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 |
|---|---|---|---|
|
Kemdi Egekeze
4460 S Lindbergh Blvd |
$166.87 | 12 | 12 |
|
Erica Joy Traxel
4921 Parkview Pl |
$125.22 | 12 | 12 |
|
Blake Austin Hamby
3635 Vista Ave |
$77.92 | 12 | 12 |
|
Irem Eldem
1 Childrens Pl |
$79.45 | 12 | 12 |
|
Cynthia J Neske
621 S New Ballas Rd |
$6.45 | 12 | 12 |
|
Hannah Marie Vetter
621 S New Ballas Rd Ste 4005B |
$130.44 | 12 | 12 |
|
Kharole Compere
175 N Oaks Plz |
$98.27 | 12 | 12 |
|
Christian Andrew Mcneely
1020 N Mason Rd |
$54.66 | 12 | 12 |
|
Yvette Y Van Hook
5701 Delmar Blvd |
$26.33 | 12 | 12 |
|
Ghassan Daher
1201 S Grand Blvd |
$44.52 | 12 | 12 |
|
Abraham Blain Medaris
10004 Kennerly Rd |
$26.59 | 12 | 12 |
|
Maheen Malik
763 S New Ballas Rd |
$25.45 | 12 | 12 |
|
Colleen M. Fitzpatrick
1465 S Grand Blvd |
$61.68 | 12 | 12 |
|
Naga M Yalla
4921 Parkview Pl |
$64.59 | 12 | 12 |
|
Jared Rickert
2345 Dougherty Ferry Rd |
$24.21 | 12 | 12 |
|
Scott Michael Starenchak
1044 N Mason Rd |
$54.70 | 12 | 12 |
|
Belal Firwana
3015 N Ballas Rd |
$40.30 | 12 | 12 |
|
Manish Aggarwal
1 Childrens Pl |
$96.12 | 12 | 12 |
|
Michelle Chen Sineff
1465 S Grand Blvd |
$56.95 | 12 | 12 |
|
Nathanial S Nolan
915 N Grand Blvd |
$65.75 | 12 | 12 |
|
Joselyn Rose Zerrusen
5471 Dr Martin Luther King Dr |
$140.04 | 12 | 12 |
|
Jeremy A Hartman
4921 Parkview Pl |
$88.96 | 12 | 12 |
|
Heather J. Sanders
7334 S Lindbergh Blvd |
$31.17 | 12 | 12 |
|
Brook Diane Strickland
4921 Parkview Pl |
$18.22 | 12 | 12 |
|
Rachel Navarrette
9417 S Broadway |
$46.85 | 12 | 12 |
|
Tara Anne Fiala
1 Childrens Pl |
$88.08 | 12 | 12 |
|
Yulong Li
1 Barnes Jewish Hospital Plz |
$62.78 | 12 | 12 |
|
Ketan Sharma
1201 S Grand Blvd |
$202.47 | 12 | 12 |
|
Katherine Ann Kindle
1 Childrens Pl |
$32.53 | 12 | 12 |
|
Bijoy Hegde
13238 Autumn Trails Ct |
$38.96 | 12 | 12 |
|
Katie Haas
30 Ronnies Plz |
$44.08 | 12 | 12 |
|
Katharyn Elizabeth Turner
1465 S Grand Blvd |
$123.81 | 12 | 12 |
|
Sheigh N. Sander
615 S New Ballas Rd |
$103.15 | 12 | 12 |
|
Evan Elyse Facer
1 Childrens Pl |
$46.56 | 12 | 12 |
|
Yogitha Srilu Potini
1110 Highlands Plaza Dr E |
$7.57 | 12 | 12 |
|
Sherea Monica Smith
1 Childrens Pl |
$79.45 | 12 | 12 |
|
George H. Dowell
11477 Olde Cabin Rd Ste 210 |
$13.49 | 12 | 12 |
|
Cynthia A Brown
4455 Duncan Ave |
$37.74 | 12 | 12 |
|
Stephanie Joy Treon
1 Childrens Pl |
$49.35 | 12 | 12 |
|
Alexander John Heck
12639 Old Tesson Rd |
$65.59 | 12 | 12 |
|
Emma Libby
12700 Southfork Rd Ste 260 |
$129.83 | 12 | 12 |
|
Katherine Marie Pate
1031 Bellevue Ave Ste 280A |
$63.63 | 12 | 12 |
|
Mark Houston Hoofnagle
1 Barnes Jewish Hospital Plz |
$36.52 | 12 | 12 |
|
Nyssa Fox Farrell
4921 Parkview Pl |
$83.77 | 12 | 12 |
|
Tariq Halasa
3015 N Ballas Rd |
$40.00 | 12 | 12 |
|
Alexandra Clare Lahart
1 Childrens Pl |
$127.56 | 12 | 12 |
|
Robert Lee Poeppelmeier
4352 Manchester Ave |
$46.85 | 12 | 12 |
|
Richard Edward Gestring
6220 S Lindbergh Blvd |
$54.83 | 12 | 12 |
|
Tamara Gomez Kalhan
1 Childrens Pl # 3S34 |
$191.49 | 12 | 12 |
|
Shamel Hashem
4930 Lindell Blvd |
$1.35 | 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 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