Average Medicaid Office Visit Payments in Gulf Shores, AL: $47.02
Avg. Paid
$47.02
Range
$0.00 – $1,004
Total Claims
27,536
Providers
16
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 Gulf Shores, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Foley Clinic Corp
101 E 15Th Ave |
$49.01 | 6,703 | 6,195 |
|
Rebecca Lee Branum Autrey
232 Office Park Dr |
$56.82 | 5,636 | 5,217 |
|
Tamara Tidwell Cerniglia
3849 Gulf Shores Pkwy Ste 9 |
$4.86 | 4,178 | 3,161 |
|
Gulf Shores Pediatrics Pc
232 Office Park Dr. |
$61.46 | 2,680 | 2,403 |
|
Amanda Wilson Bruns
232 Office Park Dr |
$59.58 | 2,301 | 2,133 |
|
Billy Franklin Morales
101 E 15Th Ave |
$0.33 | 2,281 | 1,756 |
|
Tina Graham Higgins
1140 Gulf Shores Parkway |
$74.02 | 1,460 | 1,147 |
|
Kathleen Cole Lovlie
232 Office Park Dr |
$93.87 | 1,432 | 1,310 |
|
Maggie Mae Wallace
200 Office Park Dr |
$80.17 | 501 | 407 |
|
Kiwana Trechelle Brooks
3501 Gulf Shores Pkwy |
$12.86 | 128 | 124 |
|
Alycia Marie Kapiotis
7293 Roscoe Rd |
$20.98 | 64 | 45 |
|
Douglas P Mcbride
1356 W Beach Blvd |
$56.81 | 60 | 54 |
|
Lisa Renee Dickey
101 E 15Th Ave |
$0.00 | 46 | 45 |
|
Richard Craig Brown
1140 Gulf Shores Parkway |
$61.80 | 31 | 27 |
|
Lisa Ellen Field
200 Office Park Dr |
$1,004 | 19 | 19 |
|
Laurie Barton
101 E 15Th Ave |
$808.12 | 16 | 15 |
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 Gulf Shores, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gulf Shores, AL is $47.02 per claim, based on 27,536 claims from 16 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 Gulf Shores, AL?
There are 16 Medicaid providers offering Office Visit related services in Gulf Shores, AL according to public payment data.
What is the price range for Office Visit in Gulf Shores, AL?
Medicaid reimbursement for Office Visit in Gulf Shores, AL ranges from $0.00 to $1,004 per claim, with an average of $47.02. 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 Gulf Shores, AL
Physical Therapy
Avg $43.51
16,478 claims
Dental Cleaning & Exam
Avg $24.34
9,840 claims
Emergency Room Visit
Avg $109.44
4,584 claims
Vaccines & Immunizations
Avg $24.84
2,462 claims
Speech Therapy
Avg $51.87
2,286 claims
Nursing Facility Care
Avg $3.86
2,186 claims
Hearing Test (Audiometry)
Avg $7.39
1,972 claims
Urinalysis & Urine Tests
Avg $2.41
1,801 claims