Average Medicaid Office Visit Payments in Andalusia, AL: $29.91
Avg. Paid
$29.91
Range
$0.00 – $209.31
Total Claims
133,415
Providers
45
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 Andalusia, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Covington Pediatrics Pa
614 W Bypass |
$2.46 | 20,122 | 18,046 |
|
Gabrielle G Baldwin
109 Medical Park Dr |
$4.24 | 13,837 | 12,706 |
|
Yongkuma C Yongkuma
1212 E Three Notch St |
$43.03 | 12,571 | 10,846 |
|
Sadik Yesil
947 S Three Notch St |
$33.89 | 11,856 | 10,631 |
|
Rex Allen Butler
843 S Three Notch St |
$36.79 | 9,901 | 8,496 |
|
Jana M. Mallder
508 E Three Notch St # 100 |
$22.77 | 7,259 | 3,922 |
|
Gregory D Price
215 Medical Park Dr Ste 1 |
$22.75 | 6,308 | 5,351 |
|
Covington County Health Dept-Andalusia Fp Clinic
Alabama Highway 55 |
$209.31 | 4,790 | 4,367 |
|
Covington Pediatrics Pa
614 W Bypass |
$74.51 | 4,775 | 4,001 |
|
Christyl Jade Hines
848 S Three Notch St |
$23.42 | 4,695 | 1,949 |
|
Charles E Eldridge
614 W Bypass |
$5.19 | 4,518 | 4,162 |
|
Three Notch Rural Health Inc
835 S Three Notch St |
$4.65 | 3,191 | 2,456 |
|
Kristy Leigh Nichols
301 Medical Ave Ste C |
$14.65 | 2,818 | 1,312 |
|
Marc Chatman
849 S Three Notch St |
$10.77 | 2,704 | 2,048 |
|
Miranda Patterson Wiggins
845 W Bypass Ste D |
$56.77 | 2,420 | 1,899 |
|
Sherry Sowell Roper
848 S Three Notch St |
$22.81 | 2,235 | 1,501 |
|
Lee J. Poston
301 Medical Park Dr Ste B |
$33.23 | 1,779 | 1,270 |
|
Gilbert Richard Holland
848 S Three Notch St |
$42.75 | 1,600 | 1,240 |
|
Robert Irving Garver
822 South Three Notch St |
$9.08 | 1,541 | 1,102 |
|
Pamela Tate Johnson
508 E Three Notch St |
$42.71 | 1,306 | 1,022 |
|
Alexandru E Benet
215 Medical Park Dr |
$17.97 | 1,284 | 1,105 |
|
Melissa April Rose Johnson
301 Medical Ave |
$26.66 | 1,271 | 1,015 |
|
Kelly Hammett
822 S Three Notch St |
$12.02 | 1,235 | 388 |
|
Kathrine Steele Langley
847 Western Bypass |
$8.79 | 1,234 | 393 |
|
Andalusia Physician Practices Llc
301 Medical Ave Ste A |
$47.61 | 1,176 | 999 |
|
Jill Cason Elmore
301 Medical Ave |
$8.86 | 1,109 | 854 |
|
Rainer A. Birk
300 Medical Ave |
$2.02 | 886 | 457 |
|
James L Barton
847 W Bypass Ste D |
$37.23 | 860 | 688 |
|
Joanne Holliday Smith
601 W Bypass |
$15.54 | 806 | 729 |
|
Ricky L Lewis
835 S Three Notch St |
$29.86 | 768 | 651 |
|
Mary E. Shellhouse
115 Medical Park Drive |
$28.44 | 625 | 514 |
|
Steven Samuel Murrell
109 Medical Park Dr Ste B |
$67.76 | 455 | 401 |
|
Ericca Chonteau Hawsey
835 S Three Notch St |
$15.92 | 370 | 298 |
|
James H Tillman
1860 E Three Notch St |
$54.20 | 189 | 175 |
|
Dana Casey
135 Medical Park Dr Ste 2B |
$24.06 | 159 | 145 |
|
Connie Jeanine Lasley
300 Medical Ave Ste 100 |
$15.39 | 151 | 107 |
|
Jacqueline Hope Veasey
614 W Bypass |
$0.00 | 141 | 101 |
|
Timothy G Day
125 Medical Park Dr |
$37.67 | 90 | 54 |
|
Meredith Tillman Flatt
1860 E Three Notch St |
$62.59 | 76 | 67 |
|
Wal-Mart Stores East Lp
1991 Dr M L K Jr Expy |
$38.92 | 71 | 62 |
|
Misty Barrow
508 E Three Notch St Ste 100 |
$36.16 | 57 | 47 |
|
Micalyn Kelley
109 Opp Ave |
$35.75 | 50 | 40 |
|
Candace W Cassady
104 Medical Park Dr. |
$1.49 | 49 | 38 |
|
John F Maddox
835 S Three Notch St |
$10.55 | 49 | 43 |
|
Kathleen Pugh
614 W Bypass |
$15.42 | 28 | 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 Andalusia, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Andalusia, AL is $29.91 per claim, based on 133,415 claims from 45 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 Andalusia, AL?
There are 45 Medicaid providers offering Office Visit related services in Andalusia, AL according to public payment data.
What is the price range for Office Visit in Andalusia, AL?
Medicaid reimbursement for Office Visit in Andalusia, AL ranges from $0.00 to $209.31 per claim, with an average of $29.91. 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 Andalusia, AL
Behavioral & Mental Health Therapy
Avg $40.80
302,976 claims
Non-Emergency Medical Transportation
Avg $17.04
111,202 claims
Psychiatric Evaluation
Avg $65.90
82,164 claims
Ambulance Transport
Avg $35.59
46,881 claims
Case Management Services
Avg $63.83
30,973 claims
Emergency Room Visit
Avg $45.15
28,500 claims
Eye Exam
Avg $34.42
25,865 claims
Dental Cleaning & Exam
Avg $22.88
24,630 claims