Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Springfield, MO: $67.19

Avg. Paid

$67.19

Range

$0.00 – $459.06

Total Claims

1,644,591

Providers

1,103

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 Springfield, MO

Provider	Avg. Paid	Claims	Patients
John W. Hawkins 2115 S Fremont Ave	$33.23	12	12
Advocates For A Healthy Community, Inc. 1720 W Grand St	$75.21	12	12
Jonathan P. Crites 1229 E Seminole St	$22.52	12	12
Richard T Shimizu 1001 E Primrose St	$54.57	12	12
Samir S. Garcia 1001 E Primrose St	$70.53	12	12
Graeme Guang Boyter 3555 S National Ave	$163.57	12	12
Ahlam Elbadri 2115 S Fremont Ave Ste 2300	$52.23	12	12
Meera R. Scarrow 1965 S Fremont Ave Ste 270	$63.01	12	12
Ovais Zubair 3525 S National Ave	$21.17	12	12
Michael P. Nachtigal 1229 E Seminole St	$28.45	12	12
Robert L. Swords 1900 S National Ave	$16.73	12	12
Sean P Tarsney 3231 S National Ave	$47.30	12	12
James T. Rogers 2115 S Fremont Ave	$69.25	12	12
Robert F. Mahnken 1229 E Seminole St	$19.19	12	12
Ashley Brooke Palmer 1308 N Glenstone Ave	$65.56	12	12
Donald W. Myears 1900 S National Ave	$26.41	12	12
Dante Caleb-Samuel Dali 1235 E Cherokee St	$179.99	12	12
Ibrahim Abdalla 3850 S National Ave	$56.06	12	12
Grant Scott 3800 S National Ave Ste 400	$50.29	12	12
Jesse G. Taylor 2115 S Fremont Ave	$50.61	12	12
Lisa Marie Potthoff 3801 S National Ave Ste 900	$60.64	12	12
Alastair D Haddow 2115 S Fremont Ave	$18.47	12	12
Shannon L Kensinger 1001 E Primrose St	$44.16	12	12
Nicole Rae Jennings 2115 S Fremont Ave Ste 5000	$61.87	12	12
Stephen Holmes 1001 E Primrose St	$66.97	12	12
John W Buckner 1001 E Primrose St	$82.43	13	13
Anjum G. Qureshi 1499 N Robberson Ave # K500	$54.23	13	13
William C Moore 1001 E Primrose St	$35.14	13	12
Collin Andrus 2115 S Fremont Ave Ste 4300	$57.79	13	13
Debra Lynne Williams 4145 S Mccann Ct Ste D	$56.87	13	12
Lori Ann Taula 2715 E Battlefield St	$11.78	13	12
Gary L Meek 1934 S Glenstone	$92.91	13	13
Zachary Chance Swearingen 3555 S National Ave	$58.56	13	13
Tabatha Renee Luneau 2115 S Fremont Ave	$45.41	13	13
Thomas M. Shultz 1000 E Primrose St	$100.66	13	13
Coleman Douglas 3801 S National Ave	$102.40	13	13
Candace Maxwell 1001 E Primrose St	$106.34	13	13
Joshua R. Scott 2115 S Fremont Ave	$68.12	13	12
Lynette Foster 1530 E Republic Rd	$94.91	13	13
Uma Kalyani Edupuganti 3800 S National Ave	$100.34	13	13
Erik T Cochran 1000 E Primrose St	$103.21	13	13
Daniel F Lyons 960 E Walnut Lawn	$43.18	13	12
Johnna Tenberge 3045 S National Ave Ste 110	$40.07	13	13
Dennis Sale 3045 S National Ave Ste 110	$17.48	13	12
William T Wester 3555 S National Ave	$37.60	13	13
Amanda Jo Dinsmore 1235 E Cherokee St	$23.16	13	13
Sarah R. Kaunley 1153 E Elm St	$44.98	13	13
Jacob K. Thomas 1265 E Primrose St	$27.59	13	12
Julia E Griesemer 1235 E Cherokee St	$14.12	14	12
Bruce Allen Kater 1229 E Seminole St	$19.69	14	13

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 Springfield, MO?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Springfield, MO is $67.19 per claim, based on 1,644,591 claims from 1103 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 Springfield, MO?

There are 1103 Medicaid providers offering Office Visit related services in Springfield, MO according to public payment data.

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

Medicaid reimbursement for Office Visit in Springfield, MO ranges from $0.00 to $459.06 per claim, with an average of $67.19. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Springfield, MO: $67.19

Providers Offering Office Visit in Springfield, MO

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Springfield, MO

Behavioral & Mental Health Therapy

Psychiatric Evaluation

Blood Work & Lab Tests

Substance Abuse Treatment

Emergency Room Visit

Dental Cleaning & Exam

X-Ray

EKG / ECG (Electrocardiogram)