Average Medicaid Office Visit Payments in Washington, MO: $68.78
Avg. Paid
$68.78
Range
$15.67 – $159.28
Total Claims
122,314
Providers
128
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 Washington, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kelly Marie Rogers
901 Patients First Dr Ste 2000 |
$61.95 | 12 | 12 |
|
Nicholas W Frederickson
901 Patients First Drive Suite 3300 |
$54.92 | 12 | 12 |
|
Lisa R Martin Hawver
851 E 5Th St Ste 108 |
$147.07 | 12 | 12 |
|
Charles Upshur Nottingham
901 Patients First Dr Ste 3400 |
$59.03 | 12 | 12 |
|
Amanda Heisel
901 Patients First Dr Ste 3400 |
$32.00 | 12 | 12 |
|
Stacy Schroeder
901 Patients First Dr |
$24.37 | 13 | 12 |
|
Jason Hahn
851 E 5Th St |
$23.43 | 13 | 13 |
|
Victoria L Yenzer
901 Patients First Dr |
$97.76 | 13 | 13 |
|
Katarzyna Anne Kohler
901 Patients First Dr |
$40.84 | 13 | 13 |
|
Kenneth B Smith
901 Patients First Dr |
$65.95 | 14 | 12 |
|
Melissa E Manhart
901 Patients First Dr |
$52.97 | 15 | 14 |
|
Michelle Goetz
901 E 5Th St |
$46.69 | 15 | 12 |
|
Craig S Holzem
1721 Heritage Hills Dr |
$51.85 | 15 | 12 |
|
Kalen R Dionne
901 Patients First Dr Ste 2000 |
$81.65 | 15 | 14 |
|
Katherine Louise Tesson
901 Patients First Dr Ste 2500 |
$84.62 | 15 | 15 |
|
Breezy Summer Stanley
901 Patients First Dr Ste 2500 |
$74.09 | 17 | 17 |
|
James D Turner
901 Patients First Dr |
$78.23 | 24 | 24 |
|
Keith Gildehaus
901 Patients First Dr |
$76.06 | 25 | 25 |
|
John R Douglas Peterson
901 Patients First Dr Ste 3300 |
$110.21 | 27 | 27 |
|
Morgan E Dillon-Van Iwaarden
901 Patients First Dr Ste 3200 |
$97.54 | 29 | 28 |
|
Alissa Nadia Galas
901 Patients First Dr Ste 2100 & 2200 |
$71.70 | 31 | 27 |
|
Tamara Bailey
901 Patients First Dr |
$64.60 | 32 | 31 |
|
Charles M Gill
901 Patients First Dr Ste 3400 |
$40.71 | 40 | 40 |
|
William Kevin Harris
901 Patients First Dr |
$50.67 | 44 | 40 |
|
Sheetal Sharma
901 Patients First Dr |
$52.79 | 47 | 44 |
|
Howard Newton Short
1351 Jefferson St |
$27.94 | 49 | 37 |
|
Lisa Anne Dickinson
851 E 5Th St |
$63.30 | 50 | 50 |
|
Christian David Linz
901 Patients First Dr |
$44.95 | 52 | 50 |
|
Sudhanshu Gogia
901 Patients First Dr |
$36.48 | 55 | 53 |
|
Karen M Gross
901 Patients First Dr |
$71.09 | 68 | 67 |
|
David Morgan
10 Franklin Ave |
$28.32 | 71 | 63 |
|
Louise L Fields
851 E 5Th St Ste 160 |
$125.06 | 80 | 75 |
|
Thomas D Matthews
901 Patients First Dr |
$78.41 | 81 | 80 |
|
Jennifer Leigh Gwin
555 Washington Sq |
$44.11 | 87 | 87 |
|
Hollie T Strawn
851 E 5Th St Ste 200 |
$135.15 | 88 | 75 |
|
Tyler E Boyet
901 Patients First Dr Ste 1300 |
$78.83 | 88 | 84 |
|
Kristin Louise Fisher
901 Patients First Dr Ste 2500 |
$73.91 | 93 | 82 |
|
David P Guss
901 Patients First Dr Ste 3800 |
$32.75 | 107 | 66 |
|
Regina Victoria Maloney
851 E 5Th St Ste 300 |
$51.19 | 122 | 120 |
|
Carl F Blatt
901 Patients First Dr |
$63.37 | 130 | 123 |
|
Joshua M Stolker
901 Patients First Dr |
$43.00 | 130 | 124 |
|
Dana L Hellebusch
1351 Jefferson St |
$46.65 | 135 | 110 |
|
Jason Loes Reinberg
901 Patients First Dr Ste 3600 |
$53.02 | 139 | 134 |
|
Mohan Mallikarjuna Edupuganti
901 Patients First Dr Ste 2500 |
$15.67 | 141 | 100 |
|
Suraj Kumar Alakkassery Kumaran
901 E 5Th St |
$38.06 | 143 | 126 |
|
Keith M Ratcliff
901 Patients First Dr |
$71.21 | 148 | 139 |
|
Sandra Ruth Nicks
901 Patients First Dr |
$36.93 | 158 | 135 |
|
Michael E Rau
901 Patients First Dr |
$52.27 | 169 | 155 |
|
Amanda Flamm
901 Patients First Dr Ste 2100 |
$69.23 | 184 | 175 |
|
Robert W Halsted
901 Patients First Dr |
$63.20 | 194 | 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 Washington, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Washington, MO is $68.78 per claim, based on 122,314 claims from 128 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 Washington, MO?
There are 128 Medicaid providers offering Office Visit related services in Washington, MO according to public payment data.
What is the price range for Office Visit in Washington, MO?
Medicaid reimbursement for Office Visit in Washington, MO ranges from $15.67 to $159.28 per claim, with an average of $68.78. 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 Washington, MO
Emergency Room Visit
Avg $137.38
109,426 claims
Blood Work & Lab Tests
Avg $32.47
64,235 claims
EKG / ECG (Electrocardiogram)
Avg $11.72
23,406 claims
Dental Cleaning & Exam
Avg $27.62
22,489 claims
X-Ray
Avg $23.21
20,433 claims
Vaccines & Immunizations
Avg $11.99
13,765 claims
Physical Therapy
Avg $9.01
13,270 claims
Nursing Facility Care
Avg $19.92
12,037 claims