Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in O Fallon, MO: $64.45

Avg. Paid

$64.45

Range

$0.00 – $213.85

Total Claims

80,507

Providers

105

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 O Fallon, MO

Provider	Avg. Paid	Claims	Patients
Van A Hargraves 5551 Winghaven Blvd	$38.11	12	12
Veda E Lewis-Simmons 475 Brookhaven Ct	$42.66	12	12
Randi Hasselfeld Becker 2 Progress Point Pkwy	$74.06	13	13
Jamie Lee Tueth 20 Progress Point Pkwy	$41.03	13	12
Laura L Hill 20 Progress Point Pkwy Ste 108	$114.68	13	13
Naman A Ghazal-Albar 5551 Winghaven Blvd	$45.77	14	12
Christy Marie Dyer 2920 Highway K	$213.85	15	15
Angela C Clercx 20 Progress Point Pkwy	$113.75	24	24
Matthew David Telmer 20 Progress Point Pkwy Ste 206	$83.98	27	27
Heidi Kathleen Jacobs 11 Delegate Cir	$65.66	29	28
Michael P Hemmersmeier 1101 Highway K	$48.49	32	25
Jennifer Marie Phillips 20 Progress Point Pkwy Ste 206	$26.39	32	24
Jennifer Testerman 920 N Main St	$13.97	36	28
Leonard M Hoffmann 1101 Highway K	$55.96	37	37
Samantha L Branson 1101 Highway K	$76.33	40	40
Stephanie Wittkoetter 300 Winding Woods Dr Ste 222	$65.02	41	39
Christina Renee Roybal 3002 Highway K	$11.42	51	48
Christine C Cortadillo 1101 Highway K	$64.86	53	52
Yasangi Marina Jayasinha 1001 Highway K	$0.00	56	42
Jennifer Schallert 1101 Highway K	$70.51	57	55
Delaina Evans 460 Wild Oak Dr	$98.23	63	61
Rachel Hoesli Smith 1101 Highway K	$67.21	63	63
Heather Nicole Uelhof 1260 Old Stone Dr	$28.69	72	58
Alison Juliete Ball 2223 Technology Dr	$70.12	75	70
Lauren Katherine Gahimer 2991 Highway K	$45.59	80	78
Cecilia H Yu 20 Progress Point Pkwy	$70.86	84	83
Caitlin Elisabeth Golliver 1101 Highway K	$85.37	85	76
Qaiser Jawaid 20 Progress Point Pkwy Ste 206	$36.28	95	91
Kent Alexander Neil Cassmeyer 300 Winding Woods Dr Ste 214	$67.73	95	84
Caitlin Sue Rogers 20 Progress Point Pkwy Ste 108	$60.01	100	92
Kristen Lynn Mueller 1275 Summer Lynne Dr	$94.72	104	104
Scott Johann Arbaugh 9979 Winghaven Blvd	$0.00	109	109
Matthew Paul Melander 9323 Phoenix Village Pkwy	$107.73	111	97
Sandra K Scharf 1101 Highway K Ste A	$74.79	130	124
Mariah White 20 Progress Point Pkwy Ste 200	$37.57	135	126
Alison H Oswald 5551 Winghaven Blvd	$48.11	142	138
Acel Blake Camfield 20 Progress Point Pkwy	$58.48	151	144
Jessica W Fivecoat 20 Progress Point Pkwy Ste 206	$57.98	160	119
Ruth Turner 1101 Highway K Ste A	$84.25	162	151
Constance Stranquist 2920 Highway K	$83.68	173	170
Margaretta Lynn Mendenhall 300 Winding Woods Dr	$79.14	184	163
Elizabeth Vollmar 1101 Highway K	$68.28	189	177
Lara Ann Penn 920 N Main St	$24.10	206	175
Amy Colleen Mcclintock 3449 Pheasant Meadow Dr Ste 107	$46.05	228	205
Rachel Leigh Wells 2223 Technology Dr Ste 35	$45.94	230	225
Teresa M Smith 1101 Highway K Ste A	$85.76	231	223
Elizabeth Ann Bohn 2630 Highway K Ste 100	$89.60	231	208
Stacey Elizabeth Hunt 2630 Highway K	$39.82	232	216
Ashleigh Michelle Bragg 2315 Technology Dr Ste 129	$46.84	238	233
Daniel Martin Weisel 20 Progress Point Pkwy Ste 108	$97.99	248	231

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 O Fallon, MO?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in O Fallon, MO is $64.45 per claim, based on 80,507 claims from 105 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 O Fallon, MO?

There are 105 Medicaid providers offering Office Visit related services in O Fallon, MO according to public payment data.

What is the price range for Office Visit in O Fallon, MO?

Medicaid reimbursement for Office Visit in O Fallon, MO ranges from $0.00 to $213.85 per claim, with an average of $64.45. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in O Fallon, MO: $64.45

Providers Offering Office Visit in O Fallon, MO

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Houston, TX

Las Vegas, NV

Other Procedures in O Fallon, MO

Eye Exam

Vaccines & Immunizations

Emergency Room Visit

Blood Work & Lab Tests

Speech Therapy

Physical Therapy

Dental Cleaning & Exam

Podiatry (Foot Care)