Based on public Medicaid payment data.

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

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
Sai Prashanth Babu Palepu 10018 Kennerly Rd.	$28.35	12	12
Mowaffaq R Said 3691 Rutger Street	$16.98	13	13
Husam T Nawas 12855 North Forty Drive	$71.48	13	13
Nicholas Simpson 8857 Ladue Road	$13.21	13	12
Kimberly L. Spence 1465 S. Grand	$0.00	13	13
Jane K. Michener 4400 Clayton Avenue	$45.47	14	13
Allen D Soffer 450 N. New Ballas Rd.	$39.64	14	13
Kelsey Seger 615 South New Ballas	$84.64	26	24
Justin B Josephsen 1465 S Grand Blvd	$21.89	26	26
Vanessa Eulo 1 Barnes-Jewish Hospital Plaza	$121.62	26	25
Sagun D Goyal 3655 Vista Avenue	$32.39	27	13
Keith J. Odegard 12855 North Forty Drive	$41.96	28	27
Matthew A Broom 1465 S Grand Blvd	$55.37	38	38
Matthew P Lindquist 5000 Cedar Plaza Parkway	$6.66	42	34
Deepika Bhatla 1465 S Grand Blvd	$63.67	47	36
Shakira Dawn Powell 615 South New Ballas	$41.83	53	49
Jeevin Shahi 3685 Vista Avenue	$55.16	65	65
Pavithra Saikumar One Grand Boulevard	$110.44	69	69
Angela H Smithey 8888 Ladue Rd	$43.08	78	70
David Andrew Wathen 1465 S Grand Blvd	$91.60	86	84
John F Eisenbeis 1225 S. Grand	$38.57	95	89
Anne M Beck 1465 S Grand Blvd	$73.64	97	95
Fadee Abu Al Rub Center For Specialized Medicine	$59.29	98	81
Christopher W Hugge 1465 S Grand Blvd	$68.28	99	86
Peri H. Pepmueller 3660 Vista Ave	$49.11	100	94
Kunal Malhotra 3691 Rutger Street	$55.02	102	92
Stephen R Braddock 1465 S Grand Blvd	$91.33	103	102
Lisa Marie Schrock 1465 South Grand Blvd. Ssm Glennon Care -	$63.80	112	109
Micah Christian Hobbs 425 North New Ballas Road	$35.76	119	106
Gina M Settle 5000 Cedar Plaza Parkway	$55.85	124	110
Rebecca Ann Rodriguez 615 South New Ballas Rd	$76.42	133	125
Ryan Mischel 1 Barnes Jewish Hospital Plz	$86.38	147	142
Dhiren Ranchhodbhai Patel 1465 S Grand Blvd	$51.96	158	150
Kelly D Gage 3844 S Lindbergh Blvd.	$65.15	174	162
Helen M Pappa 1465 S Grand Blvd	$109.48	186	185
Jennifer Lynn Wills Rosener 4650 Chippewa St	$6.12	195	119
Joseph George Maliakkal 1465 S Grand Blvd	$97.72	232	218
Felicia Dawn Isbell 2315 Dougherty Ferry Road, Suite 211	$66.30	249	230
Nicole Shuert 621 S. New Ballas Road	$85.22	286	281
Morgan Anne Baldwin 3009 N. Ballas Road	$25.97	297	265
Linda F Tobias 5701 Delmar Blvd.	$56.88	317	214
Jay Patel 425 North New Ballas Road	$67.78	332	325
Wilson Tzu-Yung King 1465 S Grand Blvd	$129.48	334	291
Megan Marie Goodall Barnes Jewish Hospital	$24.91	339	295
Craig W Belsha 1465 S Grand Blvd	$60.99	339	315
Rocio Del Carmen Zeballos-Chavez 1465 S Grand Blvd	$89.45	447	428
Joshua M Sappington 1225 S. Grand	$68.96	521	506
Jeffrey D Sharon 660 South Euclid Avenue	$67.77	525	507
Leni Abraham 3635 Vista Avenue	$77.08	644	644
Samrat Jun Jayanth 6420 Clayton Road, Ssm Health St Mary'S Hospital	$71.32	652	584

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.

Average Medicaid Office Visit Payments in St. Louis, MO: $64.17

Providers Offering Office Visit in St. Louis, MO

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in St. Louis, MO

Emergency Room Visit

X-Ray

Blood Work & Lab Tests

Prescription Medications

Psychiatric Evaluation

Nursing Facility Care

Dental Cleaning & Exam

Hearing Test (Audiometry)