Average Medicaid Office Visit Payments in Clanton, AL: $76.30
Avg. Paid
$76.30
Range
$0.00 – $241.42
Total Claims
71,066
Providers
30
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 Clanton, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gladys Eleanor R Alolod
303 1St St N |
$75.35 | 28,083 | 23,431 |
|
Ritky C Dy
1221 7Th St S |
$71.86 | 13,440 | 12,315 |
|
Michelle Lee Hudson
2030 Lay Dam Rd |
$55.86 | 7,490 | 7,089 |
|
Chilton County Health Dept Fp Clinic
301 Health Center Dr |
$241.42 | 6,010 | 5,601 |
|
Erin Ellis Davis
107 Medical Center Drive |
$0.00 | 3,158 | 2,687 |
|
Jeffrey F Price
107 Health Center Dr |
$68.33 | 2,059 | 1,843 |
|
Robin Yeargan
1203 7Th St N |
$17.79 | 2,058 | 1,190 |
|
Clanton Pediatrics Of Alabama Pc
303 1St St N |
$57.38 | 1,819 | 1,388 |
|
Chelsea Burnett
107 Medical Center Dr |
$0.00 | 1,084 | 913 |
|
Chilton Urgent Care, Llc
1210 7Th St S |
$60.54 | 1,058 | 981 |
|
Jennifer Michelle Hobbs
206 Hoyt Brownie Rd |
$23.88 | 705 | 242 |
|
April Nicole Jones
300 Medical Center Dr |
$48.57 | 617 | 475 |
|
Adrienne Newsome
107 Medical Center Dr |
$0.00 | 576 | 439 |
|
Wade B. Naven
1010 Lay Dam Rd |
$60.05 | 530 | 525 |
|
Jon Eric Binkerd
1911 Lay Dam Rd |
$30.73 | 515 | 392 |
|
Cherrie Herrera
1320 Woodfin Ln |
$7.97 | 357 | 284 |
|
Patrick Proctor
2030 Lay Dam Rd |
$34.83 | 312 | 191 |
|
John Michael Wright
2030 Lay Dam Rd |
$0.00 | 255 | 145 |
|
Hirenkumar Jani
260 Health Center Drive |
$14.25 | 208 | 172 |
|
Chilton Family Medicine, P.C.
107 Health Center Dr |
$0.00 | 194 | 184 |
|
David S. Wilson
102 Medical Center Dr |
$2.83 | 107 | 89 |
|
Maurice Jose Lyn
638 Clanton Marketplace |
$17.58 | 97 | 85 |
|
Haritha Ramasastry
1006 Lay Dam Rd |
$26.25 | 79 | 79 |
|
Nirmanmoh Bhatia
2030 Lay Dam Rd |
$30.25 | 70 | 41 |
|
Himanshu Aggarwal
2030 Lay Dam Rd |
$35.46 | 58 | 52 |
|
Amy Fields Weldon
1015 Lay Dam Rd |
$62.49 | 49 | 45 |
|
Dr Ritky C Dy Medical Clinic, Llc
1221 7Th St S |
$33.58 | 39 | 25 |
|
Betsy Stevenson Farris
1100 Lay Dam Rd |
$58.13 | 13 | 13 |
|
Ajay Patel
1320 Woodfin Ln |
$36.83 | 13 | 12 |
|
Michael G Connolly
2030 Lay Dam Rd |
$4.85 | 13 | 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 Clanton, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clanton, AL is $76.30 per claim, based on 71,066 claims from 30 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 Clanton, AL?
There are 30 Medicaid providers offering Office Visit related services in Clanton, AL according to public payment data.
What is the price range for Office Visit in Clanton, AL?
Medicaid reimbursement for Office Visit in Clanton, AL ranges from $0.00 to $241.42 per claim, with an average of $76.30. 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 Clanton, AL
Emergency Room Visit
Avg $82.54
72,298 claims
Blood Work & Lab Tests
Avg $7.34
32,365 claims
Psychiatric Evaluation
Avg $73.99
20,594 claims
Vaccines & Immunizations
Avg $14.56
15,710 claims
Eye Exam
Avg $34.55
13,004 claims
Urinalysis & Urine Tests
Avg $3.01
12,073 claims
EKG / ECG (Electrocardiogram)
Avg $4.99
8,351 claims
Case Management Services
Avg $60.35
8,001 claims