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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
Laura Alejandra Moreno Garcia

3443 S National Ave

$82.41 36,707 30,454
Jay P Baker

1540 E Evergreen St

$33.13 28,171 26,021
David M Tonkin

3600 S National Ave

$44.93 19,317 14,009
Autumn Clark

1965 S Fremont Ave

$88.42 18,621 16,576
Frederick M. Faust

1540 E Evergreen St

$64.19 18,214 15,053
Alok Jain

3600 S National Ave

$59.54 16,625 13,062
Ashlee Rossner

618 N Benton Ave

$86.40 16,433 14,354
Jonathan A Mikail

1000 E Primrose St

$76.39 14,818 14,617
Brandon Trumble

440 E Tampa St

$97.82 13,227 11,986
James F. Mccaul

440 E Tampa St

$82.96 12,921 9,500
Danielle Renee Eddings

618 N Benton Ave

$100.35 12,440 11,742
Nancy M Yoon

227 E Chestnut Expy

$19.54 12,221 12,147
Salvador Ceniceros

618 N Benton Ave

$88.40 12,205 11,315
Lora L Schauer

401 South Ave Apt 305

$74.56 10,997 10,873
Chan Ngo Reyes

440 E Tampa St

$90.87 10,660 9,798
William J Howitt

1540 E Evergreen St

$36.08 10,615 9,533
Steven D Langguth

440 E Tampa St

$17.50 10,498 10,290
Brian D Williams

1000 E Primrose St

$63.53 10,479 9,833
Louis B. Hakan

1443 N Robberson Ave

$74.27 10,436 9,935
Andrew Benbow

900 E Battlefield St Ste 124

$85.09 10,212 9,695
Diana Lynn Roe

1000 E Primrose St

$69.58 10,079 9,844
Christina Marie Moellering

1443 N Robberson Ave

$67.64 9,845 9,284
Shawn Stranckmeyer

5383 E Pleasant Valley Ln

$36.82 9,447 8,088
City Of Springfield

227 E Chestnut Expy

$16.46 9,195 9,068
Jean Marie Kelchen

1000 E Primrose St

$77.81 8,987 8,907
Clint A Strong

440 E. Tampa St

$89.05 8,967 8,552
Alicia R Thomas

2040 E Sunshine St

$93.76 8,945 5,764
Manuel Camejo

3525 S National Ave

$74.07 8,923 6,878
Roberta Lynne Boyd

2115 S Fremont Ave

$64.55 8,716 8,322
Matthew H. Ting

909 E Montclair St

$67.02 8,592 5,562
Burrell, Inc.

1300 E Bradford Pkwy

$7.49 8,591 7,974
Linda Y Climer

440 E Tampa St

$85.31 8,576 8,210
Pamela C Wheat

1300 E Bradford Pkwy

$17.80 8,325 5,384
Brady Stark

440 E Tampa St

$76.01 8,256 7,875
Brian C Smith

440 E Tampa St

$91.00 8,225 7,680
Vanessa M Allen

1300 E Bradford Pkwy

$24.53 7,924 5,815
Emmanuel A. Obafemi-Ajayi

3231 S National Ave Ste 100

$78.43 7,842 7,484
Don D. Sponenberg

3231 S National Ave

$71.70 7,696 7,141
Rachel Marie Archer

1720 W Grand St Ste B

$75.94 7,524 5,320
Jeffrey J Jenkins

1300 E Bradford Pkwy

$4.82 7,495 5,275
Shay Davis

323 E Grand St

$80.64 7,100 6,728
Tedra E Estis

323 E Grand St

$2.54 7,053 5,210
Burrell, Inc.

1300 E Bradford Pkwy

$0.15 6,900 5,742
Jess L Lyon

1000 E Primrose St

$84.50 6,666 6,608
Monica R Gorcos

1300 E Bradford Pkwy

$101.82 6,542 5,890
Heather Nicole Haley

1000 E Primrose St

$78.92 6,495 6,420
John M. Burson

2115 S Fremont Ave

$76.79 6,299 5,966
Suckhong Brian Kim

1540 E Evergreen St

$42.16 6,290 5,968
Heather Marie Mccurdy

3443 S National Ave

$72.67 6,268 5,875
Kristen F. Glover

3800 S National Ave Ste 700

$57.25 6,216 5,606

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.

Office Visit in Other Cities

Other Procedures in Springfield, MO