Average Medicaid Office Visit Payments in Evergreen, AL: $42.52
Avg. Paid
$42.52
Range
$0.02 – $231.15
Total Claims
71,327
Providers
13
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 Evergreen, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stanley Barnes
680 West Front St |
$41.89 | 16,858 | 14,755 |
|
Stephen Michael West
680 West Front St |
$46.34 | 15,212 | 13,275 |
|
Mark A Roberts
106 Edwina Street |
$47.03 | 13,606 | 11,748 |
|
Hector L Salemi-Castro
420 W Front St |
$39.88 | 10,859 | 10,059 |
|
Amrita Yearwood
100 Edwina St |
$0.02 | 8,666 | 7,260 |
|
Conecuh County Health Dept Fp Clinic
526 Belleville St |
$231.15 | 1,781 | 1,686 |
|
Evergreen Medical Center Llc
100 Edwina Street |
$0.92 | 1,676 | 1,114 |
|
Jessica Roberts Pierce
106 Edwina Street |
$49.36 | 1,047 | 838 |
|
Haley Nobles Falkenberry
Evergreen Family Health Center |
$46.40 | 651 | 533 |
|
Whitley Roberts Harper
106 Edwina St |
$54.21 | 464 | 377 |
|
Chelsey Pettis
100 Edwina St |
$50.01 | 332 | 263 |
|
Stephen M West Md Llc
680 West Front St |
$71.32 | 158 | 144 |
|
Mark A Roberts Md Pc
106 Edwina St |
$17.62 | 17 | 16 |
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 Evergreen, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Evergreen, AL is $42.52 per claim, based on 71,327 claims from 13 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 Evergreen, AL?
There are 13 Medicaid providers offering Office Visit related services in Evergreen, AL according to public payment data.
What is the price range for Office Visit in Evergreen, AL?
Medicaid reimbursement for Office Visit in Evergreen, AL ranges from $0.02 to $231.15 per claim, with an average of $42.52. 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 Evergreen, AL
Prescription Medications
Avg $3.76
19,361 claims
Dental Cleaning & Exam
Avg $25.02
17,764 claims
Ambulance Transport
Avg $55.88
8,422 claims
Blood Work & Lab Tests
Avg $1.09
6,600 claims
Nursing Facility Care
Avg $10.27
5,723 claims
Emergency Room Visit
Avg $58.71
5,034 claims
Physical Therapy
Avg $16.76
3,843 claims
Personal Care Services
Avg $0.00
2,692 claims