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 |
|---|---|---|---|
|
Tara Darlene Kendrick
170 Curtis Pkwy Ne |
$32.91 | 12 | 12 |
|
Gordon County Board Of Health
310 N River St Nw |
$17.39 | 14 | 14 |
|
Jamie Michelle Parker
215 Curtis Pkwy Ne |
$57.51 | 14 | 14 |
|
Taylor Maney
1035 Red Bud Rd Ne |
$11.68 | 15 | 12 |
|
Timothy Wayne Champion
251 Highway 53 E |
$34.59 | 18 | 18 |
|
Aylissa Victoria Gilbert
100 Willowbrook Way Se |
$74.11 | 19 | 17 |
|
Harvey Paul Leblanc
109 Hospital Dr |
$41.31 | 27 | 25 |
|
Briton Penn Jordan
1035 Red Bud Rd Ne Ste 200 |
$45.83 | 28 | 26 |
|
Anne-Marie Goble
400 Timms Rd Ne |
$30.70 | 29 | 26 |
|
Andrew J Ray
120 Cornerstone Way Se |
$17.92 | 30 | 24 |
|
Isaias Claudio Coelho
1035 Red Bud Rd Ne |
$27.29 | 36 | 35 |
|
Cori Young
215 Curtis Parkway Ne |
$44.60 | 49 | 46 |
|
Sally Dee Smalley
1035 Red Bud Rd Ne Ste 102 |
$93.54 | 52 | 52 |
|
Shanna Brooke Guess
1035 Red Bud Rd Ne Ste 101 |
$23.53 | 59 | 45 |
|
Donald D Taylor
170 Curtis Pkwy Ne Ste 1 |
$46.49 | 111 | 99 |
|
Jenna M Rentas
197 Curtis Pkwy Ne |
$52.28 | 125 | 112 |
|
Casey Higginbotham
215 Curtis Parkway Ne |
$52.97 | 145 | 134 |
|
Jeremy Seth Baker
100 Hospital Ct |
$59.17 | 164 | 153 |
|
Agc Pediatrics, Llc
204 Professional Ct Se |
$33.11 | 174 | 156 |
|
Hilary Thomas Hight
400 Timms Rd Ne |
$21.89 | 189 | 170 |
|
Lee-Anne Choudree
855 Curtis Pkwy Se |
$19.55 | 206 | 183 |
|
William Gregory Asbury
251 Highway 53 E |
$71.80 | 219 | 215 |
|
Joy Akunna Nwadike
170 Curtis Pkwy Ne |
$52.57 | 225 | 197 |
|
Teresa Diane Williams
105 Willowbrook Way Se |
$32.96 | 251 | 214 |
|
Aysha Inankur
400 Timms Rd Ne |
$27.03 | 263 | 259 |
|
Temitope Ibereola Afon
109 Hospital Dr |
$50.05 | 265 | 212 |
|
Charlotte A Brooks
109 Hospital Dr |
$51.00 | 285 | 255 |
|
Lauren Michelle Little
100 Willowbrook Way Se |
$32.55 | 294 | 251 |
|
Scott E Lepor
400 Timms Rd Ne |
$54.11 | 305 | 280 |
|
Camille Elise Calcano Contreras
1035 Red Bud Rd Ne |
$28.78 | 340 | 289 |
|
Margaret Kaye Elizabeth Ralston
400 Timms Rd Ne |
$38.72 | 355 | 320 |
|
Jessica Roden
1035 Red Bud Rd Ne |
$38.42 | 376 | 249 |
|
Marissa Leigh Gamble
400 Timms Rd Ne |
$44.03 | 397 | 327 |
|
Kristi Lynn Cobb
170 Curtis Pkwy Ne Ste 1 |
$55.48 | 403 | 350 |
|
Mandrea Kaylene Kearney
109 Hospital Dr |
$56.79 | 405 | 351 |
|
Pamela Evette Hensley
111A Laurel Creek Rd Se |
$32.79 | 409 | 384 |
|
Taylor Blair Stone
100 Willowbrook Way Se |
$51.43 | 463 | 405 |
|
Cynthia W Brown
215 Curtis Parkway Ne |
$47.23 | 465 | 428 |
|
Terrilyn Lamb Blackstock
1035 Red Bud Rd Ne Ste 101 |
$12.27 | 513 | 464 |
|
Pelumi Adedayo
170 Curtis Pkwy Ne Ste 1 |
$43.61 | 544 | 484 |
|
Julie E'Lane Harmon
400 Timms Rd Ne |
$48.55 | 564 | 472 |
|
Susan In-Hee Kim
400 Timms Rd Ne |
$47.25 | 570 | 448 |
|
Lyle F Helm
400 Timms Rd Ne |
$31.60 | 570 | 491 |
|
Spencer Collin Maddox
1035 Red Bud Rd Ne |
$31.27 | 618 | 542 |
|
Marva Monrose Marcius
815 Curtis Pkwy Se |
$37.09 | 628 | 573 |
|
Andrew Allen Mccue
1035 Red Bud Rd Ne |
$29.28 | 659 | 563 |
|
Julia Anne Rittenhouse
1035 Red Bud Rd Ne |
$34.41 | 669 | 602 |
|
Bradley Eugene Goff
110 Hospital Dr |
$47.81 | 676 | 644 |
|
Victoria Chung
109 Hospital Dr |
$74.84 | 698 | 583 |
|
Jacob Wayne Faulkner
1035 Red Bud Rd Ne |
$42.63 | 763 | 635 |
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