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 |
|---|---|---|---|
|
David L Edwards
1000 Hawthorne Ave Ste O |
$167.09 | 12 | 12 |
|
Jon Martin Mcgough
1010 Prince Ave Ste 500 |
$72.59 | 12 | 12 |
|
Abigail Jane Roman
1061 Dowdy Rd |
$76.15 | 13 | 12 |
|
Holly Ann Bonner
892 Prince Ave |
$19.17 | 14 | 14 |
|
William Philip Saunders
1270 Prince Ave Ste 201 |
$18.02 | 15 | 14 |
|
Jennifer Madeo
1270 Prince Ave Ste 301 |
$24.09 | 17 | 12 |
|
Katherine H Yancey
1500 Oglethorpe Ave Ste 2000 |
$47.48 | 17 | 12 |
|
Krystle Williams Swain
3320 Old Jefferson Rd Ste 600 |
$7.71 | 19 | 17 |
|
Vikas Kumar Sangwan
658 N Chase St Ste 201 |
$50.37 | 25 | 25 |
|
Katrina Latrice Snider
240 Mitchell Bridge Rd |
$55.25 | 28 | 26 |
|
Jamie Mathis Gann
1061 Dowdy Rd |
$44.72 | 30 | 30 |
|
Minesh J Mehta
658 N Chase St Ste 201 |
$64.10 | 31 | 24 |
|
Anna Cauthen Mcfather
3320 Old Jefferson Road, Bldg 700 |
$25.14 | 32 | 15 |
|
Ali M. Sayed
125 King Ave Ste 200 |
$39.49 | 37 | 36 |
|
Antonio Sotolongo
242 King Avenue, Suite 210 |
$31.12 | 41 | 38 |
|
Anthony Roy Gordon
230 Cedar Pointe Dr |
$29.66 | 44 | 38 |
|
Erika B Lauderdale
1010 Prince Ave Ste 300 |
$30.62 | 44 | 24 |
|
Randy C Lavender
2470 Daniells Bridge Rd Ste 301 |
$8.84 | 46 | 28 |
|
Ulys Randall Riner
855 W Broad St Ste A |
$25.59 | 55 | 52 |
|
Grady Alexander White
1199 Prince Ave |
$32.53 | 59 | 51 |
|
Nnenna Okor Akaronu
250 Bray St |
$79.66 | 62 | 61 |
|
Kenny H Esho
675 College Ave |
$120.21 | 63 | 62 |
|
Samantha Avoke
2470 Daniells Bridge Rd Ste 231 |
$27.58 | 64 | 61 |
|
Quientela Lajoyce Kwakye
110 Old Elberton Rd |
$2.46 | 72 | 56 |
|
Tim John Gill
250 North Ave |
$18.72 | 72 | 67 |
|
Jordan Phillips
700 Oglethorpe Ave Ste C7 |
$48.01 | 80 | 62 |
|
Carrie Wheeler Fleming
3320 Old Jefferson Rd Bldg 800 |
$6.12 | 92 | 51 |
|
Tiffany A. Reams
1010 Prince Ave Ste 300 |
$32.95 | 103 | 97 |
|
Janna Jones Kersh
242 King Avenue |
$46.27 | 105 | 87 |
|
Charles Frank Davis
3320 Old Jefferson Rd |
$34.59 | 107 | 84 |
|
Diane Elizabeth Dunston
675 College Ave |
$19.41 | 114 | 76 |
|
Nicole Alicia Lytle
1199 Prince Ave |
$0.00 | 130 | 125 |
|
Larry Ray Smith
330 Hawthorne Ln |
$77.39 | 131 | 126 |
|
William J Lagaly
1199 Prince Ave |
$37.84 | 133 | 106 |
|
Neal N Marrano
3320 Old Jefferson Rd |
$18.77 | 153 | 142 |
|
Kent J. Lyon
700 Sunset Dr Ste 601 |
$28.09 | 163 | 161 |
|
John Judson Shelnutt
1500 Oglethorpe Ave |
$91.20 | 213 | 177 |
|
Lance D Mcleroy
658 N Chase St Ste 201 |
$55.56 | 241 | 237 |
|
Emily Diane Brooks
1620 Prince Ave |
$14.65 | 258 | 135 |
|
Kathleen H Grant
2470 Daniells Bridge Rd Ste 231 |
$41.26 | 274 | 248 |
|
Samuel Joseph Dolezal
3320 Old Jefferson Rd Ste 600 |
$64.55 | 301 | 223 |
|
Kelly H Scoggins
1500 Oglethorpe Ave Ste 2000 |
$3.75 | 328 | 174 |
|
Benjamin Butler
3320 Old Jefferson Rd Ste 200A |
$32.20 | 330 | 288 |
|
Sarah Ann Johnson
1500 Oglethorpe Ave |
$25.64 | 338 | 323 |
|
Erica D Brownfield
1500 Oglethorpe Ave Ste 200C |
$41.22 | 363 | 349 |
|
Twanya J May
1500 Oglethorpe Ave Ste 400A |
$31.69 | 424 | 392 |
|
Medlink Georgia, Inc
2000 Prince Ave |
$75.37 | 429 | 367 |
|
William H Megdal
145 Wexford Pl |
$17.43 | 449 | 405 |
|
Amanda Cunningham
330 Hawthorne Ln |
$36.90 | 481 | 418 |
|
Ling Li
3320 Old Jefferson Rd Ste 600 |
$124.11 | 490 | 446 |
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