Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Gadsden, AL: $56.92

Avg. Paid

$56.92

Range

$0.00 – $746.48

Total Claims

364,159

Providers

185

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 Gadsden, AL

Provider	Avg. Paid	Claims	Patients
George Michael Shehi 3001 Scenic Hwy	$93.11	12	12
Tammy H. Whorton 1026 Goodyear Ave Ste 200	$20.67	12	12
Thomas F Dowling 417B S 4Th St	$31.10	12	12
Emily Adams Thornberry 503 S 5Th St	$27.55	13	13
Doctors Med Care Of Gadsden, P.C. 3206 W Meighan Blvd	$71.04	13	13
Dale Railwah 1102 Goodyear Ave	$24.73	15	13
Edgar Tating Victoria 1411 Piedmont Cutoff	$0.00	16	13
George Bruce Head 1102 Goodyear Ave	$23.91	16	16
Dallas C Wilcox 307 E Meighan Blvd	$9.88	17	13
Quality Of Life Health Services, Inc 420 N 6Th St	$0.00	18	16
William Douglas Mullins 1026 Goodyear Ave Ste 302B	$13.68	19	14
Megan Moore 300 Medical Center Dr Ste 200	$50.17	19	14
Charles L Newman 419 S 5Th St	$9.50	21	14
Angela Walker 1026 Goodyear Ave Ste 201	$28.26	26	25
Johnny R Wilborn 100 Medical Center Dr	$10.61	26	13
Quality Of Life Health Services,Inc 1411 Piedmont Cutoff	$73.81	29	28
Sarah Lindsay Prophet Frederick 1026 Goodyear Ave Ste 302B	$32.23	30	25
Lori Rigby 1409 Springfield Ave	$0.00	31	14
Southeastern Psychiatric Management, Inc. 3001 Scenic Hwy	$1.52	32	32
Christopher Michael White 1007 Goodyear Ave	$17.24	34	28
Gadsden Regional Primary Care Llc 100 Medical Center Dr Ste 401	$55.54	35	31
Peter Ming Szeto 1102 Goodyear Ave	$14.49	39	38
Partners Medical Clinic Llc 431 South 5Th Street	$0.00	39	24
Roger S Buck 307 E Meighan Blvd	$1.60	42	42
Tabitha Saylor 713 Goodyear Ave	$17.93	43	42
Kathryn Peilen 600 S 3Rd St	$0.00	49	48
Sawan Sharad Jalnapurkar 1102 Goodyear Ave	$34.57	49	37
Angela Kay Davis 1102 Goodyear Ave	$42.30	50	37
Amber Jordan Samples 503 S 5Th St	$32.75	54	54
John Frances Pirani 713 Goodyear Ave	$11.46	58	41
Advanced Medicine And Pediatrics 705 S 3Rd St	$118.66	59	51
Tamala S. Sparks 1020 Tuscaloosa Ave	$12.24	60	54
Heather Breann Smith 1102 Goodyear Ave	$28.06	64	49
Etowah Ear Nose & Throat, Llc 1026 Goodyear Ave - Ste. 100B	$63.55	65	61
Lowell Grady Dooley 1007 Goodyear Ave	$0.00	66	57
Lewis Patterson Walker 1102 Goodyear Ave	$14.10	68	58
Adrianne Crane 2301 Rainbow Dr	$26.05	69	61
Gadsden Regional Physician Group Practice Llc 1007 Goodyear Ave	$54.87	74	63
Vipul Thakorbhai Amin 1026 Goodyear Ave Bldg 400	$99.74	78	76
Jed L Kaplan 900 Goodyear Ave	$19.89	79	67
Marian Suzanne Gilliland 1026 Goodyear Ave	$34.65	80	67
Terisa Ann Thomas 800 Goodyear Avenue	$1.62	81	24
Seth Gerard Spotnitz 100 Medical Center Dr	$32.49	99	98
Doctors Care Physicians Pc 307 E Meighan Blvd	$63.50	108	71
Ghanshyam Patel 808 South 4Th St.	$15.79	116	109
Jennifer Johnson Crowder 1102 Goodyear Ave	$21.44	122	81
Marilyn Kelleher 713 Goodyear Ave	$39.33	122	111
Bryan Wilson Mcgwier 1102 Goodyear Ave	$17.86	127	118
George Michael Shehi 3001 Scenic Hwy	$11.16	127	102
Hannah Alexis Slezak 705 Goodyear Ave	$49.47	145	105

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 Gadsden, AL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gadsden, AL is $56.92 per claim, based on 364,159 claims from 185 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 Gadsden, AL?

There are 185 Medicaid providers offering Office Visit related services in Gadsden, AL according to public payment data.

What is the price range for Office Visit in Gadsden, AL?

Medicaid reimbursement for Office Visit in Gadsden, AL ranges from $0.00 to $746.48 per claim, with an average of $56.92. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Gadsden, AL: $56.92

Providers Offering Office Visit in Gadsden, AL

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Gadsden, AL

Dental Cleaning & Exam

Psychiatric Evaluation

Blood Work & Lab Tests

Emergency Room Visit

Ambulance Transport

Vaccines & Immunizations

Urinalysis & Urine Tests

X-Ray