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 |
|---|---|---|---|
|
Jeffrey Hall Thompson
317 Medical Center Dr Sw |
$3.37 | 12 | 12 |
|
Renew Family Dermatology Llc
212 Airport Road W |
$38.73 | 13 | 12 |
|
Brilee Johnson
212 Airport Road W |
$47.96 | 13 | 13 |
|
Janna Kay Culpepper
1359 Old Water Works Rd Sw |
$0.00 | 14 | 12 |
|
Daniel Martin Mince
415 Medical Center Dr Sw |
$0.00 | 18 | 12 |
|
Susan M Gibson
3840 Gault Ave N |
$0.00 | 26 | 25 |
|
Tony Arland White
590 Medical Center Dr Sw |
$66.74 | 30 | 28 |
|
Carolyn Fay Brewer Stiefel
205 Grand Ave Nw |
$0.00 | 31 | 30 |
|
Jeannie Leann Bain
1359 Old Water Works Rd Sw |
$16.15 | 49 | 46 |
|
Doctors Med Care Of Fort Payne, P.C.
1040 Glenn Blvd Sw |
$60.37 | 51 | 50 |
|
Frederico Yambao Fernandez
2804 Greenhill Blvd Nw |
$33.96 | 67 | 63 |
|
Stephanie K Griffin
323 Medical Center Dr. S.W. |
$29.83 | 83 | 66 |
|
Kaci White
1359 Old Water Works Rd Sw |
$51.59 | 98 | 80 |
|
April Leigh Mckissick
1906 Glenn Blvd Sw Ste 100-A |
$50.30 | 100 | 93 |
|
Brittany Clements
306 Medical Center Dr Sw |
$34.93 | 104 | 90 |
|
Eleanor Isbell Mathews
321 Medical Center Dr Sw |
$47.24 | 114 | 91 |
|
Laci Renae Robertson
212 Airport Road W |
$33.91 | 130 | 122 |
|
Thomas Dalsgaard Nielsen
415 Medical Center Dr Sw |
$0.75 | 135 | 89 |
|
Mary Rebecca Epps
1359 Old Water Works Rd Sw |
$46.85 | 182 | 136 |
|
Dekalb Specialty Care
200 Medical Center Dr Sw |
$47.27 | 217 | 185 |
|
Luz Jovita Crystal
2202 Jordan Road Sw |
$17.93 | 221 | 206 |
|
Tonya Leigh Moses
1906 Glenn Blvd Sw Ste 100A |
$40.15 | 227 | 194 |
|
Heather Noojin
613 Gault Ave S |
$49.55 | 267 | 226 |
|
Elizabeth Dianne Cole
3840 Gault Ave N |
$47.82 | 268 | 250 |
|
Asmitha Kathleen Sathiyakumar
1403 Old Water Works Rd Sw |
$64.06 | 282 | 272 |
|
Cassandra Digby
212 Airport Rd W |
$33.32 | 328 | 304 |
|
Anna Black Medley
2605 Gault Ave N Ste 200 |
$27.06 | 328 | 207 |
|
Robert C Raymond
2615 Gault Ave N |
$29.13 | 330 | 279 |
|
Katherine Lynne Hurtt
323 Medical Center Dr Sw |
$19.79 | 368 | 278 |
|
Steven J. Coulter
550 Medical Center Drive Sw |
$55.77 | 388 | 331 |
|
Karen Shelley
200 Medical Center Dr Sw |
$34.80 | 394 | 332 |
|
Kara Vanessa Carter
1359 Old Water Works Rd Sw |
$46.62 | 406 | 384 |
|
Patrick William Chargot
550 Medical Center Dr Sw |
$47.60 | 416 | 343 |
|
Carey Joseph Nease
423 Medical Center Dr Sw |
$67.42 | 445 | 383 |
|
Jeffrey Randall Cole
323 Medical Center Dr Sw |
$49.24 | 518 | 399 |
|
Haiyden Faith Stubblefield
212 Airport Rd W |
$43.86 | 518 | 461 |
|
Michael Ray Parker
900 Gault Ave S |
$66.04 | 558 | 447 |
|
Thomas Leon Horton
421 Medical Center Dr Sw |
$74.27 | 604 | 504 |
|
Bart Onis Barber
1600 Gault Ave S |
$8.98 | 703 | 310 |
|
John Blakely Isbell
550 Medical Center Dr Sw |
$41.66 | 712 | 572 |
|
Kimberly Ann Cox
2114 Gault Ave N |
$25.45 | 902 | 714 |
|
Deanna Jackson
2615 Gault Ave N |
$41.62 | 912 | 670 |
|
Michael Steven Digby
212 Airport Rd W |
$49.64 | 912 | 873 |
|
Yulanda Carol Elliott
3840 Gault Ave N |
$0.00 | 942 | 654 |
|
Steven Alan Isbell
321 Medical Center Dr Sw |
$23.15 | 1,000 | 892 |
|
Fort Payne Clinic Corp.
200 Medical Center Drive |
$47.54 | 1,001 | 806 |
|
Luiz Juan
2605 Gault Ave N Ste 200 |
$62.42 | 1,019 | 825 |
|
Paula Henderson
1906 Glenn Blvd Sw Ste 100A |
$40.99 | 1,142 | 817 |
|
Angela Aurora Cunningham
3840 Gault Ave N |
$15.89 | 1,178 | 791 |
|
Marja Lee Jones
1411 Old Water Works Rd Sw |
$36.67 | 1,357 | 941 |
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