Average Medicaid Office Visit Payments in Guntersville, AL: $34.81
Avg. Paid
$34.81
Range
$0.00 – $196.59
Total Claims
170,744
Providers
69
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 Guntersville, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Premier Family Care, Llc
2017 Obrig Ave |
$3.52 | 40,133 | 32,241 |
|
Vivian Nell Hannon
1241 Blount Ave |
$3.10 | 18,726 | 16,224 |
|
Lindsay Burns Miller
45 Medical Park Dr. Suite B |
$50.42 | 10,081 | 9,009 |
|
Don Edward Jones
45 Medical Park Dr Ste B |
$58.99 | 9,496 | 8,479 |
|
David Jeffery Chupp
45 Medical Park Dr. |
$60.52 | 7,742 | 6,972 |
|
Sarah Bailey Rhodes
45 Medical Park Dr |
$61.31 | 7,540 | 6,785 |
|
Marshall County Pediatrics, Pc
45 Medical Park Dr Ste B |
$63.30 | 7,077 | 6,200 |
|
David Clay Campbell
38 Rowe Dr |
$33.65 | 6,400 | 5,116 |
|
Jess H Youngblood
2017 Obrig Ave |
$0.11 | 5,193 | 4,597 |
|
Amber Nichole Bishop
45 Medical Park Dr |
$70.06 | 5,145 | 4,924 |
|
Alicia Pellegrino Ewing
45 Medical Park Dr |
$63.71 | 4,471 | 4,072 |
|
Marshall County Health Dept Fp Clinic
4200B Highway 79 |
$196.59 | 4,063 | 3,864 |
|
Stephen Brown Henderson
2308 Homer Clayton Dr |
$26.02 | 3,504 | 3,164 |
|
James Russell Hutcherson
2017 Obrig Ave |
$29.77 | 3,013 | 2,047 |
|
Alfred D Trotter
55 Rowe Dr. |
$45.53 | 2,593 | 2,280 |
|
Tara Desiree Lynd
45 Medical Park Dr. |
$80.52 | 2,388 | 2,208 |
|
James L. Masdon
55 Rowe Dr Ste B |
$46.92 | 2,279 | 2,008 |
|
Matthew Patrick Smith
7938 Al Highway 69 Ste 100 |
$19.13 | 2,264 | 1,639 |
|
Alaina Brooke Shockley
45 Medical Park Dr |
$38.26 | 2,065 | 1,531 |
|
Mary Frances Holley
2001 Gunter Ave |
$64.80 | 2,043 | 1,711 |
|
Rachel Lauren Pope
29 Medical Center Lane, Suite A |
$11.49 | 1,719 | 1,086 |
|
Corey A Cahill
55 Rowe Dr Ste B |
$51.45 | 1,679 | 1,573 |
|
North Marshall Pediatrics, P.C.
45 Medical Park Dr Ste B |
$64.13 | 1,624 | 1,429 |
|
Gerard A. Skaziak
1604 Blount Ave |
$6.82 | 1,623 | 1,351 |
|
Taylor Danielle Prince
2307 Homer Clayton Dr |
$35.91 | 1,564 | 1,314 |
|
Katie Giles
55 Rowe Dr Ste A |
$22.50 | 1,466 | 1,101 |
|
Christopher Leo Harman
1084 Heritage Dr |
$93.17 | 1,352 | 1,335 |
|
Zachary Davis Moore
7938 Al Highway 69 Ste 100 |
$44.75 | 1,129 | 916 |
|
Amelia Mccarrell Frazier
2307 Homer Clayton Dr |
$11.99 | 979 | 677 |
|
Vivian Nell Hannon
1241 Blount Avenue |
$0.00 | 917 | 827 |
|
Teresa Hunter
2001 Gunter Ave |
$32.24 | 875 | 613 |
|
Katherine Greer Kennedy
390 Gunter Ave |
$34.53 | 757 | 466 |
|
Brigett Payne
2307 Homer Clayton Dr |
$18.45 | 665 | 503 |
|
Randall K Stewart
8000 Al Highway 69 |
$0.00 | 629 | 549 |
|
Pamela Quinn
7633 Al Highway 69 |
$23.97 | 591 | 488 |
|
Julie Frick
55 Rowe Dr Ste A |
$30.17 | 578 | 495 |
|
Megan Elizabeth Zeien
7938 Al Highway 69 |
$12.25 | 570 | 480 |
|
Community Urgent Care Lakeside North
38 Rowe Dr |
$55.18 | 491 | 449 |
|
Donald C Martin
5903 Spring Cir |
$26.47 | 477 | 316 |
|
Christopher S Manganaris
55 Rowe Drive |
$33.66 | 437 | 348 |
|
Belinda King Herring
2409 Horner Clayton Dr |
$8.61 | 429 | 426 |
|
Hannah Hovey Brocato
2307 Homer Clayton Dr |
$30.68 | 384 | 278 |
|
Destiny Tucker
2017 Obrig Ave |
$40.91 | 383 | 263 |
|
Jeffrey M Saylor
2337 Homer Clayton Drive |
$8.72 | 315 | 291 |
|
Joshua Blake Wharton
2307 Homer Clayton Dr |
$18.09 | 314 | 228 |
|
Dustin John Grimmett
7633 Al Highway 69 |
$8.46 | 292 | 219 |
|
Lakeside North Family Medicine, Llc
38 Rowe Dr |
$69.36 | 256 | 231 |
|
Haley Virginia Gates
38 Rowe Dr |
$33.53 | 233 | 193 |
|
Emma Walker Black
3520 Warrenton Rd |
$12.60 | 218 | 201 |
|
Rachel Chandler
55 Rowe Dr Ste B |
$31.55 | 206 | 164 |
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 Guntersville, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Guntersville, AL is $34.81 per claim, based on 170,744 claims from 69 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 Guntersville, AL?
There are 69 Medicaid providers offering Office Visit related services in Guntersville, AL according to public payment data.
What is the price range for Office Visit in Guntersville, AL?
Medicaid reimbursement for Office Visit in Guntersville, AL ranges from $0.00 to $196.59 per claim, with an average of $34.81. 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 Guntersville, AL
Psychiatric Evaluation
Avg $91.26
109,934 claims
Behavioral & Mental Health Therapy
Avg $53.45
96,852 claims
Emergency Room Visit
Avg $46.40
93,722 claims
Case Management Services
Avg $95.11
55,513 claims
Blood Work & Lab Tests
Avg $9.11
45,548 claims
Vaccines & Immunizations
Avg $20.40
43,141 claims
Urinalysis & Urine Tests
Avg $3.52
42,211 claims
Substance Abuse Treatment
Avg $82.41
29,874 claims