Average Medicaid Office Visit Payments in Potosi, MO: $76.84
Avg. Paid
$76.84
Range
$17.65 – $116.95
Total Claims
62,002
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 Potosi, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Patrick A. Oruwari
200 Health Way Dr |
$101.09 | 9,813 | 8,889 |
|
James Daley Robart Jr.
912 N Missouri St |
$61.49 | 5,063 | 2,042 |
|
Emily Morgan Kelley
1 Southtowne Dr |
$67.02 | 4,879 | 4,390 |
|
John S. Pearson
1 Southtowne Dr |
$66.30 | 4,637 | 3,723 |
|
Deirdre L Nivens
200 Health Way Dr |
$74.74 | 4,268 | 3,607 |
|
Judith Mccaul
1 Southtowne Dr |
$116.95 | 3,583 | 3,332 |
|
Jeffrey Paul Tindall
200 Health Way Dr |
$50.65 | 3,569 | 3,310 |
|
Timothy Will Christopher Bass
1 Southtowne Dr |
$70.44 | 3,405 | 2,733 |
|
Washington County Health Department
520 Purcell Rd |
$17.65 | 2,803 | 2,749 |
|
Shawn Lenn Geile
108 Frizzell St |
$96.98 | 2,326 | 2,052 |
|
Sarah Michelle Rion
200 Health Way Dr |
$99.45 | 1,811 | 1,573 |
|
Steven D Ebers
108 Frizzell St |
$82.04 | 1,800 | 1,444 |
|
Angela S Declue
200 Health Way Dr |
$86.40 | 1,718 | 1,567 |
|
Jessica Lynn Holland
1 Southtowne Dr |
$82.41 | 1,658 | 1,493 |
|
Edward William Lake
313 E High St |
$22.35 | 1,607 | 1,292 |
|
Kallie Belfield
300 Health Way Dr |
$110.88 | 1,549 | 1,396 |
|
Sandra Lee Mitkos
108 Frizzell St |
$97.87 | 1,475 | 1,340 |
|
Patricia Louise Allen
108 Frizzell St |
$98.98 | 1,115 | 1,024 |
|
Tracy M Fite
1 Southtowne Dr |
$60.99 | 1,011 | 916 |
|
Nedra G. Harrington
1 Southtowne Dr |
$57.49 | 1,001 | 872 |
|
Gary Lynn Greenlee
108 Frizzell St |
$81.31 | 811 | 454 |
|
Terry Guiley
1 Kwan Plz |
$57.95 | 754 | 673 |
|
Ann Schumacher
1 Southtowne Dr |
$42.92 | 504 | 434 |
|
Steffany Marie Ahlheim
1 Southtowne Dr |
$79.24 | 247 | 220 |
|
Kamal Akhtar
300 Health Way Dr |
$91.23 | 193 | 189 |
|
Sara M Pyatt
307 N Missouri St |
$37.84 | 169 | 161 |
|
Great Mines Health Center
#1 Southtowne Drive |
$104.51 | 133 | 79 |
|
Penny Kaye Grechus
1 Southtowne Dr |
$94.13 | 100 | 89 |
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 Potosi, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Potosi, MO is $76.84 per claim, based on 62,002 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 Potosi, MO?
There are 28 Medicaid providers offering Office Visit related services in Potosi, MO according to public payment data.
What is the price range for Office Visit in Potosi, MO?
Medicaid reimbursement for Office Visit in Potosi, MO ranges from $17.65 to $116.95 per claim, with an average of $76.84. 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 Potosi, MO
Psychiatric Evaluation
Avg $56.21
28,600 claims
Emergency Room Visit
Avg $116.93
28,087 claims
Blood Work & Lab Tests
Avg $20.73
21,483 claims
Eye Exam
Avg $26.33
11,833 claims
Dental Cleaning & Exam
Avg $41.34
10,390 claims
Chiropractic Care
Avg $22.15
7,023 claims
Vaccines & Immunizations
Avg $10.25
2,791 claims
Urinalysis & Urine Tests
Avg $13.59
2,485 claims