Average Medicaid Office Visit Payments in Albertville, AL: $36.50
Avg. Paid
$36.50
Range
$0.00 – $106.50
Total Claims
198,179
Providers
58
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 Albertville, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Smart Start Pediatrics Llc
460 Al Highway 75 N |
$5.10 | 25,826 | 22,951 |
|
James Randall Austin
9511 Us Highway 431 |
$55.37 | 18,124 | 15,219 |
|
Douglas C Ginas
9511 Us Highway 431 |
$51.53 | 16,027 | 13,988 |
|
Gayle L Lombard
3442 Us Highway 431 |
$30.14 | 14,610 | 11,894 |
|
Eric Robert Hagood
9511 Us Highway 431 |
$42.43 | 14,573 | 12,474 |
|
Niccole Lynne Mcdaniel
3442 Us Highway 431 |
$35.96 | 11,932 | 9,757 |
|
Maegan Walker
141 Business Park Drive |
$52.47 | 11,202 | 10,404 |
|
Raymond C Ufford
3442 Us Highway 431 |
$53.97 | 11,034 | 9,567 |
|
Francesca Cerimele
5730 Us Highway 431 |
$36.80 | 8,979 | 6,585 |
|
Lisa Lissette Burroughs-Thumi
460 Al Highway 75 N |
$58.97 | 7,916 | 7,015 |
|
Indu Prasadh
460 Al Highway 75 N |
$0.01 | 6,942 | 6,418 |
|
Larry R Johnston
3442 Us Highway 431 |
$12.23 | 6,500 | 5,627 |
|
Nicolas Joyner
520 College St Ste 100 |
$43.21 | 5,597 | 4,572 |
|
Katherine Dougherty-Basila
460 Al Highway 75 N |
$1.52 | 4,480 | 4,234 |
|
Preferred Family Healthcare, Llc
5850 Us Highway 431 Ste 11 |
$4.65 | 4,108 | 3,467 |
|
Elizabeth L Fuller
9511 Us Highway 431 |
$53.12 | 3,857 | 3,494 |
|
Molley Eagle
8914 Us Highway 431 |
$57.63 | 3,806 | 2,996 |
|
Raymond N Fernandez
4198 Us Highway 431 |
$18.99 | 3,277 | 3,045 |
|
Natosha T. Douglas
5730 Us Highway 431 |
$58.86 | 3,235 | 2,895 |
|
Compass Pediatrics, P.C.
141 Business Park Drive |
$76.35 | 2,185 | 1,870 |
|
Audrey Carson
604 Smith Rd |
$62.46 | 2,032 | 1,875 |
|
Kerstin Annette Mcelvain
3442 Us Hwy 431 |
$49.84 | 1,424 | 1,281 |
|
Robson F Araujo
3460 Us Highway 431 Ste B |
$24.93 | 1,349 | 753 |
|
Megan Light
3442 Us Highway 431 |
$52.21 | 1,209 | 872 |
|
Holly Willoughby
104 W Alabama Ave |
$43.75 | 1,192 | 1,021 |
|
Gussie Bell Branch
200 S Hambrick St |
$52.71 | 857 | 785 |
|
Chelsea Lowery
8914 Us Highway 431 |
$29.35 | 614 | 331 |
|
Pranav Mishra
604 Smith Rd |
$55.56 | 567 | 505 |
|
Hailey Armstrong
5104 Us Highway 431 |
$35.96 | 547 | 496 |
|
Messalina Charisse Jordan
3520 Us Highway 431 Ste 100 |
$36.87 | 429 | 356 |
|
Bobby Joe Smith
11491 Us Highway 431 |
$27.35 | 390 | 348 |
|
Kathryn Bond Mccurdy
418 Martling Rd |
$33.45 | 385 | 356 |
|
Careplus Family Medical, Llc
8914 Us Highway 431 |
$72.01 | 379 | 332 |
|
Pamela Ann Williams
5930 Us Highway 431 Ste 2 |
$36.23 | 307 | 261 |
|
Barbara Elzbieta Kucewicz Kopyta
312 Sand Mountain Drive Southeast |
$9.69 | 265 | 257 |
|
Peggy Jo Roberts
3442 Us Highway 431 |
$44.75 | 264 | 213 |
|
Sean J English
11491 Us Highway 431 |
$9.84 | 250 | 211 |
|
Michael Wayne Peters
5104 Us Highway 431 |
$10.27 | 202 | 184 |
|
Katie Jean Haynes
604 Smith Rd |
$53.25 | 198 | 184 |
|
Kids Klinic, Llc
3683 Us Highway 431 |
$54.21 | 180 | 158 |
|
Magan Renea Owens
604 Smith Rd |
$65.38 | 175 | 165 |
|
Medical Asset Group, Llc
3442 Us Highway 431 |
$11.10 | 113 | 107 |
|
Rapid Care Inc
9511 Us Highway 431 |
$46.96 | 93 | 80 |
|
Gary Alan Calhoun
11491 Us Highway 431 |
$6.73 | 77 | 46 |
|
J Michael Watts
95 Wall St |
$6.81 | 69 | 64 |
|
Skelton Pediatrics
104 W Alabama Ave Ste B |
$106.50 | 57 | 53 |
|
Northeast Alabama Vascular And Vein Specialist
11491 Us Highway 431 |
$3.13 | 55 | 47 |
|
Amanda Gaskin Roberts
52 Business Park Dr |
$41.02 | 53 | 52 |
|
Melissa Ashley
3442 Us Highway 431 |
$50.09 | 48 | 45 |
|
Roan Sumner Gannon
5104 Us Highway 431 |
$13.71 | 36 | 25 |
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 Albertville, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Albertville, AL is $36.50 per claim, based on 198,179 claims from 58 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 Albertville, AL?
There are 58 Medicaid providers offering Office Visit related services in Albertville, AL according to public payment data.
What is the price range for Office Visit in Albertville, AL?
Medicaid reimbursement for Office Visit in Albertville, AL ranges from $0.00 to $106.50 per claim, with an average of $36.50. 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 Albertville, AL
Blood Work & Lab Tests
Avg $17.78
81,880 claims
Physical Therapy
Avg $43.45
78,286 claims
Speech Therapy
Avg $55.49
59,079 claims
Vaccines & Immunizations
Avg $12.34
56,525 claims
Eye Exam
Avg $31.11
45,175 claims
Nursing Facility Care
Avg $6.99
39,113 claims
Dental Cleaning & Exam
Avg $21.91
28,542 claims
Prescription Medications
Avg $2.45
20,893 claims