Average Medicaid Office Visit Payments in Cartersville, GA: $48.76
Avg. Paid
$48.76
Range
$1.47 – $82.34
Total Claims
43,838
Providers
25
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 Cartersville, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jodi-Ann Camille Moore
9 Medical Dr Ne Ste E |
$56.25 | 11,971 | 11,301 |
|
Cody Daniel Klette
962 Joe Frank Harris Pkwy Se Ste 105 |
$80.44 | 4,985 | 4,683 |
|
Douglas C Diruggiero
9 Medical Dr Ne |
$59.97 | 4,547 | 4,234 |
|
Highland Rivers Csb
650 Joe Frank Harris Pkwy S.E. |
$35.75 | 4,303 | 3,536 |
|
Suzette Chin
21 Pointe North Dr |
$23.92 | 3,514 | 2,922 |
|
Syed Muhammad Shan Ul Islam
960 Joe Frank Harris Pkwy Se |
$28.41 | 2,971 | 2,097 |
|
Bartow County Board Of Health
100 Zena Dr |
$17.85 | 2,940 | 2,676 |
|
Jessica Perri Lay
15 Medical Dr Ne Ste 101 |
$82.34 | 1,402 | 1,323 |
|
Hugo D Ribot
958 Joe Frank Harris Pkwy Se Bldg A |
$59.83 | 1,229 | 1,143 |
|
Timothy Lin
21 Pointe North Dr |
$25.67 | 1,215 | 1,021 |
|
Melissa B Rhodes
21 Pointe North Dr |
$24.46 | 1,041 | 844 |
|
Anu R Mongia
100 Market Place Blvd |
$47.13 | 1,027 | 862 |
|
Staci N Kenner
95B-A, J.F. Harris Pkwy |
$57.11 | 1,005 | 940 |
|
Anthony Charles Montes De Oca
150 Gentilly Blvd |
$35.50 | 770 | 433 |
|
Lauren Elizabeth Kasper
150 Gentilly Blvd |
$44.07 | 346 | 322 |
|
Steven Allen Spivey
200 Gentilly Blvd |
$48.75 | 159 | 142 |
|
Aman Mongia
100 Market Place Blvd |
$22.29 | 133 | 103 |
|
William Keith White
150 Gentilly Blvd |
$43.87 | 115 | 104 |
|
Caitlin Noelani Balawender
150 Gentilly Blvd |
$44.08 | 53 | 42 |
|
John Hwang
970 Joe Frank Harris Pkwy Se Ste 120 |
$64.87 | 27 | 27 |
|
Emily A Ray
970 Joe Frank Harris Pkwy Se Ste 240 |
$17.89 | 25 | 12 |
|
Armando Janeira
218 Stonewall St |
$1.47 | 17 | 12 |
|
Jenavieve Averyl Rummel
100 Market Place Blvd Ste 200 |
$32.48 | 17 | 12 |
|
Holli Lynn Mcclain
125 Main Street Market |
$48.12 | 14 | 14 |
|
Nichole Anne Uhl
21 Pointe North Dr |
$9.41 | 12 | 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 Cartersville, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cartersville, GA is $48.76 per claim, based on 43,838 claims from 25 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 Cartersville, GA?
There are 25 Medicaid providers offering Office Visit related services in Cartersville, GA according to public payment data.
What is the price range for Office Visit in Cartersville, GA?
Medicaid reimbursement for Office Visit in Cartersville, GA ranges from $1.47 to $82.34 per claim, with an average of $48.76. 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 Cartersville, GA
Substance Abuse Treatment
Avg $40.99
56,417 claims
X-Ray
Avg $5.34
28,135 claims
Dental Cleaning & Exam
Avg $26.78
21,560 claims
Vaccines & Immunizations
Avg $10.35
16,040 claims
Emergency Room Visit
Avg $72.81
15,800 claims
Psychiatric Evaluation
Avg $69.88
13,362 claims
Case Management Services
Avg $84.01
11,091 claims
Eye Exam
Avg $21.75
8,465 claims