Average Medicaid Office Visit Payments in Birmingham, AL: $74.46
Avg. Paid
$74.46
Range
$0.00 – $1,873
Total Claims
1,976,328
Providers
1,437
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 Birmingham, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rosalyn L Morgan
2010-Avenue F |
$63.34 | 47,137 | 39,704 |
|
Xiangsheng Zheng
2000 6Th Ave S |
$50.56 | 44,442 | 30,266 |
|
Children'S Urgent Care, Llc
500 Cahaba Park Cir |
$67.01 | 37,753 | 35,349 |
|
American Family Care, Llc
1680 Montgomery Hwy |
$0.09 | 37,726 | 33,703 |
|
University Of Alabama Health Services Foundation, Pc
1600 7Th Ave S |
$108.02 | 36,213 | 34,432 |
|
Edith D. Dela Cruz
200 Beacon Pkwy W |
$2.80 | 24,792 | 21,215 |
|
University Of Alabama Health Services Foundation, Pc.
619 19Th Street South |
$71.19 | 23,988 | 22,738 |
|
Ryan Matthew Almeida
619 19Th St S |
$31.49 | 19,518 | 13,794 |
|
Derrol Dawkins
401 Valley Ave |
$67.39 | 18,082 | 14,406 |
|
Marcela Frazier
700 18Th St S |
$94.05 | 15,963 | 10,514 |
|
Tracy F Tindle
2316 7Th Ave S Ste 100 |
$76.04 | 15,727 | 13,645 |
|
Misty Lester
1 Perimeter Park S Ste 195A |
$5.59 | 14,833 | 10,925 |
|
Jefferson County Board Of Health
1400 6Th Ave S |
$206.31 | 14,549 | 12,344 |
|
Jefferson County Board Of Health
601 West Blvd |
$209.45 | 14,463 | 12,017 |
|
Hugh James Cheek
1601 4Th Ave S |
$78.36 | 12,942 | 11,829 |
|
Abby Morris Allen
2815 Independence Dr |
$84.58 | 12,787 | 11,624 |
|
Latoya Denise Hicks
210 Oxmoor Cir |
$79.49 | 12,609 | 11,380 |
|
India M. Hill
1940 Elmer J Bissell Rd |
$60.77 | 12,240 | 11,157 |
|
Courtney Lee Willoughby
1500 6Th Ave S |
$97.57 | 11,561 | 9,329 |
|
Joseph Roland Luc Frenette
5057 Pinnacle Sq |
$44.21 | 10,986 | 10,000 |
|
Brian Kulbersh
1940 Elmer J Bissell Rd |
$187.71 | 10,867 | 9,997 |
|
Shawn B Harmon
2010 Avenue F |
$0.00 | 10,843 | 9,853 |
|
Lee Ann Shannon Beisher
1308 Tuscaloosa Ave Sw |
$59.14 | 10,842 | 9,253 |
|
Julie M Dennis
3300 Cahaba Rd |
$71.76 | 10,517 | 9,189 |
|
Shameza Boyd
52 Medical Park Dr E |
$75.03 | 10,461 | 9,642 |
|
Judy Ann Collier
1600 Carraway Blvd |
$0.38 | 10,120 | 7,377 |
|
Katie Covington Smith
1600 7Th Ave S |
$65.93 | 9,704 | 9,133 |
|
Ashley Barnett Love
625 19Th St S |
$61.50 | 9,687 | 8,255 |
|
James Daniel Perry
805 Saint Vincents Dr |
$5.57 | 9,603 | 2,826 |
|
Birmingham Pediatric Assoc
806 St Vincents Drive |
$87.70 | 9,544 | 8,349 |
|
Austin Doss
806 Saint Vincents Dr Ste 615 |
$64.96 | 9,485 | 8,891 |
|
Nicholas James Smith
1940 Elmer J. Bissell Road |
$169.42 | 9,467 | 8,606 |
|
Garland G Youngblood
3729 Mary Taylor Rd |
$72.38 | 9,340 | 8,530 |
|
Ashley Davis Beasley
1400 4Th Ave South |
$73.83 | 9,272 | 8,754 |
|
Courtney Lukens Baxley
3300 Cahaba Rd Ste 102 |
$69.69 | 9,107 | 7,896 |
|
Jesse Martinez
1717 6Th Ave S |
$176.23 | 9,087 | 5,869 |
|
Virginia Thomas
2010 Avenue F |
$61.05 | 8,741 | 6,610 |
|
Julia Gertha Burnett
2010 Avenue F |
$51.41 | 8,539 | 7,608 |
|
Rian L. Montgomery
832 Princeton Ave Sw |
$75.49 | 8,497 | 7,528 |
|
Laura Anderson Burns
1700 Avenue E |
$68.82 | 8,485 | 7,820 |
|
Lauree Jones
1400 4Th Ave S |
$76.57 | 8,021 | 7,601 |
|
Vera Danette Guevara-Egorshin
1308 Tuscaloosa Ave Sw |
$62.55 | 7,897 | 7,158 |
|
The Children'S Hospital Of Alabama
3300 Cahaba Rd |
$97.45 | 7,757 | 6,957 |
|
Theres J Bolus
1400 4Th Ave S |
$78.91 | 7,672 | 7,356 |
|
Noelle Duval Gates
631 Bessemer Super Highway |
$61.87 | 7,657 | 7,117 |
|
Jacqueline W. Stewart
1621 11Th Ave S |
$76.43 | 7,561 | 6,815 |
|
Arthur Mcadams
1515 6Th Ave S |
$0.00 | 7,488 | 4,771 |
|
Phillip Plemons
129 E Park Cir |
$90.33 | 7,468 | 6,681 |
|
Joseph Giannobile
619 19Th St S |
$67.74 | 7,455 | 7,191 |
|
Stephen Donald Mallard
1400 6Th Ave S |
$71.06 | 7,454 | 6,851 |
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 Birmingham, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Birmingham, AL is $74.46 per claim, based on 1,976,328 claims from 1437 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 Birmingham, AL?
There are 1437 Medicaid providers offering Office Visit related services in Birmingham, AL according to public payment data.
What is the price range for Office Visit in Birmingham, AL?
Medicaid reimbursement for Office Visit in Birmingham, AL ranges from $0.00 to $1,873 per claim, with an average of $74.46. 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 Birmingham, AL
Blood Work & Lab Tests
Avg $7.02
11,525,259 claims
Urinalysis & Urine Tests
Avg $3.70
1,952,357 claims
Behavioral & Mental Health Therapy
Avg $60.93
1,487,720 claims
Emergency Room Visit
Avg $80.96
1,417,392 claims
Culture & Microbiology Tests
Avg $6.38
1,389,745 claims
X-Ray
Avg $7.59
810,731 claims
Pathology & Lab Services
Avg $26.99
763,384 claims
Dental Cleaning & Exam
Avg $24.14
585,040 claims