Average Medicaid Office Visit Payments in Hamilton, AL: $25.81
Avg. Paid
$25.81
Range
$0.00 – $225.27
Total Claims
54,888
Providers
20
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 Hamilton, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mary Rose Santiago
1200 Military St S |
$0.00 | 17,124 | 11,466 |
|
Marion Regional Medical Center, Inc.
1336 Military St S |
$7.16 | 15,654 | 11,476 |
|
Marion County Health Dept-Hamilton Fp Clinic
2448 Military Street South |
$225.27 | 3,705 | 3,530 |
|
Charla Renae Watson
206 Bexar Ave E |
$29.09 | 3,289 | 3,005 |
|
Brent Edgeworth Boyett
2131 Military St S |
$31.48 | 3,162 | 2,323 |
|
Ashley N Ozbirn
400 Bexar Ave W |
$38.75 | 3,042 | 2,743 |
|
Cesar Romero
1336 Military St S |
$0.01 | 2,718 | 1,394 |
|
Leslie Smothers
1256 Military St S |
$26.51 | 1,828 | 1,497 |
|
Ouch Urgent Care Of Hamilton Llc
1195 Military St S |
$47.84 | 1,521 | 1,405 |
|
Courtney Renee Dubose
1500 Military St S Ste 11 |
$16.52 | 829 | 588 |
|
Ashton Wilbanks
1256 Military St S |
$0.00 | 625 | 298 |
|
Lisa Wanner
1256 Military St S |
$0.00 | 372 | 202 |
|
Britney B Sullins
1911 Military St S |
$0.00 | 314 | 280 |
|
James Vincent Richardson
1826 Bexar Ave E |
$26.98 | 286 | 152 |
|
Tanya Brasher
1195 Military St S |
$31.59 | 247 | 206 |
|
Divine Family Wellness, Llc
400 Bexar Ave W |
$69.36 | 81 | 69 |
|
Dorothy Ellen Stidham
1911 Military St S |
$13.73 | 43 | 42 |
|
Clayton Dale Cockrell
2131 Military St S |
$2.92 | 17 | 14 |
|
Stephanie F Oliver
400 Bexar Ave W |
$0.00 | 16 | 12 |
|
Raymond Wayne Cobb
1520 Military St S |
$24.29 | 15 | 13 |
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 Hamilton, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hamilton, AL is $25.81 per claim, based on 54,888 claims from 20 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 Hamilton, AL?
There are 20 Medicaid providers offering Office Visit related services in Hamilton, AL according to public payment data.
What is the price range for Office Visit in Hamilton, AL?
Medicaid reimbursement for Office Visit in Hamilton, AL ranges from $0.00 to $225.27 per claim, with an average of $25.81. 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 Hamilton, AL
Eye Exam
Avg $34.17
9,722 claims
Blood Work & Lab Tests
Avg $6.60
7,010 claims
Physical Therapy
Avg $11.94
5,779 claims
Vaccines & Immunizations
Avg $5.38
5,396 claims
Emergency Room Visit
Avg $34.20
4,247 claims
Case Management Services
Avg $56.15
2,663 claims
Nursing Facility Care
Avg $0.03
2,544 claims
Urinalysis & Urine Tests
Avg $2.39
2,505 claims