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
Jennifer M Hinton 1002 Peruque Crossing Ct	$61.74	10,769	9,920
Trina J Blythe 20 Progress Point Pkwy Ste 100	$71.11	4,355	4,112
Kimberly N Hackney 300 Winding Woods Dr Ste 120	$64.97	4,068	3,754
So Kim 3002 Highway K	$28.15	4,036	2,899
Victoria Sanford 9979 Winghaven Blvd Ste 204	$34.17	3,432	2,880
William Stuart Adams 9979 Winghaven Blvd	$75.74	2,979	2,734
Michael Danter 9979 Winghaven Blvd	$83.52	2,561	2,388
Vivek K Manchanda 4122 Keaton Crossing Blvd	$73.09	2,425	2,220
Duncan Scott Mchardy 20 Progress Point Pkwy	$57.75	2,397	2,145
Ella Rozin 1001 Highway K	$67.58	2,235	2,104
Melissa Roewe 9979 Winghaven Blvd Ste 206	$58.16	2,082	1,953
Tanvira K Alam 1101 Highway K	$76.26	1,916	1,398
Alyssa Ann Fairchild 300 Winding Woods Dr Ste 120	$79.47	1,912	1,885
Amy Elizabeth Grawey 207 E Pitman St	$51.25	1,735	1,552
Timothy D Moore 2630 Highway K	$73.84	1,599	1,537
Kristen Ingrid Bruno 706 N Main St	$63.86	1,544	1,436
Natasha Brooke Fresenburg 20 Progress Point Pkwy Ste 100	$90.55	1,504	1,427
Renee Zesch 2991 Highway K	$40.96	1,316	1,197
John A Myers 20 Progress Point Pkwy	$53.00	1,153	1,082
Katherine E Clancy 2630 Highway K	$59.33	1,108	1,088
Brandie Marie Smalley 309 N Quail Point Dr	$32.95	1,088	808
Lindsay Ann Murphy Dickerhoff 1101 Highway K	$81.89	1,054	737
Jennifer Ann Panasci 5551 Winghaven Blvd	$69.80	1,019	971
Alexa Jo Duling Williams 1101 Highway K	$94.85	973	762
Aleasha Elliott 111 Church St Ste 10	$142.89	887	798
William Louis Hollabaugh 20 Progress Point Pkwy	$64.24	838	719
Sara Klein 300 Winding Woods Dr Ste 222	$24.55	831	760
Michael B Chen 20 Progress Point Pkwy	$44.23	820	509
Heather Carolyn Williamson 3449 Pheasant Meadow Dr	$53.75	815	795
Gloria Michelle Paul Edacheril 20 Progress Point Pkwy Ste 108	$66.53	774	716
Phillip D Reichert 20 Progress Point Pkwy	$53.06	735	689
Gina Virginia Hermsen Nelson 20 Progress Point Pkwy	$69.17	682	669
Leah Rose Glass 300 Winding Woods Dr	$91.19	654	535
Karen D Turner 20 Progress Point Pkwy Ste 206	$119.59	652	610
Randy Agolia 20 Progress Point Pkwy	$50.96	634	604
Brooke Lauren Meyer 300 Winding Woods Dr Ste 101	$83.50	586	565
Erin S Adams 2223 Technology Dr Ste 10	$84.53	546	524
Danielle Suzanne Grunloh-Gumpenberger 300 Winding Woods Dr Ste 200	$74.76	535	449
Dawn Marie Johns 920 N Main St	$75.63	518	493
Sara B Tucker 20 Progress Point Pkwy Ste 108	$31.78	500	465
Emma Rose Eubanks 1101 State Highway K	$73.75	496	360
Nuzhat Nisar 2954 Highway K	$65.65	481	396
Yasmine King Fehr 9979 Winghaven Blvd Ste 202	$86.88	476	412
Betsey M Steimel 20 Progress Point Pkwy Ste 206	$32.12	454	415
Amanda Christine Stilwell 2630 Highway K	$78.64	387	375
Loria A Lindsey 20 Progress Point Pkwy Ste 206	$85.11	315	268
Kelli Elizabeth Buntaine 2991 Highway K	$48.28	305	300
Jyoti G Kulkarni 2630 Highway K	$74.87	305	284
Kirsten M Mcdaniel 20 Progress Point Pkwy Ste 206	$94.59	295	253
Kelly Nicole Schelich 4122 Keaton Crossing Blvd Ste 102	$65.21	290	277

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

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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)