Average Medicaid Office Visit Payments in Daphne, AL: $65.81
Avg. Paid
$65.81
Range
$0.00 – $747.82
Total Claims
72,629
Providers
43
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 Daphne, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Imc-Eastern Shore Family Practice Llc
27961 Highway 98 |
$85.36 | 13 | 13 |
|
Elizabeth Dueitt Wood
7101 Highway 90 Ste 104 |
$44.35 | 13 | 13 |
|
Bryon Blackwell
2200 Us Highway 98 Ste 4341 |
$72.76 | 26 | 26 |
|
Ashleigh Boyington
28490 2Nd St |
$40.74 | 30 | 29 |
|
Joseph Reece Jones
29653 Anchor Cross Blvd |
$35.76 | 30 | 24 |
|
Holly Scott
1505 Daphne Ave |
$36.82 | 34 | 27 |
|
Amanda Wiggins Grigg
28490 2Nd St Ste B |
$30.42 | 37 | 37 |
|
George Andrew Corbett
1505 Daphne Ave |
$27.45 | 42 | 39 |
|
Alan Roy Stanford
8573 County Road 64 |
$111.19 | 47 | 45 |
|
Burleson Chiropractic, P.C.
807 Wilson Ave |
$28.43 | 65 | 40 |
|
Cesar M Roca
1505 Daphne Ave |
$10.00 | 73 | 53 |
|
Melissa Hoercher
7101 Us Highway 90 |
$0.00 | 120 | 87 |
|
James Keith Spain
1505 Daphne Ave |
$48.90 | 151 | 124 |
|
Brittany Holley Case
29653 Anchor Cross Blvd |
$68.37 | 152 | 110 |
|
Amanda Carol Mcbane
27961 Us Highway 98 |
$51.95 | 161 | 151 |
|
S & K Pc
27961 Us Hwy 98 |
$80.36 | 204 | 193 |
|
Batisia Lexzondria Lewis
28490 2Nd St Ste B |
$65.84 | 236 | 219 |
|
Robert Detrinis
7400 Roper Ln |
$30.48 | 298 | 203 |
|
Judith Elise Blake
1505 Daphne Ave |
$4.98 | 310 | 203 |
|
Donato G Dumlao
29653 Anchor Cross Blvd |
$72.33 | 371 | 299 |
|
Baldwin Bone & Joint P C
1505 Daphne Ave |
$50.36 | 430 | 368 |
|
John Andrew Harcourt
1505 Daphne Ave |
$33.51 | 445 | 330 |
|
Nicholas Vester
28260 Us Highway 98 Ste C |
$20.47 | 514 | 448 |
|
Shana Rutkowski Wright
9517 Bella Dr |
$64.30 | 653 | 548 |
|
Cora Kuhns
6401 Jordan Rd Suite A |
$747.82 | 672 | 543 |
|
William Curry Mcevoy
29653 Anchor Cross Blvd |
$28.29 | 714 | 374 |
|
Stanley D White
27535 Us Highway 98 |
$50.55 | 801 | 399 |
|
Katherine Hope Morganti
8573 County Road 64 |
$33.39 | 962 | 871 |
|
Victoria King Kennedy
11448 Alabaster Dr |
$0.03 | 1,053 | 399 |
|
Skylar Grayson Saville
9570 Us Highway 90 |
$108.32 | 1,186 | 1,078 |
|
Urgent Care By The Bay, Llc
1208 Highway 98 |
$79.50 | 1,327 | 1,222 |
|
Kellie S. Toth
8573 County Road 64 |
$38.33 | 1,440 | 1,288 |
|
Jonathan Clay Rainer
27961 Us Highway 98 Ste 10 |
$42.54 | 1,786 | 1,514 |
|
William Larry Davidson
8725 County Road 64 |
$67.74 | 1,834 | 1,506 |
|
David James Thomason
27961 Us Highway 98 Ste 10 |
$34.74 | 2,302 | 1,810 |
|
Eastern Shore Developmental Clinic
26420 Kensington Pl Ste A |
$90.26 | 2,363 | 2,174 |
|
Eastern Shore Urgent Care Llc
29710 Urgent Care Drive |
$78.76 | 2,435 | 2,259 |
|
Karen B Barker
8725 County Road 64 |
$82.82 | 3,087 | 2,879 |
|
Daniel Phillip Gardner
8725 County Road 64 |
$54.06 | 3,921 | 3,372 |
|
Rebecca Roberts
28150 N Main St |
$106.18 | 5,006 | 4,489 |
|
Julie Borom Wiggins
28150 N Main St |
$103.59 | 10,628 | 9,213 |
|
Mary Williams
6883 Us Highway 90 Ste 108 |
$25.72 | 12,640 | 10,917 |
|
Fairen Walker-Mccarter
28490 2Nd St |
$41.59 | 14,017 | 10,997 |
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 Daphne, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Daphne, AL is $65.81 per claim, based on 72,629 claims from 43 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 Daphne, AL?
There are 43 Medicaid providers offering Office Visit related services in Daphne, AL according to public payment data.
What is the price range for Office Visit in Daphne, AL?
Medicaid reimbursement for Office Visit in Daphne, AL ranges from $0.00 to $747.82 per claim, with an average of $65.81. 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 Daphne, AL
Dental Cleaning & Exam
Avg $27.10
37,472 claims
Speech Therapy
Avg $51.96
35,465 claims
Physical Therapy
Avg $62.68
23,990 claims
Psychiatric Evaluation
Avg $76.54
9,570 claims
Pulmonary Function Test
Avg $15.98
7,878 claims
Eye Exam
Avg $31.05
7,821 claims
Blood Work & Lab Tests
Avg $19.91
6,884 claims
Nursing Facility Care
Avg $5.22
5,714 claims