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

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
Monica Leigh Stover 15243 Greenfield Dr	$54.24	12	12
April Ruf Haney 1005 W Market St Ste 16	$0.37	13	12
Randall L Dearment 902 W Washington St	$0.00	14	13
Twilight Medical Clinic, Llc 22270 Us Highway 72 Ste A	$58.58	15	15
Belinda Maples M.D., P.C. 101 Fitness Way	$35.26	21	18
Central North Alabama Health Services, Inc. 1005 W Market St	$0.00	28	28
Elizabeth Thorpe Evans 22335 Us Highway 72	$51.02	28	28
Amy Lindsay Carlota 1005 W Market St	$31.08	30	25
Ashley Bailey Pool 7715 Us Highway 72	$12.95	33	26
James Russell Walker 902 W Washington St	$35.69	34	25
Brady Aderholt 1207 E Forrest St Ste 204D	$34.57	38	35
Cristen Ann Matlock Hendrix 108 Sanders St	$11.65	39	38
Valley Ear Nose And Throat Associates Pc 15232 Greenfield Dr	$47.54	39	38
Ashley Bailes 15234 Greenfield Drive	$50.41	45	38
Riddhi P Sutton 700 W Market St	$50.74	46	43
Vijaya Koneru 1015 Highway 72 E	$9.88	56	24
Athens Limestone Health Services Llc 101 Fitness Way	$74.25	59	59
Sara E Couey 7715 Us Highway 72	$4.50	62	52
Jacob Connor Smith 110 College St Ste B	$37.78	67	56
Revival Psychiatry 15884 E Limestone Rd	$57.15	73	65
Shashanna Ndong 710 W Hobbs St	$42.00	91	85
Katie Elizabeth Cameron 26760 Newby Rd	$45.42	95	91
Medical East 15243 Greenfield Dr	$74.83	100	97
Raece Flynt 108 Sanders St	$32.32	110	89
Morgan Todd Dean 15243 Greenfield Dr Ste A	$51.45	124	110
Paul E Noel 201 N Malone St	$15.96	130	99
Waddell Center Family Medicine 902 W Washington St	$64.00	142	129
Athens Limestone Healthcare Inc 15243 Greenfield Dr	$69.84	167	150
R Keith Hill 1005 W Market St	$69.68	178	164
Adam Marc Simpson 22454 Hwy 72 , Suite 200	$39.53	192	144
Ana Rosa Armenta 710 W Hobbs St	$46.69	200	182
Melissa C Gray 721 W Market St Ste D	$16.28	202	186
Lindsey T Smith 902 W Washington St	$25.91	209	171
John Blake Boyett 22454 Hwy 72 W	$19.17	230	174
Traci A Bullock 101 Fitness Way Ste 1200	$55.26	241	229
Tyneishia Cunningham King 1207 E Forrest St Ste 204D	$63.63	246	214
Chandra S Koneru 1015 Highway 72 E	$7.18	255	169
Seth D Rayburn 707 W Market St Ste C	$11.67	268	175
Jean Hilaire Vincent 22281 Us Highway 72	$14.72	286	212
Cassidy J Koonce 707 W Market St Ste C	$11.83	315	223
William David Lawrence 22454 Us Highway 72 Ste 200	$24.01	358	286
Ian Samuelson 1005 W Market St Ste 7	$10.73	363	331
Joseph Barrett Teeples 725 W Market St Ste B	$3.73	378	48
Laura Stewart 1005 W Market St	$39.17	392	323
Amanda Qualls 1005 W Market St	$49.50	404	356
Tiffany Mae Comer 710 W Hobbs St	$21.74	408	212
Phillip R Ingram 902 W Washington St	$55.38	417	320
Joyce Pfeifer Goetsch 1005 W Market St	$2.59	442	320
Stephen Robert Shassberger 22335 Us Highway 72 Ste C	$24.24	444	330
Tammy Mcwhirter 1005 W Market St Ste 7	$24.23	447	400

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.

Average Medicaid Office Visit Payments in Athens, AL: $36.58

Providers Offering Office Visit in Athens, AL

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Athens, AL

Dental Cleaning & Exam

Emergency Room Visit

Blood Work & Lab Tests

Vaccines & Immunizations

Ambulance Transport

Physical Therapy

Speech Therapy

Urinalysis & Urine Tests