Average Medicaid Office Visit Payments in Fort Payne, AL: $16.20
Avg. Paid
$16.20
Range
$0.00 – $74.27
Total Claims
271,829
Providers
78
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 Fort Payne, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Fort Payne Pediatrics, Llc
1359 Old Water Works Rd Sw |
$7.40 | 74,799 | 66,756 |
|
Angela E Chaney
550 Medical Center Dr Sw |
$2.45 | 34,198 | 28,215 |
|
Fort Payne Rhc Corp
415 Medical Center Dr Sw |
$3.20 | 18,406 | 12,409 |
|
Austin Lively
1359 Old Water Works Rd Sw |
$0.01 | 12,618 | 11,660 |
|
Scott Bradley Argo
2202 Jordan Rd Sw Ste 300 |
$45.69 | 10,850 | 8,611 |
|
Robert Mike Story
550 Medical Center Dr Sw |
$5.38 | 9,764 | 8,564 |
|
Monique M. Sherrill
1202 Gault Ave N |
$30.37 | 8,964 | 7,149 |
|
Jason Anthony Ham
2202 Jordan Rd Sw Ste 300 |
$38.50 | 7,713 | 6,539 |
|
Peter Strogov
1359 Old Water Works Rd Sw |
$10.24 | 7,552 | 6,991 |
|
Frine T Roca
205 Grand Ave Nw |
$10.95 | 6,649 | 5,698 |
|
Bryan Rosa
1359 Old Water Works Rd Sw |
$0.00 | 5,341 | 4,986 |
|
Shannon Hilley
2605 Gault Ave N Ste 200 |
$39.84 | 5,013 | 3,976 |
|
Horizon Healthcare Llc
205 Grand Ave Nw Ste A |
$5.42 | 4,863 | 4,231 |
|
Shelly Smith Laney
2605 Gault Ave N Ste 200 |
$39.88 | 4,596 | 3,571 |
|
Sherrill Holdings, Inc
1202 Gault Ave N |
$11.39 | 4,467 | 3,724 |
|
Isbell Medical Group, P.C.
550 Medical Center Dr Sw |
$62.59 | 4,186 | 3,610 |
|
Cathy Annette Olinger
205 Grand Ave Nw |
$1.77 | 3,899 | 3,112 |
|
Kendra Davis Wright
1403 Old Water Works Rd Sw |
$33.97 | 3,375 | 3,032 |
|
Ghaith Ajamoughli
1040 Glenn Blvd Sw |
$52.19 | 3,326 | 2,809 |
|
Nekeshia Dawn Byrum
550 Medical Center Dr Sw |
$33.89 | 3,313 | 2,900 |
|
Kristopher Ross Weemes
550 Medical Center Dr Sw |
$49.22 | 3,265 | 2,593 |
|
Katie Elise Sewell
212 Airport Road W |
$42.21 | 3,117 | 2,911 |
|
Wael Al-Halaseh
306 Medical Center Dr Sw |
$36.67 | 2,926 | 2,661 |
|
Carmelo Cabalu Mendiola
2202 Jordan Road Sw |
$27.25 | 2,161 | 1,990 |
|
Andrew Hester
1411 Old Water Works Rd Sw |
$39.14 | 1,801 | 1,523 |
|
Sarah Elizabeth Devilbiss
1359 Old Water Works Rd Sw |
$4.94 | 1,629 | 1,514 |
|
Alexis Diane Mitchell
3840 Gault Ave N |
$0.00 | 1,469 | 808 |
|
Micah Miranda Hilyer
3840 Gault Ave N |
$0.00 | 1,436 | 1,081 |
|
Marja Lee Jones
1411 Old Water Works Rd Sw |
$36.67 | 1,357 | 941 |
|
Angela Aurora Cunningham
3840 Gault Ave N |
$15.89 | 1,178 | 791 |
|
Paula Henderson
1906 Glenn Blvd Sw Ste 100A |
$40.99 | 1,142 | 817 |
|
Luiz Juan
2605 Gault Ave N Ste 200 |
$62.42 | 1,019 | 825 |
|
Fort Payne Clinic Corp.
200 Medical Center Drive |
$47.54 | 1,001 | 806 |
|
Steven Alan Isbell
321 Medical Center Dr Sw |
$23.15 | 1,000 | 892 |
|
Yulanda Carol Elliott
3840 Gault Ave N |
$0.00 | 942 | 654 |
|
Michael Steven Digby
212 Airport Rd W |
$49.64 | 912 | 873 |
|
Deanna Jackson
2615 Gault Ave N |
$41.62 | 912 | 670 |
|
Kimberly Ann Cox
2114 Gault Ave N |
$25.45 | 902 | 714 |
|
John Blakely Isbell
550 Medical Center Dr Sw |
$41.66 | 712 | 572 |
|
Bart Onis Barber
1600 Gault Ave S |
$8.98 | 703 | 310 |
|
Thomas Leon Horton
421 Medical Center Dr Sw |
$74.27 | 604 | 504 |
|
Michael Ray Parker
900 Gault Ave S |
$66.04 | 558 | 447 |
|
Jeffrey Randall Cole
323 Medical Center Dr Sw |
$49.24 | 518 | 399 |
|
Haiyden Faith Stubblefield
212 Airport Rd W |
$43.86 | 518 | 461 |
|
Carey Joseph Nease
423 Medical Center Dr Sw |
$67.42 | 445 | 383 |
|
Patrick William Chargot
550 Medical Center Dr Sw |
$47.60 | 416 | 343 |
|
Kara Vanessa Carter
1359 Old Water Works Rd Sw |
$46.62 | 406 | 384 |
|
Karen Shelley
200 Medical Center Dr Sw |
$34.80 | 394 | 332 |
|
Steven J. Coulter
550 Medical Center Drive Sw |
$55.77 | 388 | 331 |
|
Katherine Lynne Hurtt
323 Medical Center Dr Sw |
$19.79 | 368 | 278 |
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 Fort Payne, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fort Payne, AL is $16.20 per claim, based on 271,829 claims from 78 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 Fort Payne, AL?
There are 78 Medicaid providers offering Office Visit related services in Fort Payne, AL according to public payment data.
What is the price range for Office Visit in Fort Payne, AL?
Medicaid reimbursement for Office Visit in Fort Payne, AL ranges from $0.00 to $74.27 per claim, with an average of $16.20. 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 Fort Payne, AL
Physical Therapy
Avg $54.74
106,562 claims
Vaccines & Immunizations
Avg $14.76
94,650 claims
Emergency Room Visit
Avg $53.88
57,898 claims
Blood Work & Lab Tests
Avg $6.60
46,650 claims
Speech Therapy
Avg $52.03
42,685 claims
Dental Cleaning & Exam
Avg $22.53
38,943 claims
Ambulance Transport
Avg $82.56
26,553 claims
Psychiatric Evaluation
Avg $54.23
22,385 claims