Average Medicaid Office Visit Payments in Gardendale, AL: $47.12
Avg. Paid
$47.12
Range
$0.00 – $201.64
Total Claims
35,314
Providers
19
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 Gardendale, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Fadell N Savany
934 Grubbs Ave |
$43.66 | 20,211 | 15,693 |
|
Patricia Kay Harris
1127 Pecan Ave |
$60.13 | 6,271 | 5,272 |
|
Edward Austin Tucker
313 Fieldstown Rd |
$58.68 | 1,578 | 1,419 |
|
North Jefferson Pediatrics
934 Grubbs Ave |
$61.60 | 1,314 | 1,089 |
|
Ricky Brian Tubbs
2215 Decatur Hwy Ste 101 |
$4.38 | 1,052 | 927 |
|
Steven J King
2001 Fieldstown Road |
$38.11 | 925 | 704 |
|
Urgent Care Of Alabama Llc
210 Fieldstown Rd |
$53.36 | 878 | 684 |
|
Healthykids Of Gardendale
1127 Pecan Ave |
$81.24 | 854 | 790 |
|
Kristi Mckeever Lunceford
2215 Decatur Hwy Ste 101 |
$3.34 | 748 | 666 |
|
John Daniel Whaley
960 Rocket Way |
$60.64 | 533 | 499 |
|
Gardendale Pain And Wellness, Llc
2215 Decatur Hwy Ste 101 |
$0.00 | 290 | 268 |
|
Blake Alan Hand
2215 Decatur Hwy Ste 101 |
$63.54 | 188 | 164 |
|
Jennifer Wilson Drummonds
960 Mount Olive Rd |
$68.45 | 147 | 113 |
|
Ragan Overby
960 Mount Olive Parkway |
$37.65 | 107 | 106 |
|
Sandra Lee Bryan
1127 Pecan Ave |
$66.91 | 65 | 60 |
|
Michelle Blackburn Kalousek
960 Rocket Way |
$62.99 | 55 | 48 |
|
Ashley Jasmine Pauldin
919 Odum Rd |
$49.99 | 53 | 46 |
|
Hali Graham Mcdonald
2215 Decatur Hwy Ste 101 |
$0.00 | 28 | 27 |
|
James R Boogaerts
210 Fieldstown Rd Ste 124 |
$201.64 | 17 | 16 |
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 Gardendale, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gardendale, AL is $47.12 per claim, based on 35,314 claims from 19 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 Gardendale, AL?
There are 19 Medicaid providers offering Office Visit related services in Gardendale, AL according to public payment data.
What is the price range for Office Visit in Gardendale, AL?
Medicaid reimbursement for Office Visit in Gardendale, AL ranges from $0.00 to $201.64 per claim, with an average of $47.12. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Gardendale, AL
Nursing Facility Care
Avg $23.44
145,920 claims
Dental Cleaning & Exam
Avg $24.21
81,354 claims
Physical Therapy
Avg $23.98
30,774 claims
Eye Exam
Avg $30.70
9,503 claims
Dental Filling
Avg $72.94
7,872 claims
Vaccines & Immunizations
Avg $8.07
6,517 claims
Psychiatric Evaluation
Avg $7.06
4,860 claims
EKG / ECG (Electrocardiogram)
Avg $7.84
2,677 claims