount Vernon, MO
Nursing Facility Care
Avg $18.06
14,544 claims
Blood Work & Lab Tests
Avg $2.64
2,102 claims
Vaccines & Immunizations
Avg $9.24
2,036 claims
Speech Therapy
Avg $9.14
1,527 claims
Psychiatric Evaluation
Avg $11.55
1,285 claims
Culture & Microbiology Tests
Avg $8.58
953 claims
Physical Therapy
Avg $9.00
614 claims
Home Health Visit
Avg $0.00
495 claims