Average Medicaid Office Visit Payments in Atmore, AL: $24.18
Avg. Paid
$24.18
Range
$0.00 – $219.28
Total Claims
59,785
Providers
17
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 Atmore, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Taylor Cooper
212 S Main St |
$26.04 | 15 | 12 |
|
Rachael Marie Shumaker
609 E Laurel St |
$5.53 | 61 | 37 |
|
David J Helton
166 Lindberg Ave |
$43.36 | 72 | 66 |
|
Keith Scott Classen
401 Medical Park Dr |
$0.00 | 84 | 65 |
|
Poarch Band Of Creek Indians
429 Buford L Rolin Dr |
$41.72 | 559 | 487 |
|
Matthew Barnett
401 Medical Park Dr |
$2.57 | 573 | 403 |
|
Layla Renee Lundquist-Smith
609 E. Laurell Street |
$56.60 | 694 | 570 |
|
Latanja Shanta Bettis
611 E Laurel St |
$0.54 | 754 | 534 |
|
Escambia County Alabama Community Hospitals, Inc
609 E. Laurel Street |
$1.74 | 932 | 762 |
|
Jonah M Mcintyre
408 Medical Park Dr |
$0.00 | 1,942 | 1,312 |
|
William Shane Harigel
402 Medical Park Dr |
$0.00 | 2,503 | 1,720 |
|
Escambia County Health Dept-Atmore Fp Clinic
8600 Highway 31 Ste 17 |
$219.28 | 2,604 | 2,341 |
|
Escambia County Alabama Community Hospitals Inc
611 E Laurel St |
$0.07 | 3,617 | 2,464 |
|
Priscilla Beverly Durand-Mitchelle
706 E Laurel St |
$49.22 | 6,362 | 5,808 |
|
Frances Delaine Salter
112 6Th Ave |
$56.45 | 7,151 | 6,122 |
|
Escambia County Alabama Community Hospitals, Inc.
402 Medical Park Dr |
$1.17 | 9,484 | 6,495 |
|
Escambia County Alabama Community Hospitals, Inc.
5850 Highway 21 |
$3.43 | 22,378 | 16,991 |
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 Atmore, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Atmore, AL is $24.18 per claim, based on 59,785 claims from 17 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 Atmore, AL?
There are 17 Medicaid providers offering Office Visit related services in Atmore, AL according to public payment data.
What is the price range for Office Visit in Atmore, AL?
Medicaid reimbursement for Office Visit in Atmore, AL ranges from $0.00 to $219.28 per claim, with an average of $24.18. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Atmore, AL
Behavioral & Mental Health Therapy
Avg $112.13
186,693 claims
Psychiatric Evaluation
Avg $49.65
100,237 claims
Emergency Room Visit
Avg $54.03
24,432 claims
Eye Exam
Avg $32.45
9,882 claims
Dental Cleaning & Exam
Avg $21.54
8,277 claims
Blood Work & Lab Tests
Avg $13.53
7,606 claims
Urinalysis & Urine Tests
Avg $7.10
6,252 claims
Nursing Facility Care
Avg $2.57
5,145 claims