Average Medicaid Office Visit Payments in Athens, AL: $36.58
Avg. Paid
$36.58
Range
$0.00 – $208.47
Total Claims
152,131
Providers
98
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 Athens, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Wesley C Crowell
101 Fitness Way |
$4.82 | 24,513 | 20,573 |
|
Hometown Pediatrics Llc
22136 Medical Village Drive |
$1.17 | 9,444 | 8,331 |
|
Michelle Hoffmann
101 Fitness Way |
$66.41 | 9,217 | 7,764 |
|
Teairah Wilder
22335 Us Highway 72 Ste C |
$46.63 | 8,434 | 7,224 |
|
Ernest Lee Hendrix
108 Sanders St |
$35.63 | 7,679 | 5,752 |
|
Samantha Clark Ross
1005 W Market St |
$57.35 | 7,019 | 6,156 |
|
Mohamad Moustapha El Khatib
101 Fitness Way |
$69.73 | 6,645 | 5,984 |
|
Cadeatrizlius Shawnquitia Moore
22136 Medical Village Dr |
$58.98 | 5,250 | 4,795 |
|
Natalee Jean Kilpatrick
700 W Market St |
$35.19 | 4,344 | 3,424 |
|
Limestone County Health Dept Fp Clinic
310 W Elm St |
$208.47 | 4,218 | 3,976 |
|
Belinda Maples
101 Fitness Way |
$48.19 | 4,125 | 3,498 |
|
Eric Jason Hatfield
22454 Hwy 72 W |
$21.84 | 3,201 | 2,192 |
|
Melissa Dawn Ward
710 W Hobbs St |
$32.19 | 3,012 | 2,622 |
|
Breanna Brandon
22335 Us Hwy 77, Suite C |
$42.65 | 2,876 | 2,472 |
|
Katie Kuberg Tucker
22136 Medical Village Drive |
$0.90 | 2,852 | 2,446 |
|
Christopher Bunyan Cole
1005 W Market St |
$0.00 | 2,848 | 2,560 |
|
Nauman Qureshi
1005 W Market St Ste 16 |
$27.12 | 2,777 | 2,503 |
|
Ann Christine Still
1005 W Market St Ste 8 |
$13.76 | 2,276 | 1,299 |
|
Sherry Mayes Clounch
725 W Market St Ste B |
$29.66 | 2,266 | 1,872 |
|
Robyn Wilson
101 Fitness Way |
$39.99 | 2,226 | 1,598 |
|
Maria Czarins Onoya
710 W Hobbs St |
$59.28 | 2,127 | 1,933 |
|
Matthew Bragg Caldwell
22292 Us Highway 72 |
$29.95 | 1,884 | 1,457 |
|
Marleah Mcanalley
700 W Market St |
$2.83 | 1,710 | 1,334 |
|
Oliver Esquivel Carlota
1005 W Market St |
$24.13 | 1,531 | 1,281 |
|
Katie Fay White
15232 Greenfield Dr |
$38.37 | 1,510 | 1,176 |
|
Mona Olive
220 French Farms Blvd Ste C |
$27.78 | 1,424 | 1,132 |
|
Robin Dollar St Pierre
22136 Medical Village Drive |
$47.05 | 1,416 | 1,256 |
|
Jennifer Putman Christopher
209 Fitness Way |
$13.87 | 1,400 | 1,145 |
|
William Woodall
1005 W Market St |
$49.99 | 1,379 | 1,271 |
|
James Eric Stanford
22454 Hwy 72 W |
$17.48 | 1,286 | 949 |
|
Linda S Kirkman
707 W Market St Ste C |
$24.11 | 1,176 | 611 |
|
Jacob Andrew Scott
15884 E Limestone Rd |
$47.68 | 1,074 | 843 |
|
Neha K Patel
15243 Greenfield Dr |
$28.70 | 1,046 | 863 |
|
Tlc Pediatrics & Family Llc
22335 Us Highway 72 Ste C |
$52.31 | 971 | 824 |
|
Bettie L Smith
15243 Greenfield Dr |
$47.20 | 853 | 760 |
|
Ashley Tice Letson
707 W Market St Ste C |
$23.31 | 693 | 521 |
|
Rachel Elizabeth Laberenz
101 Fitness Way Ste 2700 |
$22.68 | 676 | 603 |
|
Julia Tye Hutt
101 Fitness Way Ste. 1200 |
$2.91 | 632 | 541 |
|
Kimberly Willis
700 W Market St |
$24.72 | 609 | 460 |
|
Wendy Lynn Green
725 W Market St Ste B |
$38.47 | 597 | 465 |
|
Pauline A Lett-Anderson
22454 Us Highway 72 Ste 330 |
$64.92 | 584 | 533 |
|
Stevon Hunter Boyett
22454 Us Highway 72 Ste 200 |
$32.31 | 583 | 481 |
|
Joseph Patrick Boyett
22454 Hwy 72 W |
$20.11 | 554 | 387 |
|
Advantage Family Care, Inc.
22175 Hwy 72 |
$0.00 | 548 | 353 |
|
Christopher E. Edwards
101 Fitness Way |
$27.70 | 545 | 455 |
|
Crystal V. Walker
101 Fitness Way |
$17.73 | 534 | 462 |
|
Medwest Clinic
7715 Us Highway 72 |
$62.20 | 528 | 466 |
|
Paul Michael Papajohn
15232 Greenfield Dr |
$79.33 | 453 | 441 |
|
Tammy Mcwhirter
1005 W Market St Ste 7 |
$24.23 | 447 | 400 |
|
Stephen Robert Shassberger
22335 Us Highway 72 Ste C |
$24.24 | 444 | 330 |
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 Athens, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Athens, AL is $36.58 per claim, based on 152,131 claims from 98 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 Athens, AL?
There are 98 Medicaid providers offering Office Visit related services in Athens, AL according to public payment data.
What is the price range for Office Visit in Athens, AL?
Medicaid reimbursement for Office Visit in Athens, AL ranges from $0.00 to $208.47 per claim, with an average of $36.58. 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 Athens, AL
Dental Cleaning & Exam
Avg $23.53
77,741 claims
Emergency Room Visit
Avg $45.82
71,649 claims
Blood Work & Lab Tests
Avg $6.78
52,923 claims
Vaccines & Immunizations
Avg $10.61
36,186 claims
Ambulance Transport
Avg $36.56
34,087 claims
Physical Therapy
Avg $22.82
27,647 claims
Speech Therapy
Avg $52.73
20,896 claims
Urinalysis & Urine Tests
Avg $2.49
20,846 claims