Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Atlanta, GA: $65.00

Avg. Paid

$65.00

Range

$0.00 – $919.84

Total Claims

1,497,277

Providers

1,352

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 Atlanta, GA

Provider	Avg. Paid	Claims	Patients
Southside Medical Center, Inc. 1046 Ridge Ave Sw	$95.11	81,382	69,347
Scottish Rite Childrens Medical Ctr 1001 Johnson Ferry Rd Ne	$98.55	64,842	59,757
Arthur M. Blank Hospital, Inc. 2220 N Druid Hills Rd Ne	$116.04	54,212	47,573
Dexter Page 550 Peachtree Street, Ne	$69.82	45,254	34,397
Alan M Neuman 550 Peachtree Street, Ne	$62.87	41,500	34,139
Chukwuma Onyeije 550 Peachtree Street, Ne	$66.77	37,453	32,018
Ryan Jewell Schlueter 550 Peachtree St Ne Ste 1275	$60.45	26,589	20,985
Robert C Platner 285 Boulevard Ne	$57.21	18,162	17,354
Bryon Kirkland Evans 1140 Hightower Trl	$61.44	16,954	15,179
David M Williams 1046 Ridge Ave Sw	$99.15	14,587	13,505
W David Hammad 285 Boulevard Ne	$56.42	14,277	13,547
Michael K. Lindsay 80 Jesse Hill Jr Dr Se	$42.28	14,118	11,310
Bradley Stetzer 550 Peachtree St Ne Ste 1275	$53.12	13,136	9,809
Steven D Garmon 868 York Ave Sw	$49.97	12,845	11,848
Ernest Lee Howard 315 Boulevard Ne	$11.46	12,444	12,078
Maria Isabel Rosso 4166 Buford Hwy Ne	$92.33	11,134	10,942
Caroline Hill Cromelin 1365B Clifton Rd Ne	$120.94	9,773	9,405
Laura A. Dirico 285 Boulevard Ne	$43.10	9,423	7,950
Cidjah Rodney-Somersall 2695 Buford Hwy Ne	$47.37	9,175	8,553
Jose A Rios 4166 Buford Hwy Ne	$67.79	9,081	8,656
Grady Memorial Hospital Corporation 80 Jesse Hill Jr Dr, Se	$98.45	8,912	7,651
Robert Kuo 3699 Cascade Rd Sw Ste B2	$26.17	8,905	5,089
Stephen Kyle Gonzales 69 Jesse Hill Jr Dr Se	$65.85	8,499	6,613
Kathie Lynn Brichant 465 Forestdale Dr Ne	$68.80	8,494	7,980
Helen Panarites 1920 Briarcliff Rd Ne	$62.24	8,189	7,953
Fyama Patrice Wenner 69 Jesse Hill Jr Dr Se	$80.21	7,974	7,041
Matthew A Wheatley 1365 Clifton Rd Ne	$40.33	7,937	7,525
Dinesh Govind Patel 993 D Johnson Ferry Rd	$108.34	7,873	7,457
Kevin J Rodbell 1799 Briarcliff Road Ne	$78.25	7,410	6,408
Chelsy Briahn Webb 720 Westview Dr Sw	$92.72	7,050	6,926
Marie Dufitumukiza 49 Jesse Hill Jr Dr Se	$119.07	6,998	6,742
Ana Maria Pimentel 2695 Buford Hwy Ne	$44.97	6,972	6,526
Southside Medical Center, Inc. 2578 Gresham Rd Se	$95.37	6,745	5,989
Merinda Herron 5901C Peachtree Dunwoody Rd Ne	$60.18	6,213	5,959
Randa Aleasha Pycard 5775 Peachtree Dunwoody Rd Ste 425	$3.22	6,119	3,258
Aminu Mohammed 993D Johnson Ferry Rd Ne	$94.22	6,033	5,746
Hannah Lee 1405 Clifton Rd Ne	$92.95	6,001	5,928
Tameeka Law Walker 1000 Johnson Ferry Rd	$31.66	5,847	4,752
Meghan Lynn Norred 1920 Briarcliff Rd Ne	$66.59	5,826	5,632
Carina Platner 1777 Northeast Expy Ne	$20.96	5,644	4,990
Jessica Elaine Norris 5445 Meridian Marks Rd Ste 380	$57.48	5,626	5,111
Sarah A.L. Skillman 875 Johnson Fy Rd Ne Ste 300	$88.68	5,554	5,106
Gretchen L Koontz 980 Johnson Ferry Rd Ste 660	$57.28	5,497	4,865
Carmen Bradshaw 3200 Downwood Cir Nw	$81.64	5,496	5,147
Sara Marder 980 Johnson Ferry Rd Ne	$61.40	5,370	4,111
Valerie Benjamin 35 Jesse Hill Jr Dr Se	$25.04	5,362	4,982
Raymond J. Allen 1000 Johnson Ferry Rd Ne	$37.50	5,176	4,407
Monica Mckeon Hannah 1920 Briarcliff Rd Ne	$68.42	5,106	5,016
Stanley A Cohen 993-D Johnson Ferry Road	$107.52	5,006	4,647
Michelle L Todd 1247 Donald Lee Hollowell Pkwy Nw	$38.28	4,845	4,248

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 Atlanta, GA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Atlanta, GA is $65.00 per claim, based on 1,497,277 claims from 1352 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 Atlanta, GA?

There are 1352 Medicaid providers offering Office Visit related services in Atlanta, GA according to public payment data.

What is the price range for Office Visit in Atlanta, GA?

Medicaid reimbursement for Office Visit in Atlanta, GA ranges from $0.00 to $919.84 per claim, with an average of $65.00. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Atlanta, GA: $65.00

Providers Offering Office Visit in Atlanta, GA

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 Atlanta, GA

Non-Emergency Medical Transportation

Emergency Room Visit

Blood Work & Lab Tests

X-Ray

Ultrasound

Physical Therapy

EKG / ECG (Electrocardiogram)

Urinalysis & Urine Tests