Average Medicaid Office Visit Payments in Athens, GA: $58.40
Avg. Paid
$58.40
Range
$0.00 – $356.60
Total Claims
140,630
Providers
95
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, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Josephine T Lopez
1500 Oglethorpe Ave |
$62.19 | 41,263 | 36,059 |
|
Reddy Urgent Care Llc
1061 Dowdy Rd Ste 100 |
$89.36 | 14,813 | 13,671 |
|
James E Splichal
3320 Old Jefferson Rd Bldg 700 |
$24.49 | 5,923 | 4,474 |
|
Tzu-Chuan Jane Huang
3320 Old Jefferson Rd |
$24.94 | 5,666 | 4,094 |
|
Frederick Lee Flynt
3320 Old Jefferson Rd Bldg 700 |
$27.67 | 5,404 | 3,548 |
|
Cynthia L Shepherd
3320 Old Jefferson Rd Bldg 700 |
$29.32 | 4,908 | 3,429 |
|
Petros George Nikolinakos
3320 Old Jefferson Rd Bldg 800 |
$25.35 | 4,667 | 3,423 |
|
Brandon W Harden
1000 Hawthorne Ave Ste S |
$117.00 | 4,399 | 4,207 |
|
Charlene Chalmers
1500 Oglethorpe Ave Ste 600Ef |
$165.82 | 3,395 | 3,162 |
|
John C Blankenship
195 King Ave. |
$34.76 | 3,207 | 3,003 |
|
Kuang Shah Chang
3320 Old Jefferson Rd Bldg 800 |
$37.47 | 2,916 | 2,047 |
|
Amanda Redden Hathaway
3320 Old Jefferson Rd Bldg 800 |
$45.39 | 2,104 | 1,806 |
|
Diana T Blake
2470 Daniells Bridge Rd Ste 231 |
$48.48 | 2,027 | 1,829 |
|
Nelson B Isada
700 Sunset Dr Ste 301 |
$50.57 | 1,935 | 1,636 |
|
Benjamin Ellis Mccurdy
830 King Ave |
$3.35 | 1,935 | 1,853 |
|
Pete Yunyongying
1500 Oglethorpe Ave |
$55.04 | 1,908 | 1,656 |
|
Forrest Sherman
1500 Oglethorpe Ave Ste 600Ef |
$45.61 | 1,847 | 1,695 |
|
Carl Wayne Harris
485 Highway 29 N |
$44.51 | 1,406 | 1,376 |
|
Thomas Weiner
855 W Broad St Ste A |
$136.09 | 1,393 | 1,259 |
|
Daniel Stephen Thomas
830 King Ave |
$1.88 | 1,372 | 1,321 |
|
Charles Douglas Bodine
3320 Old Jefferson Rd Bldg 700 |
$34.85 | 1,342 | 935 |
|
Karan Julka
3320 Old Jefferson Rd |
$44.21 | 1,307 | 1,273 |
|
Bryan S Green
1765 Old West Broad St |
$30.61 | 1,282 | 813 |
|
Nancy Tucker
1000 Hawthorne Ave Ste K |
$30.58 | 1,229 | 785 |
|
Richard Lynn Rosemond
700 Sunset Dr Ste 301 |
$50.00 | 1,117 | 1,004 |
|
Errol Duncan
1061 Dowdy Rd |
$32.93 | 1,018 | 878 |
|
Theresa M Rohr-Kirchgraber
1500 Oglethorpe Ave Ste 200C |
$44.60 | 1,015 | 770 |
|
Addie Hill
3320 Old Jefferson Rd Bldg 700 |
$40.46 | 919 | 654 |
|
Robert Price
4017 Atlanta Hwy Ste A |
$13.72 | 883 | 499 |
|
Alexander Walker Murphey
150 Nacoochee Ave |
$356.60 | 851 | 810 |
|
Brett Magner
855 W Broad St Ste 1 |
$2.81 | 838 | 788 |
|
Margaret Sherman
1500 Oglethorpe Ave Ste 600Cd |
$113.23 | 825 | 781 |
|
Joy Ford
55 Carlton St |
$107.43 | 795 | 383 |
|
Devon A Carr
1061 Dowdy Rd Ste 101 |
$67.04 | 740 | 667 |
|
Kathryn Mckinney
1199 Prince Ave |
$55.14 | 710 | 678 |
|
Advantage Behavioral Health Systems
250 North Ave |
$55.62 | 708 | 681 |
|
Loretta Duggan
740 Prince Ave Ste 12A |
$108.01 | 698 | 631 |
|
Melissa Ann Mcdowell
775 Sunset Dr |
$42.69 | 657 | 608 |
|
James R Swails
1500 Oglethorpe Ave Ste 600Ef |
$44.38 | 655 | 538 |
|
Ashley Marie Bohn
1500 Oglethorpe Ave Ste 600Ef |
$35.21 | 649 | 504 |
|
Dawn Vanover
775 Sunset Dr |
$52.84 | 635 | 509 |
|
Danny L Adams
1000 Hawthorne Ave Ste J |
$79.13 | 579 | 539 |
|
Onyale Warnock
651 S Milledge Ave |
$17.68 | 528 | 311 |
|
Leigh Whaley Knight
1061 Dowdy Rd Ste 101 |
$32.16 | 513 | 474 |
|
Oluwabukola Ibukunoluwa Taiwo
1199 Prince Ave |
$64.24 | 495 | 482 |
|
Ling Li
3320 Old Jefferson Rd Ste 600 |
$124.11 | 490 | 446 |
|
Amanda Cunningham
330 Hawthorne Ln |
$36.90 | 481 | 418 |
|
William H Megdal
145 Wexford Pl |
$17.43 | 449 | 405 |
|
Medlink Georgia, Inc
2000 Prince Ave |
$75.37 | 429 | 367 |
|
Twanya J May
1500 Oglethorpe Ave Ste 400A |
$31.69 | 424 | 392 |
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, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Athens, GA is $58.40 per claim, based on 140,630 claims from 95 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, GA?
There are 95 Medicaid providers offering Office Visit related services in Athens, GA according to public payment data.
What is the price range for Office Visit in Athens, GA?
Medicaid reimbursement for Office Visit in Athens, GA ranges from $0.00 to $356.60 per claim, with an average of $58.40. 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, GA
Blood Work & Lab Tests
Avg $3.12
62,262 claims
Home Health Visit
Avg $324.86
55,870 claims
X-Ray
Avg $5.16
41,045 claims
Vaccines & Immunizations
Avg $16.28
36,911 claims
Emergency Room Visit
Avg $71.15
16,101 claims
CT Scan (Computed Tomography)
Avg $34.21
14,222 claims
Ultrasound
Avg $86.51
12,775 claims
Psychiatric Evaluation
Avg $73.16
9,468 claims