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 |
|---|---|---|---|
|
Rachel Carole George
38 Rowe Dr |
$64.53 | 14 | 13 |
|
Melinda K. Sutton
2409 Homer Clayton Drive |
$0.00 | 14 | 13 |
|
Hollie Lane Sims
38 Rowe Dr |
$52.66 | 16 | 16 |
|
Bethany Giudici Jessee
2017 Obrig Ave |
$24.78 | 21 | 20 |
|
Joel Christian Milligan
2337 Homer Clayton Dr |
$21.11 | 25 | 24 |
|
John Grimes
7938 Al Hwy 69 |
$18.39 | 27 | 27 |
|
Jonathan Douglas Matlock
8000 Al Highway 69 |
$0.00 | 29 | 28 |
|
Cheryl Ann Hubbard
38 Rowe Dr |
$59.43 | 38 | 37 |
|
Allison F Brewster
2017 Obrig Ave |
$27.96 | 39 | 36 |
|
Katie Theresa Elliott
1407 Blount Ave |
$60.50 | 42 | 42 |
|
Whitney Beth Gore
38 Rowe Dr |
$26.06 | 51 | 29 |
|
Jessica Wallace Howard
55 Rowe Dr |
$19.54 | 64 | 41 |
|
William Alex Nixon
2337 Homer Clayton Drive |
$7.52 | 84 | 38 |
|
Lakeside Clinic Llc
2337 Homer Clayton Drive |
$57.34 | 111 | 94 |
|
Laura Ann Davis
8000 Al Highway 69 |
$32.47 | 118 | 96 |
|
Cynthia Lyn Monk
1939 Patterson St |
$20.94 | 146 | 109 |
|
Ashley Nicole Lowden
1904 Gunter Ave |
$55.45 | 157 | 149 |
|
Stephen Lyle Britt
7938 Al Highway 69 Ste 120 |
$9.88 | 177 | 118 |
|
Stephanie Mashae Beaver
8000 Al Highway 69 |
$61.16 | 203 | 194 |
|
Rachel Chandler
55 Rowe Dr Ste B |
$31.55 | 206 | 164 |
|
Emma Walker Black
3520 Warrenton Rd |
$12.60 | 218 | 201 |
|
Haley Virginia Gates
38 Rowe Dr |
$33.53 | 233 | 193 |
|
Lakeside North Family Medicine, Llc
38 Rowe Dr |
$69.36 | 256 | 231 |
|
Dustin John Grimmett
7633 Al Highway 69 |
$8.46 | 292 | 219 |
|
Joshua Blake Wharton
2307 Homer Clayton Dr |
$18.09 | 314 | 228 |
|
Jeffrey M Saylor
2337 Homer Clayton Drive |
$8.72 | 315 | 291 |
|
Destiny Tucker
2017 Obrig Ave |
$40.91 | 383 | 263 |
|
Hannah Hovey Brocato
2307 Homer Clayton Dr |
$30.68 | 384 | 278 |
|
Belinda King Herring
2409 Horner Clayton Dr |
$8.61 | 429 | 426 |
|
Christopher S Manganaris
55 Rowe Drive |
$33.66 | 437 | 348 |
|
Donald C Martin
5903 Spring Cir |
$26.47 | 477 | 316 |
|
Community Urgent Care Lakeside North
38 Rowe Dr |
$55.18 | 491 | 449 |
|
Megan Elizabeth Zeien
7938 Al Highway 69 |
$12.25 | 570 | 480 |
|
Julie Frick
55 Rowe Dr Ste A |
$30.17 | 578 | 495 |
|
Pamela Quinn
7633 Al Highway 69 |
$23.97 | 591 | 488 |
|
Randall K Stewart
8000 Al Highway 69 |
$0.00 | 629 | 549 |
|
Brigett Payne
2307 Homer Clayton Dr |
$18.45 | 665 | 503 |
|
Katherine Greer Kennedy
390 Gunter Ave |
$34.53 | 757 | 466 |
|
Teresa Hunter
2001 Gunter Ave |
$32.24 | 875 | 613 |
|
Vivian Nell Hannon
1241 Blount Avenue |
$0.00 | 917 | 827 |
|
Amelia Mccarrell Frazier
2307 Homer Clayton Dr |
$11.99 | 979 | 677 |
|
Zachary Davis Moore
7938 Al Highway 69 Ste 100 |
$44.75 | 1,129 | 916 |
|
Christopher Leo Harman
1084 Heritage Dr |
$93.17 | 1,352 | 1,335 |
|
Katie Giles
55 Rowe Dr Ste A |
$22.50 | 1,466 | 1,101 |
|
Taylor Danielle Prince
2307 Homer Clayton Dr |
$35.91 | 1,564 | 1,314 |
|
Gerard A. Skaziak
1604 Blount Ave |
$6.82 | 1,623 | 1,351 |
|
North Marshall Pediatrics, P.C.
45 Medical Park Dr Ste B |
$64.13 | 1,624 | 1,429 |
|
Corey A Cahill
55 Rowe Dr Ste B |
$51.45 | 1,679 | 1,573 |
|
Rachel Lauren Pope
29 Medical Center Lane, Suite A |
$11.49 | 1,719 | 1,086 |
|
Mary Frances Holley
2001 Gunter Ave |
$64.80 | 2,043 | 1,711 |
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