Average Medicaid Office Visit Payments in Calhoun, GA: $48.50
Avg. Paid
$48.50
Range
$11.68 – $93.54
Total Claims
133,168
Providers
93
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 Calhoun, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Annalise C Reynolds
204 Professional Ct Se |
$65.00 | 10,622 | 9,682 |
|
Pablo E Balboa-Marciack
100 Hospital Ct |
$48.37 | 8,795 | 7,879 |
|
Christina Mccroskey
815 Curtis Pkwy Se |
$49.47 | 7,462 | 6,462 |
|
Joseph Robert Harmon
100 Willowbrook Way Se |
$62.29 | 5,364 | 4,364 |
|
Joseph P Langshaw
1035 Red Bud Rd Ne |
$44.48 | 5,279 | 4,838 |
|
Tara James
100 Hospital Ct |
$58.21 | 4,515 | 4,153 |
|
Dana Michelle Stewart
400 Timms Rd Ne |
$56.05 | 4,217 | 3,336 |
|
Jason Wayne Smith
105 Laurel Creek Rd Se Ste 1 |
$42.02 | 4,010 | 3,692 |
|
Amanda Gail Leverne
815 Curtis Pkwy Se |
$64.81 | 3,969 | 3,495 |
|
Sung Rock Cho
110 Hospital Dr |
$21.35 | 3,704 | 3,268 |
|
Mark A. Meyer
400 Timms Rd Ne |
$41.60 | 3,675 | 3,221 |
|
Jason A Aldridge
100 Hospital Ct |
$42.42 | 3,563 | 2,966 |
|
Stephen Mark King
400 Timms Rd Ne |
$28.36 | 3,466 | 3,057 |
|
Kent Howard Van Arsdell
400 Timms Rd Ne |
$45.31 | 3,161 | 2,765 |
|
William A Hamilton
400 Timms Rd Ne |
$44.28 | 2,886 | 2,386 |
|
Rhonda Gilbert
109 Hospital Dr |
$40.67 | 2,847 | 2,344 |
|
Robert Alfred Lester
Owasa Family Medicine |
$46.93 | 2,783 | 2,399 |
|
Julie Christine Russell
101 Yellow Jacket Dr |
$69.77 | 2,609 | 2,439 |
|
Jose E Gomez
1035 Red Bud Rd Ne |
$13.88 | 2,530 | 1,364 |
|
Christopher James Yamamoto
109 Hospital Dr |
$39.13 | 2,367 | 1,919 |
|
John Daniel Joyave
204 Professional Ct Se |
$59.82 | 2,141 | 1,933 |
|
Mollie Lynn Mccormick
100 Hospital Ct |
$61.48 | 2,136 | 2,020 |
|
Adam Delmar Land
400 Timms Rd Ne |
$33.48 | 2,103 | 1,894 |
|
Joshua Aaron Slatky
400 Timms Rd Ne |
$27.23 | 1,906 | 1,633 |
|
Zachary Tyler Cochran
101 Yellow Jacket Dr |
$58.86 | 1,806 | 1,639 |
|
Diego Gabriel Deharo
400 Timms Rd Ne |
$47.24 | 1,665 | 1,486 |
|
Samuel Blake Olson
100 Hospital Ct |
$66.74 | 1,491 | 1,424 |
|
Jeffrey John Kovacic
400 Timms Rd Ne |
$76.61 | 1,474 | 1,397 |
|
Linda Green
7311 Fairmount Hwy Se |
$47.29 | 1,358 | 1,277 |
|
Laura Alyssa Crew Whitfield
101 Yellow Jacket Dr |
$61.07 | 1,343 | 1,195 |
|
Cinthia Fabiola Cox
1035 Red Bud Rd Ne Ste 102 |
$38.34 | 1,319 | 1,137 |
|
Phoebe Kitsum Carpenter
815 Curtis Pkwy Se |
$51.17 | 1,309 | 1,208 |
|
Mayur D Mody
1035 Red Bud Rd Ne Ste 101 |
$27.43 | 1,305 | 1,092 |
|
Hak J Lee
1035 Red Bud Rd Ne |
$19.06 | 1,232 | 1,120 |
|
Joni Loree Yamamoto
400 Timms Rd Ne |
$44.82 | 1,108 | 939 |
|
Cayla Bagwell Pulliam
109 Hospital Dr |
$67.80 | 1,038 | 947 |
|
Swati Chopra
815 Curtis Pkwy Se |
$50.07 | 933 | 797 |
|
Mary Rachel Layman
100 Hospital Ct |
$51.61 | 871 | 812 |
|
Tiffany Star Kelley
109 Hospital Dr |
$58.91 | 869 | 737 |
|
Aldrich Villamin Mendoza
251 Highway 53 E |
$85.92 | 863 | 819 |
|
Meredith Lynn Herring
1035 Red Bud Rd Ne Ste 201 |
$40.28 | 795 | 632 |
|
Kemberly Marchele Center
400 Timms Rd Ne |
$53.95 | 791 | 665 |
|
Phillip Gray
105 Willowbrook Way Se |
$46.50 | 780 | 706 |
|
Jacob Wayne Faulkner
1035 Red Bud Rd Ne |
$42.63 | 763 | 635 |
|
Victoria Chung
109 Hospital Dr |
$74.84 | 698 | 583 |
|
Bradley Eugene Goff
110 Hospital Dr |
$47.81 | 676 | 644 |
|
Julia Anne Rittenhouse
1035 Red Bud Rd Ne |
$34.41 | 669 | 602 |
|
Andrew Allen Mccue
1035 Red Bud Rd Ne |
$29.28 | 659 | 563 |
|
Marva Monrose Marcius
815 Curtis Pkwy Se |
$37.09 | 628 | 573 |
|
Spencer Collin Maddox
1035 Red Bud Rd Ne |
$31.27 | 618 | 542 |
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 Calhoun, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Calhoun, GA is $48.50 per claim, based on 133,168 claims from 93 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 Calhoun, GA?
There are 93 Medicaid providers offering Office Visit related services in Calhoun, GA according to public payment data.
What is the price range for Office Visit in Calhoun, GA?
Medicaid reimbursement for Office Visit in Calhoun, GA ranges from $11.68 to $93.54 per claim, with an average of $48.50. 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 Calhoun, GA
Speech Therapy
Avg $59.29
39,964 claims
Physical Therapy
Avg $80.48
33,135 claims
Urinalysis & Urine Tests
Avg $2.47
21,401 claims
Vaccines & Immunizations
Avg $18.47
16,145 claims
Blood Work & Lab Tests
Avg $3.50
14,126 claims
EKG / ECG (Electrocardiogram)
Avg $5.20
12,659 claims
Psychiatric Evaluation
Avg $48.60
12,225 claims
Emergency Room Visit
Avg $73.42
9,422 claims