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Based on public Medicaid payment data.

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

Other Procedures in Athens, AL