Average Medicaid Office Visit Payments in Decatur, GA: $54.75
Avg. Paid
$54.75
Range
$0.00 – $640.00
Total Claims
241,656
Providers
157
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, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Byron C Cotton
2785 Lawrenceville Hwy |
$70.14 | 20,546 | 18,840 |
|
Mfon Malachy Inyang
445 Winn Way |
$62.27 | 16,894 | 15,935 |
|
Dekalb County Board Of Health
445 Winn Way |
$42.89 | 14,651 | 14,193 |
|
Jacob Edwards
350 Winn Way |
$69.84 | 13,524 | 12,175 |
|
Mark William Feeman
2785 Lawrenceville Hwy Ste 100 |
$11.38 | 13,043 | 12,302 |
|
Charanjit S. Shikh
2891-C North Decatur Road |
$49.16 | 11,606 | 10,411 |
|
Dekalb Community Service Board
445 Winn Way |
$68.73 | 10,541 | 9,782 |
|
Malissa Wall
1438 Mclendon Dr |
$73.01 | 9,189 | 8,772 |
|
Amir M. Agha
1435 Mclendon Dr Ste Aandb |
$53.37 | 8,216 | 7,680 |
|
Albert Scott
1458 Church St Ste B |
$57.30 | 7,462 | 7,060 |
|
Gayla Woodson
1276 Mcconnell Dr Ste C |
$63.63 | 6,881 | 6,471 |
|
Richard Denison Molina
2665 N Decatur Rd |
$68.33 | 6,482 | 5,897 |
|
Dekalb Community Service Board
3110 Clifton Springs Rd |
$80.36 | 6,378 | 5,810 |
|
Angela Ruth Butler Rice
2403 Lawrenceville Hwy |
$58.63 | 6,181 | 5,820 |
|
John L Moseri
1810 Moseri Rd |
$31.69 | 5,671 | 3,287 |
|
Alana Margaret Burns
2785 Lawrenceville Hwy Ste 207 |
$62.89 | 5,167 | 4,873 |
|
Maria Latanya Walker
5071 Snapfinger Woods Dr |
$38.15 | 4,845 | 3,948 |
|
Dekalb Community Service Board
445 Winn Way |
$69.81 | 4,605 | 4,306 |
|
Bamidele Odede
445 Winn Way |
$59.88 | 4,064 | 3,114 |
|
Anderia Shirrell Rhodes-Bigham
2855 Candler Rd |
$58.83 | 3,825 | 3,670 |
|
Aaron Bradley
2701 N Decatur Rd |
$48.28 | 3,627 | 2,575 |
|
Flortasha Laray Pullom
2732 Candler Rd |
$75.14 | 3,367 | 2,892 |
|
Eleanor M. Ho
2665 N Decatur Rd |
$69.27 | 2,859 | 2,646 |
|
Lisha Butler Davis
2712 N Decatur Rd |
$20.95 | 2,264 | 2,135 |
|
Musibau A Ibraheem
5322 Snapfinger Park Dr |
$45.87 | 2,208 | 1,638 |
|
Nicholas Owen Kelley
125 Clairemont Ave Ste 190 |
$65.85 | 2,134 | 2,002 |
|
Gratia Brooks
2785 Lawrenceville Hwy |
$59.21 | 2,124 | 1,904 |
|
Emma Kellaway Feinberg
2732 Candler Rd |
$4.23 | 2,119 | 1,933 |
|
Kathleen S Johnson
1458 Church St Ste B |
$53.13 | 2,043 | 1,955 |
|
Karen Lynn Bauer
2675 N Decatur Rd Ste 512 |
$15.73 | 1,868 | 1,507 |
|
Jenny Christine Kim
484 Irvin Ct |
$42.47 | 1,616 | 1,490 |
|
Adebowale O Akintayo
1834 Clairmont Rd |
$57.63 | 1,312 | 1,283 |
|
Feonie O Eleuterio
2732 Candler Rd |
$36.63 | 1,208 | 801 |
|
Syed Zia Ullah
2536 Lawrenceville Hwy |
$73.80 | 1,204 | 1,126 |
|
Megan Byrne
125 Clairemont Ave Ste 190 |
$78.82 | 1,158 | 1,107 |
|
Meredith P Magner
2785 Lawrenceville Hwy Ste 100 |
$20.87 | 1,122 | 1,043 |
|
Nirali Desai Patel
315 W Ponce De Leon Ave Ste 110 |
$40.90 | 1,122 | 1,031 |
|
Sana Khan Pathan
2124 Candler Rd |
$46.41 | 1,069 | 965 |
|
Lance Timothy Washington
3131 N Druid Hills Rd Apt 7206 |
$62.64 | 1,044 | 935 |
|
Avery H Nathanson
2665 N Decatur Rd Ste 440 |
$8.05 | 1,023 | 669 |
|
Roxanne Claire Mcmorris
445 Winn Way |
$58.61 | 1,020 | 950 |
|
Donessa Aretha Fraser
2389 Wesley Chapel Rd Ste 102 |
$54.67 | 996 | 843 |
|
Kavitha Gopal
3292 Mountain Dr |
$56.52 | 996 | 868 |
|
Christopher Joseph Haraszti
505 Irvin Ct |
$34.08 | 995 | 923 |
|
Nicholas Church
2801 N Decatur Rd |
$43.50 | 984 | 937 |
|
Quratulain Syed
1670 Clairmont Rd |
$25.77 | 955 | 864 |
|
Mohamed Takki A Momin
2675 N Decatur Rd Ste 512 |
$20.27 | 915 | 869 |
|
Karl L Pete
2711 Irvin Way Ste 102 |
$18.74 | 880 | 795 |
|
Akram Elamaari
1438 Mclendon Drive |
$58.97 | 829 | 662 |
|
Stacy Reynolds
1458 Church St Ste B |
$45.73 | 769 | 705 |
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, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Decatur, GA is $54.75 per claim, based on 241,656 claims from 157 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, GA?
There are 157 Medicaid providers offering Office Visit related services in Decatur, GA according to public payment data.
What is the price range for Office Visit in Decatur, GA?
Medicaid reimbursement for Office Visit in Decatur, GA ranges from $0.00 to $640.00 per claim, with an average of $54.75. 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, GA
Blood Work & Lab Tests
Avg $5.43
338,832 claims
Emergency Room Visit
Avg $119.94
148,510 claims
Urinalysis & Urine Tests
Avg $3.20
100,495 claims
Psychiatric Evaluation
Avg $77.64
82,684 claims
Dental Cleaning & Exam
Avg $29.97
65,886 claims
Ultrasound
Avg $88.79
61,972 claims
X-Ray
Avg $25.56
60,798 claims
Vaccines & Immunizations
Avg $19.99
56,305 claims