Average Medicaid Office Visit Payments in St. Louis, MO: $64.17
Avg. Paid
$64.17
Range
$0.00 – $129.48
Total Claims
67,708
Providers
84
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 St. Louis, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shahida R Naseer
1465 S Grand Blvd |
$60.12 | 4,324 | 4,099 |
|
M Susan Dawson
2650 Olive Street |
$59.90 | 3,711 | 3,204 |
|
Stephen S. Walther
456 N. New Ballas Rd. |
$66.74 | 3,452 | 3,314 |
|
Felicia L. Harvey
11642 West Florissant |
$90.07 | 3,284 | 3,163 |
|
Heidi M Sallee
1465 S Grand Blvd |
$56.06 | 3,269 | 3,201 |
|
Mary S Heaney
1465 S Grand Blvd |
$68.05 | 3,041 | 2,970 |
|
Megan Danielle Wood
10345 Watson Rd |
$43.71 | 2,457 | 2,240 |
|
Joshua Arthur
1465 S Grand Blvd |
$71.11 | 2,251 | 2,134 |
|
Christina Guyton Ingram
4055 Lindell Blvd. |
$86.93 | 2,238 | 2,186 |
|
Tony Thien Tang
4675 South Grand Blvd. |
$44.98 | 2,206 | 1,796 |
|
Claudia T. Viamontes
522 N. New Ballas |
$42.09 | 1,897 | 1,742 |
|
Julie R Ferguson
1465 S. Grand Blvd |
$81.31 | 1,884 | 1,829 |
|
Elisa Rachel Pincus
1465 S Grand Blvd |
$55.60 | 1,761 | 1,728 |
|
Gene M Labarge
1465 S Grand Blvd |
$57.14 | 1,706 | 1,667 |
|
Mahrukh Khan
7491 Big Bend Blvd. |
$20.13 | 1,600 | 1,146 |
|
Thomas R Sanford
1225 S. Grand |
$56.14 | 1,565 | 1,494 |
|
Jennifer S Ladage
1465 S Grand Blvd |
$47.24 | 1,403 | 1,366 |
|
Lola J Loeb
5471 Dr. Martin Luther King Dr. |
$24.90 | 1,234 | 1,177 |
|
Kurtis Todd Sobush
1465 S Grand Blvd |
$95.41 | 1,199 | 1,185 |
|
Daemeon Achilles Nicolaou
3635 Vista Ave |
$18.10 | 1,154 | 1,134 |
|
Susan E Myers
1465 S Grand Blvd |
$66.05 | 1,131 | 1,070 |
|
Kelsey Lonergan
5647 Delmar Blvd. |
$99.96 | 1,125 | 1,115 |
|
Yifan Tu
3655 Vista |
$53.87 | 1,102 | 926 |
|
Christina A. Garretto
12348 Old Tesson Rd |
$69.18 | 1,102 | 1,050 |
|
Lauren Marie Hayes
1465 South Grand Boulevard, Room 1204 |
$65.77 | 1,088 | 1,043 |
|
Mary Kopsky
615 S New Ballas Rd |
$106.10 | 1,077 | 1,069 |
|
Shulamit Menashe Portnoy
1465 S Grand Blvd |
$107.66 | 1,072 | 987 |
|
Terry Lynn Moore
1225 S. Grand |
$67.27 | 1,065 | 979 |
|
James Starrett
5425 Southfield Center |
$85.03 | 946 | 906 |
|
Anthony Joseph D'Angelo
2315 Dougherty Ferry Road |
$47.71 | 922 | 863 |
|
Joseph Roland Diano Espiritu
3660 Vista |
$62.71 | 869 | 831 |
|
Anthony A Mikulec
1225 S. Grand |
$59.21 | 803 | 769 |
|
Julie Ann Godefroid
1010 Old Des Peres Road |
$74.57 | 777 | 767 |
|
Tinarose Mary Trost
4352 Manchester Ave |
$89.90 | 734 | 707 |
|
Samrat Jun Jayanth
6420 Clayton Road, Ssm Health St Mary'S Hospital |
$71.32 | 652 | 584 |
|
Leni Abraham
3635 Vista Avenue |
$77.08 | 644 | 644 |
|
Jeffrey D Sharon
660 South Euclid Avenue |
$67.77 | 525 | 507 |
|
Joshua M Sappington
1225 S. Grand |
$68.96 | 521 | 506 |
|
Rocio Del Carmen Zeballos-Chavez
1465 S Grand Blvd |
$89.45 | 447 | 428 |
|
Megan Marie Goodall
Barnes Jewish Hospital |
$24.91 | 339 | 295 |
|
Craig W Belsha
1465 S Grand Blvd |
$60.99 | 339 | 315 |
|
Wilson Tzu-Yung King
1465 S Grand Blvd |
$129.48 | 334 | 291 |
|
Jay Patel
425 North New Ballas Road |
$67.78 | 332 | 325 |
|
Linda F Tobias
5701 Delmar Blvd. |
$56.88 | 317 | 214 |
|
Morgan Anne Baldwin
3009 N. Ballas Road |
$25.97 | 297 | 265 |
|
Nicole Shuert
621 S. New Ballas Road |
$85.22 | 286 | 281 |
|
Felicia Dawn Isbell
2315 Dougherty Ferry Road, Suite 211 |
$66.30 | 249 | 230 |
|
Joseph George Maliakkal
1465 S Grand Blvd |
$97.72 | 232 | 218 |
|
Jennifer Lynn Wills Rosener
4650 Chippewa St |
$6.12 | 195 | 119 |
|
Helen M Pappa
1465 S Grand Blvd |
$109.48 | 186 | 185 |
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 St. Louis, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in St. Louis, MO is $64.17 per claim, based on 67,708 claims from 84 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 St. Louis, MO?
There are 84 Medicaid providers offering Office Visit related services in St. Louis, MO according to public payment data.
What is the price range for Office Visit in St. Louis, MO?
Medicaid reimbursement for Office Visit in St. Louis, MO ranges from $0.00 to $129.48 per claim, with an average of $64.17. 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 St. Louis, MO
Emergency Room Visit
Avg $104.10
37,096 claims
X-Ray
Avg $9.67
32,553 claims
Blood Work & Lab Tests
Avg $41.14
20,595 claims
Prescription Medications
Avg $0.24
15,707 claims
Psychiatric Evaluation
Avg $59.98
14,685 claims
Nursing Facility Care
Avg $27.11
13,952 claims
Dental Cleaning & Exam
Avg $47.84
11,387 claims
Hearing Test (Audiometry)
Avg $37.59
9,844 claims