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 |
|---|---|---|---|
|
Allison Frances Linden
1405 Clifton Rd Ne |
$135.28 | 12 | 12 |
|
Jessica Vaughan Posey
5461 Meridian Mark Rd Ste 530 |
$63.19 | 12 | 12 |
|
Syed T Rab
80 Jesse Hill Jr Dr Se |
$42.42 | 12 | 12 |
|
Elizabeth Mccord
49 Jesse Hill Jr Dr Se |
$37.56 | 12 | 12 |
|
Nicole Kounalakis
980 Johnson Fy Rd Ne Ste 940A |
$0.00 | 12 | 12 |
|
Ryan Scott Ellsworth
505 Fairburn Rd Sw Ste 100 |
$89.45 | 12 | 12 |
|
Kimberly A Workowski
550 Peachtree St Ne |
$52.47 | 12 | 12 |
|
Donell David Collins
6160 Peachtree Dunwoody Rd Ste B150 |
$92.08 | 12 | 12 |
|
Dimitri Carlos Cassimatis
550 Peachtree St Ne |
$40.67 | 12 | 12 |
|
Michael A Maceroli
80 Jesse Hill Jr Dr Se Fl 3 |
$16.81 | 12 | 12 |
|
Chris Sheldon Bergstrom
1365 Clifton Rd Ne # B |
$36.13 | 12 | 12 |
|
Amir Rezvan
1364 Clifton Rd Ne |
$41.66 | 12 | 12 |
|
Sana Waheed
105 Collier Rd Nw |
$34.90 | 12 | 12 |
|
Esteban David Delgado
80 Jesse Hill Jr Dr Se |
$67.97 | 12 | 12 |
|
Shakyra Rivers
2700 Clairmont Rd Ne |
$157.42 | 12 | 12 |
|
Dzifa Sena Kpodzo
1800 Howell Mill Rd Nw |
$73.17 | 12 | 12 |
|
Reshma Vinod Patel
35 Collier Rd Nw |
$25.59 | 12 | 12 |
|
Heather Jordan
1400 Tullie Rd Ne |
$110.80 | 12 | 12 |
|
Cynthia Joy Mcdonald
950 Battery Ave Se Ste 1216 |
$47.10 | 12 | 12 |
|
Alexander A Lemmer
1968 Peachtree Rd Nw Bldg 77, 5Th Flr |
$63.46 | 12 | 12 |
|
Johnny Harris
1080 Peachtree St Ne Ste 12 |
$57.81 | 12 | 12 |
|
Maria Citarella Russell
550 Peachtree St Ne |
$2.38 | 12 | 12 |
|
Ribhu Tushar Jha
980 Johnson Ferry Rd Ste 490 |
$49.20 | 12 | 12 |
|
Syeda Hira Zahid
303 Parkway Drive Ne |
$135.79 | 12 | 12 |
|
Praveen Yalamanchili
59 Executive Park S |
$13.28 | 12 | 12 |
|
Ross M Fasano
80 Jesse Hill Jr Dr Se |
$144.77 | 12 | 12 |
|
Delma Dee Gomez-Adisa
80 Jesse Hill Jr Dr Se |
$47.25 | 12 | 12 |
|
Ramona Davis
95 Collier Rd Nw Ste 5015 |
$63.37 | 12 | 12 |
|
Kelsey Sullivan Weatherly
80 Jesse Hill Jr. Dr Se Grady Urology |
$5.81 | 12 | 12 |
|
Abdl-Rawf Al-Nowaylati
550 Peachtree St Ne Fl Mot9 |
$66.61 | 12 | 12 |
|
Christine L Kempton
1365 Clifton Rd Ne |
$76.36 | 12 | 12 |
|
Adam Jackson Mitchell
1365 Clifton Rd Ne |
$38.93 | 12 | 12 |
|
Ashley Lynn Zelonis
550 Peachtree St Ne Fl 9 |
$14.98 | 12 | 12 |
|
Anthony Ferrara
2140 Peachtree Rd Nw Ste 360 |
$83.61 | 12 | 12 |
|
Julian A Johnson
1800 Howell Mill Rd Nw Ste Ll10 |
$17.52 | 12 | 12 |
|
Harold L Sussewell
20 Glenlake Pkwy |
$0.00 | 12 | 12 |
|
Toral M Fadia
1000 Johnson Ferry Rd |
$11.17 | 12 | 12 |
|
David Richard Propp
1525 Clifton Rd Ne |
$8.53 | 12 | 12 |
|
Sarah M Holdsworth
550 Peachtree St Ne Fl 9 |
$2.82 | 13 | 13 |
|
Noreen Islam
5445 Meridian Mark Rd Ste 420 |
$101.63 | 13 | 13 |
|
Nancy A Collop
12 Executive Park Drive Ne |
$127.92 | 13 | 13 |
|
Sarah Elisabeth Herbert
341 Ponce De Leon Ave Ne |
$35.73 | 13 | 13 |
|
Robert T Cole
95 Collier Rd Nw Ste 3000 |
$34.84 | 13 | 13 |
|
Roberto Carlos Hernandez-Irizarry
80 Jesse Hill Jr Dr Se |
$16.26 | 13 | 12 |
|
Herbert Chapman Jones
2600 Martin Luther King Jr Dr Sw |
$22.91 | 13 | 12 |
|
Ajay Kasi
1400 Tullie Rd Ne Fl 5 |
$95.59 | 13 | 13 |
|
Forrest Powers
550 Peachtree St Ne Ste 1550 |
$70.76 | 13 | 13 |
|
Jeremy Dwayne Courtney
1968 Peachtree Rd Nw |
$78.43 | 13 | 12 |
|
Cara B. Cimmino
1365 Clifton Rd Ne |
$17.90 | 13 | 13 |
|
Mikhael F El-Chami
1365 Clifton Rd Ne |
$29.50 | 13 | 12 |
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.
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 Atlanta, GA
Non-Emergency Medical Transportation
Avg $10.41
3,368,719 claims
Emergency Room Visit
Avg $261.11
1,736,171 claims
Blood Work & Lab Tests
Avg $9.49
1,059,338 claims
X-Ray
Avg $19.60
1,038,179 claims
Ultrasound
Avg $89.22
645,444 claims
Physical Therapy
Avg $100.84
350,460 claims
EKG / ECG (Electrocardiogram)
Avg $11.82
326,821 claims
Urinalysis & Urine Tests
Avg $3.28
286,894 claims