Average Medicaid Office Visit Payments in Saint Louis, MO: $61.54
Avg. Paid
$61.54
Range
$0.00 – $446.63
Total Claims
2,573,779
Providers
2,734
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 Saint Louis, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bjc Behavioral Health
3309 S Kingshighway Blvd |
$52.94 | 67,767 | 58,190 |
|
Paul S Catanzaro
10007 Kennerly Rd Ste B |
$39.60 | 34,957 | 18,953 |
|
Maya Elizabeth Moody
615 S. New Ballas Road |
$54.64 | 28,551 | 26,884 |
|
Gurpreet Padda
5203 Chippewa St |
$26.18 | 27,705 | 16,973 |
|
County Of St Louis Division Of Fiscal Management
6121 N Hanley Rd |
$50.30 | 27,004 | 24,291 |
|
Assisted Recovery Centers Of America, Llc
6651 Chippewa St Ste 224 |
$80.25 | 19,533 | 17,092 |
|
Tony L Chien
2821 N Ballas Rd Ste C20 |
$39.85 | 17,436 | 12,085 |
|
Assisted Recovery Centers Of America
1430 Olive St |
$123.33 | 17,308 | 16,026 |
|
Mohammed Mojid
12700 Southfork Rd |
$89.85 | 16,458 | 15,445 |
|
Elizabeth Orene Schmidt
1 Barnes Jewish Hospital Plz |
$42.08 | 15,770 | 3,483 |
|
Melissa A Whitson
16 Hampton Village Plz 220 |
$71.03 | 15,263 | 14,218 |
|
Micaela Erin O'Neil-Callahan
615 S New Ballas Rd |
$70.55 | 15,183 | 12,871 |
|
Uladzislau Naidzionak
6420 Clayton Rd |
$59.49 | 15,069 | 9,833 |
|
Carmel Rose Boykin-Wright
6121 N Hanley Rd |
$59.92 | 15,033 | 12,003 |
|
Bjc Behavioral Health
3309 S Kingshighway Blvd |
$73.58 | 14,586 | 13,099 |
|
Daniel Rocco Morra
1 Childrens Pl |
$55.60 | 14,555 | 11,697 |
|
Christi L Abeln
1 Childrens Pl |
$67.47 | 11,788 | 10,858 |
|
Thomas Patrick Kuciejczyk-Kernan
3930 S Broadway |
$92.20 | 11,742 | 11,078 |
|
Carla Ruth Duban
4414 N Florissant Ave |
$81.07 | 11,519 | 11,006 |
|
Michael J Spezia
23 N Oaks Plz |
$39.13 | 11,491 | 9,696 |
|
Leslie Mccrary-Etuk
1315 Aubert Ave |
$125.88 | 11,232 | 10,309 |
|
Amal F Antoun
1717 Biddle St |
$77.52 | 10,969 | 10,511 |
|
Mohammad F Ghani
3915 Watson Rd |
$46.71 | 10,413 | 4,142 |
|
David Almon Miller
2220 Lemp Ave |
$90.94 | 10,402 | 10,059 |
|
Asif Habib
522 N New Ballas Rd Ste 334 |
$38.41 | 10,394 | 9,403 |
|
Catherine Ruth Moore
615 S New Ballas Rd |
$82.36 | 10,300 | 9,693 |
|
Vani Pachalla
2220 Lemp Ave |
$66.04 | 10,111 | 9,676 |
|
Ashok Yanamadala
4121 Union Rd Ste 201 |
$32.65 | 9,984 | 7,373 |
|
Vadim Yuri Baram
10420 Old Olive Street Rd |
$29.82 | 9,711 | 8,190 |
|
Jonathan Mark Bernheimer
1 Childrens Pl |
$2.36 | 9,682 | 5,666 |
|
Satish Vundyala Reddy
1 Barnes Jewish Hospital Plz |
$37.19 | 9,150 | 7,801 |
|
Joyce D Johnson
6744 Clayton Rd |
$67.44 | 9,114 | 8,715 |
|
Mary Bridget Keegan
3930 S Broadway |
$84.85 | 9,041 | 7,183 |
|
Betty Jean Kerr People'S Health Centers
5669 Delmar Blvd |
$85.25 | 9,019 | 8,917 |
|
Mark C Murawski
456 N New Ballas Rd |
$49.86 | 8,272 | 7,831 |
|
Kathryn Ries
3535 South Broadway |
$44.76 | 8,106 | 6,517 |
|
Sandeep Rohatgi
5114 Mid America Plz |
$62.12 | 8,072 | 7,332 |
|
Timothy J Mccann
1717 Biddle St |
$95.40 | 7,730 | 7,306 |
|
Richard Gerald Bolanos
4352 Manchester Ave |
$87.25 | 7,578 | 6,114 |
|
Raymond Angelo Brickhouse
3535 S Jefferson Ave Ste 201 |
$28.46 | 7,560 | 6,371 |
|
Stephen D Schmidt
1070 Old Des Peres Rd |
$21.28 | 7,497 | 6,626 |
|
Alicia D Hamilton
1465 S Grand Blvd |
$64.58 | 7,471 | 6,915 |
|
Radhika Rao
443 N New Ballas Rd |
$41.83 | 7,415 | 6,742 |
|
Denise Michelle Sarver Willers
4901 Forest Park Ave |
$26.03 | 7,394 | 6,103 |
|
Agnes M Laus
12680 Olive Blvd Ste 116 |
$48.83 | 7,310 | 6,517 |
|
Anand V. Palagiri
621 S New Ballas Rd |
$87.04 | 7,259 | 7,128 |
|
Santiago Bo Plurad
3915 Watson Rd |
$58.01 | 7,200 | 6,811 |
|
Robert D Baird
6150 Oakland Ave |
$32.63 | 7,182 | 5,366 |
|
David Glick
175 N Oaks Plz |
$81.50 | 7,172 | 5,841 |
|
Jessica Norton
1 Barnes Jewish Hospital Plz |
$73.38 | 7,113 | 6,226 |
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 Saint Louis, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Saint Louis, MO is $61.54 per claim, based on 2,573,779 claims from 2734 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 Saint Louis, MO?
There are 2734 Medicaid providers offering Office Visit related services in Saint Louis, MO according to public payment data.
What is the price range for Office Visit in Saint Louis, MO?
Medicaid reimbursement for Office Visit in Saint Louis, MO ranges from $0.00 to $446.63 per claim, with an average of $61.54. 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 Saint Louis, MO
Behavioral & Mental Health Therapy
Avg $92.81
2,183,655 claims
Emergency Room Visit
Avg $128.84
1,505,298 claims
X-Ray
Avg $8.09
1,400,446 claims
Blood Work & Lab Tests
Avg $29.33
1,334,001 claims
Home Health Visit
Avg $111.76
658,871 claims
Substance Abuse Treatment
Avg $58.36
590,079 claims
EKG / ECG (Electrocardiogram)
Avg $13.59
515,605 claims
CT Scan (Computed Tomography)
Avg $44.05
443,335 claims