Average Medicaid Office Visit Payments in Decatur, AL: $39.95
Avg. Paid
$39.95
Range
$0.00 – $206.31
Total Claims
336,311
Providers
166
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 Decatur, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Medical East Of Decatur Inc
2941 Point Mallard Pkwy Se |
$6.86 | 68,772 | 58,332 |
|
Crystal Leann Landrum
1501 7Th St Se Ste A |
$80.33 | 20,714 | 17,668 |
|
Me'Lissa R Young-Harkins
1802 Presbyterian Dr Sw |
$73.81 | 11,824 | 9,777 |
|
Matthew Nalamlieng
1107 14Th Ave Se Ste 300 |
$45.30 | 9,755 | 9,320 |
|
Wayne Eric Thomas
2828 Highway 31 S |
$35.15 | 9,541 | 6,578 |
|
Jennifer Lynn Menon
1874 Beltline Rd Sw Ste 300 |
$9.42 | 9,025 | 7,433 |
|
Moses A Awoniyi
2046 Beltline Rd Sw |
$54.44 | 8,006 | 7,476 |
|
Johanna Curtis
1304 13Th Ave Se Ste B |
$44.50 | 7,909 | 6,667 |
|
Morgan County Health Dept Fp Clinic
510 Cherry St Ne |
$206.31 | 7,296 | 6,729 |
|
Robyn Denise Johnson
1874 Beltline Rd Sw |
$43.95 | 6,575 | 5,387 |
|
Alicia Danielle Barbour
1241 Pt Mallard Pkwy Ste 410 |
$29.29 | 6,487 | 5,743 |
|
Betty Jean Schwab
1201 7Th St Se |
$12.76 | 6,447 | 2,672 |
|
Ahmad Shikhtholth
2208 Danville Rd Sw |
$29.85 | 6,298 | 5,625 |
|
James Mize
1225 13Th Ave Se |
$75.39 | 5,834 | 5,216 |
|
Decatur Morgan Pediatrics
1215 7Th St Se Ste 210 |
$80.88 | 5,731 | 5,118 |
|
Shiva S Krishna
1201 8Th St Se |
$33.84 | 5,213 | 3,249 |
|
Kathryn S Mize
1225 13Th Ave Se |
$74.19 | 5,197 | 4,604 |
|
Morgan Scott Sarrels
1201 Somerville Rd Se |
$87.54 | 4,895 | 4,335 |
|
John Mark Kirk
1315 13Th Ave Se |
$59.27 | 4,652 | 3,345 |
|
Tammie S Smith
1115 Beltline Rd Se Ste 400 |
$0.00 | 4,361 | 3,203 |
|
Anna Dumas
1874 Beltline Rd Sw |
$16.26 | 4,343 | 2,977 |
|
Sammy F Becdach
1107 14Th Ave Se |
$18.37 | 4,067 | 2,510 |
|
Gregory Scott Cheatham
1813 Beltline Rd Sw |
$56.32 | 3,951 | 3,541 |
|
Kimberly A Dudley
2112 6Th Ave Se |
$42.61 | 3,839 | 2,927 |
|
John Peter Kaliszak
1201 7Th St Se |
$7.12 | 3,267 | 2,989 |
|
Christian Ray Smith
1225 13Th Ave Se |
$63.02 | 3,244 | 2,820 |
|
Mary Ingram
1225 13Th Ave Se |
$66.23 | 2,815 | 2,480 |
|
Justin L Daigre
1103 16Th Ave Se |
$36.06 | 2,706 | 2,210 |
|
Laura Ann Graham
2128 6Th Ave Se Ste 501 |
$25.05 | 2,646 | 2,381 |
|
Joel Alonzo Powell
1304 13Th Ave Se |
$0.00 | 2,599 | 2,040 |
|
Katie Ann Holt
1201 Somerville Rd Se Ste 1 |
$31.67 | 2,588 | 1,678 |
|
David V Parmer
1304 13Th Ave Se, Suite D |
$56.61 | 2,540 | 2,274 |
|
Natalie Mccay
2941 Point Mallard Pkwy Se |
$53.38 | 2,440 | 2,283 |
|
Naveen Thomas Lobo
1310 14Th Ave Se |
$15.99 | 2,401 | 2,013 |
|
Andrew Wesley Stubblefield
3821 Us Highway 31 S |
$58.87 | 2,365 | 2,290 |
|
Heather Rakesh Shah
1107 14Th Ave Se Ste 200 |
$15.69 | 2,326 | 1,324 |
|
David V. Parmer, Md, Pc
1304 13Th Ave Se |
$72.49 | 2,300 | 2,009 |
|
Mark Awoniyi
2046 Beltline Rd Sw |
$18.15 | 2,156 | 1,929 |
|
James A Jeffery
4110 Highway 31 South |
$0.00 | 2,061 | 2,030 |
|
George H Godwin
1218 13Th Ave Se |
$46.70 | 1,988 | 1,808 |
|
Stephanie Michelle Saint
1310 14Th Ave Se |
$42.92 | 1,908 | 1,457 |
|
Adnan A Seljuki
2424 Danville Rd Sw |
$29.69 | 1,845 | 1,584 |
|
Drs. James & Kathryn Mize Pc
1225 13Th Ave Se |
$79.09 | 1,825 | 1,585 |
|
Emily Dawn Moore
1215 7Th St Se |
$30.11 | 1,814 | 1,371 |
|
Richard Scott Sharp
1103 16Th Ave Se |
$33.15 | 1,732 | 1,278 |
|
Tameca Lasha Oliver
1304 13Th Ave Se |
$3.28 | 1,610 | 1,214 |
|
Kevin Dion Campbell
2828 Highway 31 S Ste 107 |
$47.36 | 1,556 | 1,262 |
|
James F Gamble
4110 Us Highway 31 S |
$0.00 | 1,416 | 1,382 |
|
Brandi Greeson
2699 Sandlin Rd Sw Ste B8 |
$58.73 | 1,375 | 1,246 |
|
Monica Leigh Bush
1304 13Th Ave Se Ste A |
$0.02 | 1,370 | 921 |
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 Decatur, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Decatur, AL is $39.95 per claim, based on 336,311 claims from 166 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 Decatur, AL?
There are 166 Medicaid providers offering Office Visit related services in Decatur, AL according to public payment data.
What is the price range for Office Visit in Decatur, AL?
Medicaid reimbursement for Office Visit in Decatur, AL ranges from $0.00 to $206.31 per claim, with an average of $39.95. 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 Decatur, AL
Behavioral & Mental Health Therapy
Avg $55.34
181,784 claims
Psychiatric Evaluation
Avg $79.81
172,293 claims
Physical Therapy
Avg $23.23
153,971 claims
Dental Cleaning & Exam
Avg $23.50
114,089 claims
Blood Work & Lab Tests
Avg $7.90
79,935 claims
Case Management Services
Avg $117.16
70,977 claims
Emergency Room Visit
Avg $54.32
68,321 claims
Non-Emergency Medical Transportation
Avg $16.42
60,329 claims