Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Cullman, AL: $58.49

Avg. Paid

$58.49

Range

$0.00 – $240.73

Total Claims

303,462

Providers

191

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 Cullman, AL

Provider	Avg. Paid	Claims	Patients
Lisa Karen Joines 1900 Main Ave Sw	$74.75	17,719	15,801
Stephanie T Williams 1800 Al Highway 157	$52.05	14,123	13,024
Richard Payne Dodd 1701 Main Ave Sw Ste A	$66.96	12,068	10,787
Kelly M Hansard 1965 Al Highway 157	$60.84	11,967	10,641
Tara Mitchell Fales 1948 Al Highway 157	$73.83	10,527	9,927
Andrew Lloyd Jones 1800 Al Highway 157 Ste 101	$63.85	9,071	7,156
Marybeth Lee 1948 Al Highway 157	$62.43	9,027	8,535
Internal Medicine And Pediatrics Of Cullman 1948 Al Highway 157	$86.19	8,625	7,951
Ashley A Ketchum 1890 Alabama Highway 157	$71.86	8,559	7,785
James V Thomas 1908 Cherokee Ave Sw	$36.83	8,027	4,930
Thomas B Oliver 1701 Main Ave Sw	$46.78	6,909	6,328
Christopher H Dodd 1800 Al Highway 157	$48.42	6,848	5,902
Stacy M Joiner 1948 Al Highway 157 Ste 360	$56.15	6,818	6,188
Cullman Primary Care, Pc 1800 Al Highway 157 Ste 101	$55.04	5,873	5,251
Cullman County Health Dept Fp Clinic 601 Logan Ave Sw	$240.73	5,263	4,964
Mark Richard Benfield 1801 Parkview Drive Ne	$107.04	5,253	4,707
Tamara Morris Sheffield 1965 Al Highway 157 Ste B	$77.17	5,120	4,608
Advantage Family Care Inc 1311 2Nd Ave Sw Ste A	$0.00	5,106	2,625
Cullman Internal Medicine, Pc 1890 Al Highway 157	$7.13	5,014	4,087
Claire Elizabeth Crider Cordes 1890 Al Highway 157 Ste 430	$82.56	4,529	4,185
Willow Tree Pediatrics Pc 2108 Al Highway 157	$85.20	4,523	4,131
Heidi Blair 1167 County Road 437 Ste B	$84.04	4,483	4,020
Leah C Harris 1800 Al Highway 157 Ste 101	$50.43	4,364	3,783
Urgent Care Center, Llc 1701 Main Ave Sw	$56.96	4,355	4,133
Justin Wilson 408 Clark St Ne	$18.39	4,287	2,259
Joseph Rayburn Jowers 1800 Al Highway 157	$55.27	4,227	3,431
Stacey S Varden 1890 Al Highway 157 Ste 300	$54.79	4,007	3,589
Cullman Pediatrics, Inc. 312 Arnold St Ne	$71.56	3,731	3,418
Sherry L Davis 1167 County Road 437 Ste B	$68.94	3,543	3,259
Bahador M Tafazoli 1890 Al Highway 157	$41.97	3,297	2,374
Cindy Lynn Hawkins 1167 County Road 437 Ste B	$46.19	3,188	2,639
Melissa Suzanne Bagwell-Seifert 1965 Al Highway 157	$67.30	2,641	2,398
Joseph William Farina 1800 Al Highway 157 Ste 100	$4.42	2,483	2,177
Tammy Cornelius 1800 Al Highway 157	$32.01	2,455	1,722
Brad Robert Moody 1930 Al Highway 157	$14.40	2,434	1,065
Joseph T Johnson 1800 Al Highway 157	$43.50	2,418	1,918
William S Myers 1900 Main Ave Sw	$56.77	2,350	1,951
Michael J Lunsford 1948 Al Highway 157	$79.88	2,299	2,178
Thomas Blubaugh 1908 Cherokee Ave Sw	$35.10	2,282	1,789
William Blake Tennant 1948 Al Highway 157	$69.28	2,194	1,719
Cynthia L Kimbrough 1912 Al Highway 157	$27.89	2,098	1,981
Christopher C Laganke 1809 Kress Street	$32.48	1,867	1,624
Nicolaus D Ruehl 1912 Al Highway 157	$40.49	1,834	1,336
Jamie Sims 1958 Al Highway 157	$20.81	1,792	929
John Paschal Licata 1800 Al Highway 157	$64.57	1,732	1,424
John Eugene Songer 1800 Al Highway 157	$24.17	1,727	1,281
Crmc Medical Group Llc 1958 Al Highway 157	$55.56	1,700	1,638
Elizabeth Anne Hale 1948 Al Highway 157	$47.37	1,678	1,503
Mark K Addison 1800 Al Highway 157 Ste 101	$52.98	1,676	1,355
Abc Pediatric Clinic, Llc 1900 Main Ave Sw	$85.90	1,667	1,495

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 Cullman, AL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cullman, AL is $58.49 per claim, based on 303,462 claims from 191 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 Cullman, AL?

There are 191 Medicaid providers offering Office Visit related services in Cullman, AL according to public payment data.

What is the price range for Office Visit in Cullman, AL?

Medicaid reimbursement for Office Visit in Cullman, AL ranges from $0.00 to $240.73 per claim, with an average of $58.49. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Cullman, AL: $58.49

Providers Offering Office Visit in Cullman, AL

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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