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 |
|---|---|---|---|
|
Sharon Green
1717 6Th Ave S |
$81.86 | 12 | 12 |
|
Stephen Patrick Suggs
3686 Grandview Pkwy Ste 600 |
$30.03 | 12 | 12 |
|
Peter D Waite
619 19Th St S |
$56.83 | 12 | 12 |
|
Katherine Kent
1717 6Th Ave S |
$53.31 | 12 | 12 |
|
Amy Claire Bowman
2000 6Th Ave S |
$85.79 | 12 | 12 |
|
Taylor Floyd Hightower
500 22Nd St S |
$68.44 | 12 | 12 |
|
Ann Ellard Turner Zicarelli
1700 6Th Ave S |
$109.48 | 12 | 12 |
|
Edgar Overton
1717 6Th Ave S |
$148.03 | 12 | 12 |
|
Steven Bria
1509 6Th Ave S |
$41.56 | 12 | 12 |
|
Hernan Nicolas Lemus Esquivel
2000 6Th Ave S Fl 2 |
$111.15 | 12 | 12 |
|
Lewis K Lloyd
619 19Th Street South |
$94.75 | 12 | 12 |
|
Tracy Luckhardt
1717 6Th Ave S |
$52.17 | 12 | 12 |
|
Michael Scott Kendrick
1020 26Th St S |
$0.00 | 12 | 12 |
|
Caitlin Gregory
9709 Parkway E Ste A&B |
$58.62 | 12 | 12 |
|
Vanessa Sui
625 19Th St S |
$102.01 | 12 | 12 |
|
Mallory Rush
1717 6Th Ave S |
$90.33 | 12 | 12 |
|
Rachel Epstein Fargason
619 19Th Street South |
$331.15 | 12 | 12 |
|
Daniel James Rocke
619 19Th St S |
$15.18 | 12 | 12 |
|
Erika Walsh
619 19Th St S |
$138.45 | 12 | 12 |
|
Courtney J Winston
1930 Edwards Lake Rd |
$7.15 | 12 | 12 |
|
David Michael Fettig
2000 6Th Ave S |
$103.76 | 12 | 12 |
|
David Andrew Klima
1600 7Th Ave S |
$55.58 | 12 | 12 |
|
Tamara Williams Mccoy
720 Montclair Rd |
$62.55 | 12 | 12 |
|
Sumant Chugh
619 19Th Street South |
$57.07 | 12 | 12 |
|
Kara Short
1600 7Th Ave S |
$66.72 | 13 | 12 |
|
Maya Khalil
619 19Th St S |
$138.03 | 13 | 12 |
|
Anne Byrd Mahoney
625 19Th Street South |
$65.39 | 13 | 13 |
|
Gateway Pharmaceutical
3532 Vann Rd |
$68.24 | 13 | 12 |
|
Daniel Mcbride
619 19Th St South |
$27.81 | 13 | 12 |
|
Danielle Gonzalez Ledet
1654 Gadsden Hwy |
$89.30 | 13 | 12 |
|
Nicholas Hoppmann
625 19Th St S |
$123.84 | 13 | 13 |
|
Hassan Fathallah-Shaykh
619 19Th St S |
$79.66 | 13 | 12 |
|
Tinamarie Smith
5410 Highway 280 |
$51.78 | 13 | 13 |
|
Marcos E. Pozo
619 19Th St S |
$187.71 | 13 | 12 |
|
Allison Stewart Cease
1927 1St Ave N Ste 200 |
$46.81 | 13 | 13 |
|
Rebecca Clark Smith
1802 6Th Ave S |
$33.23 | 13 | 12 |
|
Firas Al Solaiman
2000 6Th Ave S |
$123.81 | 13 | 13 |
|
Shailendra Lakhanpal
100 Pilot Medical Drive |
$35.81 | 13 | 12 |
|
Andrew Martin Dewitt
2660 10Th Ave S Ste 2222 |
$27.27 | 13 | 12 |
|
Dr Celeste Reese Willis Medical Group, Llc
401 Tuscaloosa Ave Sw Ste 210 |
$35.54 | 13 | 12 |
|
Christine Shaw
619 19Th St S |
$30.34 | 13 | 13 |
|
Fred Herndon
1717 6Th Ave S |
$117.03 | 13 | 12 |
|
Lawrence Ver Hoef
1717 6Th Ave S |
$84.38 | 13 | 13 |
|
Olivia Telle Van Gerwen
1717 6Th Ave S |
$52.24 | 13 | 13 |
|
Bethany Eubanks
2000 6Th Ave S |
$104.33 | 13 | 13 |
|
Susanne Eileen Fogger
908 20Th St S |
$39.88 | 13 | 12 |
|
Rachel Dunn
817 Princeton Ave Sw Ste 199 |
$4.77 | 13 | 13 |
|
David James Mooney
513 Brookwood Blvd Ste 275 |
$71.62 | 13 | 12 |
|
Kyle Wood
1717 6Th Ave S |
$45.95 | 13 | 12 |
|
Amanda Gail Sandlin
701 Princeton Ave Sw |
$50.40 | 14 | 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 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