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
Sean P Mcgrath 2675 N Decatur Rd Ste 609	$14.13	12	12
Grace Helen Frankel 1670 Clairmont Rd	$45.22	12	12
Joseph Daniel Weissman 2665 N Decatur Rd	$37.28	13	13
Jyothsna S Challa 200 E Ponce De Leon Ave	$4.11	13	12
Michele Angela Sewell 4153C Flat Shoals Pkwy	$69.00	13	12
Lizy Thaliath 3110 Clifton Springs Rd	$0.00	13	13
Scott J Akin 1670 Clairmont Rd	$640.00	13	13
Mohammed Kumail Ali 158 W Ponce De Leon Ave	$52.32	13	12
Anand Subhash Shah 1670 Clairmont Rd	$48.05	13	13
Hieu T. Nguyen 2665 N Decatur Rd	$36.45	14	13
Varinder Kaur Singh 2124 Candler Rd	$24.79	15	12
Mary Katherine Clark 2801 N Decatur Rd	$17.99	16	15
Sarah Catherine Dupont 2675 N Decatur Rd Ste 601	$42.19	17	14
Ronak Patel 1457 Scott Blvd	$25.68	18	15
Michael John Gambello 2165 N Decatur Rd	$127.66	19	16
Emily Ann Hermes 2801 N Decatur Rd Ste 295	$47.86	25	24
Cornelius Flowers 2675 N Decatur Rd	$53.77	25	24
Scott D Steinberg 1045 Sycamore Dr	$112.41	26	25
Ann M. Siegel 440 Winn Way	$0.00	27	27
Rozina Merchant 200 E Ponce De Leon Ave	$27.10	28	28
Quinshunda Lanet Carter 160 Clairemont Ave	$74.70	29	28
Ayana Nicole Herbert 2701 North Decatur Road	$61.34	29	28
Kristen D Starbuck 2665 N Decatur Rd Ste 630	$82.36	30	28
Daniel Matthew Schachter 12 Executive Park Drive	$17.23	30	24
Tricia Lee 150 E Ponce De Leon Ave Ste 150	$80.56	31	31
Karen Moon 2701 N Decatur Rd	$18.85	31	27
Jason Phillip Linefsky 1670 Clairmont Rd	$42.43	31	30
Chelsea Wiltjer Yost 505 Irvin Ct Ste 200	$55.20	32	32
Mirnalis Martinez Vega 2124 Candler Rd	$51.75	32	28
Oscar Medical Center 3375 Memorial Dr	$4.79	34	30
Aditi Bhattacharjee Sundaresan 2801 N Decatur Rd Ste 295	$25.40	35	31
Layla S. Jaffree 2801 N Decatur Rd Ste 190	$185.67	35	29
Mufida Muradali Wadhwania 445 Winn Way	$0.00	37	37
Maurice D Harris 2675 N Decatur Rd	$33.41	39	37
Donna A Hemmings 2701 N Decatur Rd	$14.70	39	39
Anson K. Wurapa 2665 N Decatur Rd	$8.93	39	37
Shirley Ann Harris 3292 Mountain Dr	$82.00	41	38
Tiffany Mangal 350 Winn Way	$45.41	44	42
Shannon R Escarra 2097 N Decatur Rd	$85.50	46	43
Tony Bullon 1834 Clairmont Rd Ste 100	$55.62	47	47
Robin Henry Dretler 2665 N Decatur Rd	$13.77	53	39
Carolina Hartley 2665 N Decatur Rd Ste 630	$4.84	53	51
William H Bryson 2764 Candler Rd	$27.84	55	52
Thomas Douglas Cain 2801 N Decatur Rd Ste 295	$29.41	57	54
Paul Allan Kirschbaum 2665 N Decatur Rd	$24.52	59	43
Vaughn D Tatum 1834 Clairmont Rd # 100	$28.81	65	60
Angela Prakash Griffin 2801 N Decatur Rd	$34.68	66	64
Hong Li 2165 N Decatur Rd	$91.72	69	67
John Oliga 4153B Flat Shoals Pkwy	$54.91	70	62
Shikha Rebecca Chacko 505 Irvin Ct Ste 200	$50.64	70	62

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.

Average Medicaid Office Visit Payments in Decatur, GA: $54.75

Providers Offering Office Visit in Decatur, GA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Decatur, GA

Blood Work & Lab Tests

Emergency Room Visit

Urinalysis & Urine Tests

Psychiatric Evaluation

Dental Cleaning & Exam

Ultrasound

X-Ray

Vaccines & Immunizations