Average Medicaid Office Visit Payments in Fairhope, AL: $58.48
Avg. Paid
$58.48
Range
$0.00 – $192.57
Total Claims
123,817
Providers
71
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 Fairhope, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eastern Shore Children'S Clinic
150 S Ingleside St |
$81.33 | 13,800 | 11,957 |
|
Katie S Erdlitz
19087B Greeno Rd |
$59.29 | 10,185 | 9,170 |
|
Lindsey P White
19087B Greeno Rd Ste 1N |
$58.97 | 7,850 | 7,088 |
|
Olivia Katherine Akins
150 S Ingleside St |
$52.79 | 7,139 | 6,351 |
|
Caroline Morris
372 Greeno Rd S |
$38.24 | 6,656 | 5,538 |
|
Paula S Drummond
150 S Ingleside St |
$64.89 | 6,213 | 5,344 |
|
Rhoda E Burns
150 S Ingleside St |
$65.66 | 5,853 | 5,397 |
|
Jennifer Dunegan Walker
150 S Ingleside St Ste 7 |
$68.91 | 5,825 | 5,312 |
|
Fairhope Pediatrics, Inc.
19087B Greeno Rd |
$79.28 | 5,739 | 5,215 |
|
Henry Horton Davis
18269 Colony Dr Unit 401 |
$24.87 | 5,685 | 4,148 |
|
Elizabeth Maureen Orr
150 S Ingleside St Ste 7 |
$64.75 | 5,452 | 4,905 |
|
Margaret T Moore
150 S Ingleside St |
$65.57 | 4,987 | 4,520 |
|
Leslie Katrina Skinner
19087-B Greeno Rd |
$70.28 | 4,704 | 4,290 |
|
Keith A Kowal
20308 Beecher St |
$30.53 | 4,403 | 2,373 |
|
Jeanette W Breslin
150 S Ingleside St |
$63.16 | 3,833 | 3,482 |
|
Susie Fitzharris
150 S. Ingleside St |
$71.55 | 3,217 | 2,992 |
|
Fred Ferris Diegmann
150 S Ingleside St |
$33.48 | 2,588 | 2,206 |
|
Warner M Wiggins
150 S Ingleside St |
$103.22 | 1,643 | 1,542 |
|
Bobby J Simpson
3 Medical Park Dr |
$35.62 | 1,536 | 1,316 |
|
Jason Robert Determann
341 Greeno Rd N |
$35.52 | 1,448 | 1,197 |
|
Gary Wayne Nelson
150 South Ingleside |
$55.73 | 1,318 | 1,050 |
|
Richard Lewis Snellgrove
341 Greeno N Rd C |
$64.76 | 1,192 | 1,039 |
|
Natalie Brooke Carlisle
150 S Ingleside St Ste 7 |
$63.55 | 1,096 | 982 |
|
Brittany Aguirre
10040A County Road 48 |
$0.00 | 1,062 | 830 |
|
Bret Henderson
2 Medical Park |
$31.40 | 1,046 | 900 |
|
Gregory W Merritt
473 Colony Dr # 82 |
$60.74 | 896 | 840 |
|
William B. Norris
188 Hospital Dr |
$68.48 | 889 | 777 |
|
Albert Jameson Savage
341 Greeno Rd N |
$25.10 | 787 | 600 |
|
Nathaniel Scott Winstead
188 Hospital Dr Ste 405 |
$43.44 | 732 | 689 |
|
Kayci L Dixon
19087-B Greeno Rd |
$59.34 | 585 | 541 |
|
Troy Lee Enfinger
150 S Ingleside St Ste 5 |
$38.72 | 410 | 397 |
|
Joey Franklin Carter
341 Greeno Rd N |
$24.87 | 399 | 290 |
|
Kristie Y. Thomas
188 Hospital Dr Ste 405 |
$15.29 | 394 | 325 |
|
Allison A Garstecki
230 Greeno Rd N |
$3.90 | 370 | 140 |
|
Timothy Tisdale
188 Hospital Dr Ste 100 |
$73.72 | 342 | 318 |
|
Michael Broadwell
750 Morphy Ave |
$6.64 | 341 | 300 |
|
Rachel G Thompson
188 Hospital Dr Ste 405 |
$19.34 | 292 | 256 |
|
Frank K Hixon
188 Hospital Dr |
$58.43 | 288 | 245 |
|
Lauren Marie Higgins Cooper
2 Medical Park |
$62.98 | 263 | 229 |
|
Karl V Hakmiller
188 Hospital Dr |
$35.75 | 232 | 193 |
|
Megan B Dimoff
150 S Ingleside St Ste 6 |
$39.91 | 223 | 169 |
|
Eastern Shore Ear, Nose & Throat Clinic, Pc
8096 Twin Beech Rd Unit 102 |
$55.06 | 191 | 185 |
|
Megan E Missanelli
2 Medical Park |
$37.46 | 155 | 133 |
|
Trevor Malcolm Stubbs
341 Greeno Rd N |
$43.01 | 143 | 128 |
|
Tara Waters Mcdonald
300 Greeno Rd S |
$5.61 | 130 | 98 |
|
William E Goetter
3 Medical Park Drive |
$57.95 | 126 | 111 |
|
Raymond Rojas
411 N Section St |
$70.38 | 110 | 105 |
|
Mallory Mozley Nottenkamper
188 Hospital Dr Ste 202 |
$25.68 | 89 | 74 |
|
Katie Marie Neese
750 Morphy Ave |
$43.65 | 86 | 64 |
|
William F Sullivan
3 Medical Park Drive |
$20.94 | 82 | 69 |
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 Fairhope, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fairhope, AL is $58.48 per claim, based on 123,817 claims from 71 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 Fairhope, AL?
There are 71 Medicaid providers offering Office Visit related services in Fairhope, AL according to public payment data.
What is the price range for Office Visit in Fairhope, AL?
Medicaid reimbursement for Office Visit in Fairhope, AL ranges from $0.00 to $192.57 per claim, with an average of $58.48. 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 Fairhope, AL
Dental Cleaning & Exam
Avg $24.78
142,523 claims
Dental Filling
Avg $70.64
68,303 claims
Emergency Room Visit
Avg $74.00
55,397 claims
Vaccines & Immunizations
Avg $38.24
44,253 claims
Root Canal
Avg $122.78
25,439 claims
Eye Exam
Avg $35.76
20,316 claims
Blood Work & Lab Tests
Avg $7.98
20,196 claims
Psychiatric Evaluation
Avg $27.51
16,266 claims