Average Medicaid Office Visit Payments in Fayette, AL: $52.23
Avg. Paid
$52.23
Range
$0.00 – $185.42
Total Claims
45,938
Providers
20
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 Fayette, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Charles W. Nolen, Jr., M.D., P.C.
1705 1St Way Nw |
$108.94 | 16 | 14 |
|
William L Lenahan
1716 Temple Ave N Ste 5 |
$7.90 | 31 | 27 |
|
Lauren Leigh Haley
110 23Rd St Nw |
$11.95 | 74 | 54 |
|
Nancy Aliza Claus
122 17Th Court Ne |
$47.26 | 149 | 127 |
|
Martha Jo Christian
1716 Temple Ave N |
$23.57 | 243 | 212 |
|
Jenna Clary Harkness
110 23Rd St Nw |
$0.00 | 366 | 299 |
|
Dana Suzette Norris
1653 Temple Ave N Ste 1 |
$15.42 | 491 | 407 |
|
Medcenter Fayette, Llc
122 17Th Ct Ne |
$55.14 | 492 | 439 |
|
Cortney Brown
1653 Temple Ave N Ste 1 |
$0.00 | 856 | 612 |
|
Dakota S Acton Jones
1653 Temple Ave N |
$32.23 | 1,177 | 846 |
|
Fmc Medical Clinic - Fayette Llc
1653 Temple Ave N Ste 1 |
$0.66 | 1,249 | 1,111 |
|
Janice L Hudson
1031 Temple Ave N |
$36.22 | 1,695 | 1,526 |
|
John E Morrison
1035 Temple Ave N |
$55.97 | 1,748 | 1,604 |
|
Fayette County Health Dept Fp Clinic
211 First Street, N.W. |
$185.42 | 1,890 | 1,673 |
|
Hillary Laine Gant
110 23Rd St Nw |
$46.23 | 3,266 | 2,839 |
|
Juliet Thornton
110 23Rd St Nw |
$49.46 | 4,048 | 3,366 |
|
Charles W Nolen
1705 1St Way Nw |
$57.41 | 5,410 | 4,564 |
|
Frederick Lee Yerby
1716 Temple Ave N |
$42.01 | 6,322 | 5,489 |
|
Garry W Magouirk
110 23Rd St Nw |
$54.60 | 7,191 | 5,824 |
|
Gregory P Stidham
110 23Rd St Nw |
$52.10 | 9,224 | 7,741 |
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 Fayette, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fayette, AL is $52.23 per claim, based on 45,938 claims from 20 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 Fayette, AL?
There are 20 Medicaid providers offering Office Visit related services in Fayette, AL according to public payment data.
What is the price range for Office Visit in Fayette, AL?
Medicaid reimbursement for Office Visit in Fayette, AL ranges from $0.00 to $185.42 per claim, with an average of $52.23. 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 Fayette, AL
Ambulance Transport
Avg $62.37
6,649 claims
Eye Exam
Avg $32.06
4,843 claims
Case Management Services
Avg $53.41
4,528 claims
Dental Cleaning & Exam
Avg $22.23
3,292 claims
Blood Work & Lab Tests
Avg $6.09
2,807 claims
Durable Medical Equipment (DME)
Avg $12.78
1,998 claims
Urinalysis & Urine Tests
Avg $0.94
1,961 claims
Nursing Facility Care
Avg $0.73
1,864 claims