Average Medicaid Office Visit Payments in Mountain Grove, MO: $78.14
Avg. Paid
$78.14
Range
$21.32 – $112.41
Total Claims
41,530
Providers
28
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 Mountain Grove, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sarah Williams
500 E 19Th St |
$92.97 | 7,105 | 5,975 |
|
Paul E. Burris
500 E 19Th St |
$99.21 | 5,207 | 5,017 |
|
Jennifer L Lambert
500 E 19Th St |
$93.16 | 5,144 | 4,470 |
|
Kalynn Woods
1604 C. North Main Street |
$61.14 | 3,473 | 3,008 |
|
Adam Cole Mattison
500 E 19Th St |
$103.18 | 3,028 | 2,660 |
|
Kody Johnson
1604 C. North Main St |
$68.76 | 2,828 | 2,540 |
|
Matthew Austin Brown
9100 13Th Rd |
$83.44 | 2,077 | 1,783 |
|
Connie Armstrong
1604 N. Main |
$73.64 | 1,776 | 1,468 |
|
Christy Lin Bramwell
1905 W 19Th St |
$59.84 | 1,765 | 1,563 |
|
Christina M Welton
Po Box 620 |
$49.88 | 1,597 | 1,377 |
|
Samuel Aaron Newton
500 E 19Th St |
$32.73 | 1,454 | 1,110 |
|
Sheena Kay White
601 N Busch Ave |
$35.81 | 1,376 | 1,067 |
|
Jessica Renee King
1905 W 19Th St |
$61.37 | 1,348 | 1,188 |
|
Lester E Cox Medical Centers
1602A N Main St |
$48.23 | 836 | 689 |
|
Jose A Atiles
1905 W 19Th St |
$65.89 | 492 | 440 |
|
Eloise J. Unger
120 W 16Th St |
$54.94 | 474 | 399 |
|
Texas County Memorial Hospital
1905 West 19Th Street |
$79.37 | 253 | 227 |
|
David O. Barbe
120 W 16Th St |
$27.77 | 239 | 228 |
|
Sheri L Stofer
1905 W 19Th St |
$41.13 | 232 | 219 |
|
Elton W. Hoerning
1905 W 19Th St |
$67.22 | 222 | 200 |
|
Jenna Cravens
1602A N Main St |
$93.62 | 188 | 176 |
|
Cheryl J Bell
1602A N Main St |
$94.48 | 157 | 141 |
|
Robin Coffey
120 W 16Th St |
$84.64 | 103 | 97 |
|
Jade Moore
1602A N Main St |
$21.32 | 63 | 40 |
|
Mary Johnson
120 W 16Th St |
$112.41 | 49 | 48 |
|
Carla Clinton
1602A N Main St |
$99.19 | 16 | 15 |
|
Sally K Adams
120 W 16Th St |
$25.14 | 16 | 13 |
|
Tonnya Marie Taggart
120 W 16Th St |
$62.21 | 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 Mountain Grove, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mountain Grove, MO is $78.14 per claim, based on 41,530 claims from 28 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 Mountain Grove, MO?
There are 28 Medicaid providers offering Office Visit related services in Mountain Grove, MO according to public payment data.
What is the price range for Office Visit in Mountain Grove, MO?
Medicaid reimbursement for Office Visit in Mountain Grove, MO ranges from $21.32 to $112.41 per claim, with an average of $78.14. 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 Mountain Grove, MO
Psychiatric Evaluation
Avg $80.03
14,527 claims
Speech Therapy
Avg $11.78
5,733 claims
Blood Work & Lab Tests
Avg $19.98
3,821 claims
Dental Cleaning & Exam
Avg $49.16
3,606 claims
Physical Therapy
Avg $16.81
1,931 claims
Nursing Facility Care
Avg $20.10
1,314 claims
Eye Exam
Avg $46.58
1,297 claims
Urinalysis & Urine Tests
Avg $10.39
572 claims