Average Medicaid Office Visit Payments in West Plains, MO: $53.49
Avg. Paid
$53.49
Range
$1.08 – $640.00
Total Claims
211,745
Providers
112
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 West Plains, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jerry Donald Howard
1100 N Kentucky Ave |
$640.00 | 12 | 12 |
|
Bruce Edward Preston
805 N Kentucky St |
$18.74 | 13 | 13 |
|
James Streff
1115 Alaska St |
$10.13 | 13 | 13 |
|
Richard P Bowles
805 Kentucky |
$32.49 | 15 | 15 |
|
Family Counseling Center, Inc.
1015 Lanton Rd |
$165.00 | 19 | 13 |
|
Laura Lynn Williams
1100 N Kentucky Ave |
$35.76 | 23 | 15 |
|
Laura Carrizo Barber
1100 N Kentucky Ave |
$49.07 | 25 | 21 |
|
Cypress Cheyenne Wood
181 Kentucky Ave |
$48.33 | 37 | 33 |
|
Khoa Le
1100 N Kentucky Ave |
$81.75 | 37 | 37 |
|
Jose Carlos Alonso Escalante
1100 N Kentucky Ave |
$91.32 | 38 | 32 |
|
Heather Myers
805 N Kentucky Ave |
$57.06 | 43 | 36 |
|
Lisa Marie Wade
1307 Porter Wagoner Blvd |
$34.11 | 54 | 51 |
|
Alice Mills
1100 N Kentucky Ave |
$55.72 | 64 | 62 |
|
Robert W Jones
1405 Doctors Dr |
$51.34 | 78 | 71 |
|
Karen Johal
312 N Kentucky Ave |
$37.60 | 92 | 90 |
|
Paul Jay Loop
1211 Missouri Ave |
$15.10 | 92 | 75 |
|
David Alejandro Benalcazar Almeida
1100 N Kentucky Ave |
$44.13 | 93 | 79 |
|
Lakynn R Bradshaw
1307 Porter Wagoner Blvd |
$41.05 | 104 | 90 |
|
Emily Redfearn
181 N Kentucky Ave |
$34.15 | 128 | 89 |
|
Shannon Nicole Marsden
1307 Porter Wagoner Blvd |
$93.78 | 144 | 122 |
|
Vanessa Gail Fowler
181 N Kentucky Ave |
$22.80 | 232 | 136 |
|
Richard Edward Jones
1405 Doctors Dr |
$44.77 | 240 | 205 |
|
Ozarks Medical Center
1211 Porter Wagoner Blvd # 23 |
$1.08 | 294 | 268 |
|
Leslie Erin Barr
805 N Kentucky Ave |
$25.29 | 308 | 287 |
|
William Anthony Mcgee
1100 N Kentucky Ave |
$26.64 | 320 | 243 |
|
Howell County Health Department
180 S Kentucky Ave |
$20.20 | 323 | 313 |
|
Amber Dawn Tooley
1100 N Kentucky Ave |
$67.53 | 376 | 330 |
|
John Robert Piatt
1100 N Kentucky Ave |
$59.57 | 406 | 366 |
|
Curtis L Horstman
805 N Kentucky Ave |
$31.39 | 416 | 364 |
|
Michelle Lea Sims
1801 E State Route K |
$101.94 | 464 | 432 |
|
Jeffrey F Roylance
805 Kentucky Ave |
$29.55 | 481 | 446 |
|
Susan Kenslow
1100 N Kentucky Ave |
$25.37 | 492 | 320 |
|
Mary Brasier
1627 Gibson Ave |
$77.73 | 503 | 479 |
|
James E Thompson
1402 N Kentucky Ave |
$33.54 | 561 | 503 |
|
Lori G Macpherson
181 N Kentucky Ave Ste 100 |
$87.94 | 575 | 505 |
|
Christy Russell
181 N Kentucky Ave |
$35.29 | 577 | 421 |
|
Jennifer D Rhoads
1627 Gibson St |
$88.15 | 667 | 632 |
|
Caleb Jordan Piatt
1100 N Kentucky Ave |
$58.75 | 674 | 599 |
|
Leslie Ann Marshall
1210 N Kentucky Ave |
$45.01 | 688 | 573 |
|
Ashlee Marie Smith
312 N Kentucky Ave |
$126.88 | 699 | 609 |
|
John M Mccormack
805 Kentucky Ave. |
$70.57 | 727 | 643 |
|
Brian Lee Israel
1627 Gibson St |
$48.46 | 728 | 546 |
|
Edwin Roeder
1210 N Kentucky Ave |
$44.08 | 743 | 667 |
|
Melinda Renee Reed
2900 Independence Sq |
$38.76 | 756 | 721 |
|
Meagan Elise Jones
181 N Kentucky Ave |
$105.12 | 802 | 762 |
|
Susan Lynn Jolly
1100 N Kentucky Ave |
$44.92 | 842 | 726 |
|
Derek J Morrison
805 N Kentucky Ave |
$32.13 | 890 | 830 |
|
Ryan Nathaniel Vaisler
181 N Kentucky Ave Ste 100 |
$76.79 | 890 | 727 |
|
Scott Kenslow
1405 Doctors Dr |
$22.52 | 941 | 837 |
|
Sonia M Browning Gerlick
1100 N Kentucky Ave |
$65.59 | 1,002 | 886 |
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 West Plains, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Plains, MO is $53.49 per claim, based on 211,745 claims from 112 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 West Plains, MO?
There are 112 Medicaid providers offering Office Visit related services in West Plains, MO according to public payment data.
What is the price range for Office Visit in West Plains, MO?
Medicaid reimbursement for Office Visit in West Plains, MO ranges from $1.08 to $640.00 per claim, with an average of $53.49. 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 West Plains, MO
Behavioral & Mental Health Therapy
Avg $75.33
148,217 claims
Substance Abuse Treatment
Avg $102.45
71,105 claims
Blood Work & Lab Tests
Avg $20.98
57,044 claims
Ambulance Transport
Avg $773.89
51,685 claims
Emergency Room Visit
Avg $101.70
48,737 claims
Psychiatric Evaluation
Avg $50.91
45,672 claims
Speech Therapy
Avg $39.61
38,378 claims
Eye Exam
Avg $31.15
31,683 claims