Average Medicaid Office Visit Payments in Brookhaven, GA: $72.10
Avg. Paid
$72.10
Range
$10.98 – $98.19
Total Claims
22,033
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 Brookhaven, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Urgent Care At Children'S, Inc.
1575 Northeast Expy Ne |
$94.27 | 7,534 | 7,306 |
|
Jamilet Cristy Alegria
1401 Dresden Dr Ne |
$81.06 | 1,982 | 1,926 |
|
Usha Sathian
1575 Northeast Expy Ne |
$91.02 | 1,979 | 1,946 |
|
United Physician Group Llc
13 Corporate Blvd Ne Ste 100 |
$47.17 | 1,674 | 1,537 |
|
Hector Alejandro Diez Caballero
2801 Buford Hwy Ne Ste 100 |
$38.74 | 1,655 | 1,377 |
|
Bestcare Now Llc
1417 Tugaloo Dr Ne |
$60.47 | 1,388 | 1,290 |
|
Guiseon Kim
4400 Peachtree Rd Ne |
$26.20 | 1,112 | 783 |
|
Eziamaka Obunadike
1968 Hawks Ln Ne |
$68.91 | 1,083 | 972 |
|
Sa Eun Park
1777 Northeast Expy Ne |
$98.19 | 970 | 899 |
|
Sarah Elise Riebel
705 Town Blvd Ne Ste S560 |
$55.07 | 947 | 907 |
|
Felix Alberto Rodriguez Del-Rio
3929 Peachtree Rd Ne Ste 250 |
$10.98 | 749 | 437 |
|
Melissa Mae Mecher
705 Town Blvd Ne Ste S560 |
$52.56 | 482 | 466 |
|
Alyssa Danielle Gunawan
3369 Buford Hwy Ne |
$58.56 | 229 | 225 |
|
Courtney Patton
1432 Dresden Dr Ne Ste 300 |
$54.63 | 185 | 137 |
|
Dwarka Rathi
1561 Tryon Rd Ne |
$14.16 | 31 | 31 |
|
Vindhya Rao
705 Town Boulevard |
$34.34 | 20 | 17 |
|
Kevin Roy Pharris
4400 Peachtree Rd Ne |
$84.62 | 13 | 13 |
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 Brookhaven, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Brookhaven, GA is $72.10 per claim, based on 22,033 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 Brookhaven, GA?
There are 17 Medicaid providers offering Office Visit related services in Brookhaven, GA according to public payment data.
What is the price range for Office Visit in Brookhaven, GA?
Medicaid reimbursement for Office Visit in Brookhaven, GA ranges from $10.98 to $98.19 per claim, with an average of $72.10. 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 Brookhaven, GA
Blood Work & Lab Tests
Avg $24.90
78,377 claims
Psychiatric Evaluation
Avg $65.08
18,470 claims
Behavioral & Mental Health Therapy
Avg $108.68
6,595 claims
X-Ray
Avg $11.43
6,269 claims
Speech Therapy
Avg $54.50
6,217 claims
Emergency Room Visit
Avg $73.47
6,040 claims
Case Management Services
Avg $37.68
5,632 claims
Eye Exam
Avg $23.75
3,868 claims