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Based on public Medicaid payment data.

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

Other Procedures in Decatur, GA