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 |
|---|---|---|---|
|
John A Shannon
1304 13Th Ave Se |
$0.00 | 12 | 12 |
|
Decatur Med-Surg Clinic, Llc
2828 Highway 31 S |
$53.43 | 13 | 12 |
|
David A Francis
2828 Hwy 31 South |
$21.72 | 14 | 13 |
|
William M Sykes
68 Marco Dr |
$76.93 | 15 | 12 |
|
Julie M Sexton
1310 14Th Ave Se |
$0.00 | 16 | 15 |
|
Cara L Hoffman
1874 Beltline Rd Sw |
$19.43 | 16 | 12 |
|
Michael D. Dick
2828 Highway 31 S |
$0.00 | 16 | 15 |
|
Jeffery Willard Harris
68 Marco Dr |
$32.43 | 19 | 12 |
|
Nidhi Jindal
1215 7Th St Se Ste 240 |
$45.06 | 24 | 24 |
|
Shequita Madry Bridgeforth
1874 Beltline Rd Sw Ste 105 |
$16.24 | 24 | 17 |
|
Kevin D Campbell Crnp Pc
2828 Highway 31 S |
$0.00 | 29 | 14 |
|
Megan Lynn Sanford
2422 Danville Rd Sw Ste E |
$0.00 | 30 | 29 |
|
Cam Mckay Wiehe
823 6Th Ave Se |
$37.72 | 30 | 25 |
|
Matthew Lewis Figh
1405 7Th St Se |
$21.62 | 31 | 24 |
|
William Lee Thibodeaux
2349 Danville Rd Sw |
$9.69 | 31 | 31 |
|
Caroline C Cate
2941 Point Mallard Pkwy Se Ste N |
$3.11 | 31 | 25 |
|
Manish Arora
1201 Somerville Rd Se Ste 1 |
$44.61 | 32 | 25 |
|
Shawnna B Williams
2208 Danville Rd Sw |
$6.03 | 35 | 31 |
|
Ololade Augusta Isibor
1304 13Th Ave Se |
$9.87 | 35 | 34 |
|
David L. Smull
1107 14Th Ave Se Ste 100 |
$15.15 | 40 | 24 |
|
Andrea Faith Day
1222 Somerville Rd Se |
$24.71 | 42 | 38 |
|
Chigozie C Chidebelu
1222 Somerville Rd Se |
$31.28 | 43 | 35 |
|
Jeanette N Keith
1208 Somerville Rd Se |
$12.85 | 46 | 37 |
|
Betty B Burnett
1602 Church St Se |
$1.41 | 47 | 47 |
|
Jonathan Davis
1313 13Th Ave Se |
$29.30 | 52 | 50 |
|
Jason Randall Seale
1405 7Th St Se |
$14.79 | 55 | 50 |
|
Charles D Woods
1320 14Th Ave Se |
$4.98 | 56 | 54 |
|
Kristine Lynea Putman
1874 Beltline Rd, Sw |
$16.49 | 58 | 39 |
|
Kevin Patterson
1201 7Th St Se |
$18.95 | 67 | 60 |
|
Hh Health System-Morgan Inc.
1874 Beltline Rd Sw |
$75.37 | 71 | 66 |
|
Alexis Robert Penot
1201 7Th St Se |
$24.94 | 74 | 31 |
|
Sampath Reddy Singireddy
1107 14Th Ave Se Ste 100 |
$65.50 | 102 | 93 |
|
Reginald Dwain Gladish
1216 Somerville Road Se |
$24.29 | 122 | 116 |
|
Roger H Moss
1201 Somerville Rd Se |
$12.14 | 123 | 103 |
|
Attupuram Joseph Alexander
2282 Highway 31 S |
$8.06 | 125 | 78 |
|
Eston Gibbons Norwood
1215 7Th St Se |
$13.37 | 129 | 115 |
|
Venkata Babu Kantamneni
2828 Highway 31 South |
$27.67 | 130 | 116 |
|
Tracy Lynn Hinz
1215 7Th St Se Ste 240 |
$37.49 | 130 | 127 |
|
Terri Deann Amos
1615 Kathy Ln Sw Ste 102 |
$11.58 | 132 | 88 |
|
Katelyn Breanna Hood
1201 7Th St Se |
$55.03 | 134 | 121 |
|
Melea Lenore Mullican
1107 14Th Ave Se Ste 200 |
$34.40 | 136 | 105 |
|
Elizabeth C Elmore
1310 14Th Ave Se |
$28.77 | 136 | 123 |
|
Luis Nicolas Villanueva
1121 Somerville Rd Se |
$24.73 | 150 | 137 |
|
James E Posey
801 Church St Ne |
$31.87 | 166 | 112 |
|
Delana Cole Clemons
1201 7Th St Se |
$55.58 | 171 | 157 |
|
Joshua L Nelson
1107 14Th Ave Se Ste 300 |
$18.32 | 171 | 144 |
|
Amanda Kay Anderson
4218 Highway 31 South |
$15.45 | 173 | 143 |
|
Katie Jane Bonar
1215 7Th St Se Ste 140 |
$23.95 | 176 | 119 |
|
Robert Keith Allen
2422 Danville Rd Sw |
$25.29 | 194 | 173 |
|
Danielle Marie Moon
1222 Somerville Rd Se |
$24.72 | 216 | 204 |
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