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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Hartselle, AL: $43.55

Avg. Paid

$43.55

Range

$0.00 – $76.86

Total Claims

37,514

Providers

28

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 Hartselle, AL

Provider Avg. Paid Claims Patients
Neil Cameron Yeager

1635 Highway 31 Nw Ste C

 $67.47 5,682 4,842
Lori Henry

220 Cedar St Nw

 $41.00 3,986 2,885
Sarah Elaine Styers

1006 Hill Street

 $39.54 3,601 2,906
Bhavna Gowda

301 Pine St Nw Ste B

 $45.27 3,446 2,938
Bharat Vakharia

617 College St Nw

 $14.59 3,204 2,778
Amit V Vora

301 Pine St Nw

 $22.69 2,986 2,663
Jeb Stuart Hornsby

214 Highway 31 Nw

 $51.52 2,663 2,060
Mary Virginia Halbrooks

1001 Hill St Sw

 $42.08 2,401 1,815
Jessica Owens Smith

214 Highway 31 Nw

 $45.75 1,868 1,354
Stephanie Nicole Brown

1635 Highway 31 Nw

 $69.97 1,422 1,346
Kenneth E Mashburn

1006 Hill St Sw

 $37.43 979 777
Susan Kathleen Copley

201 Pine St Nw

 $0.00 923 687
Community Urgent Care Of Hartselle, Inc.

1635 Highway 31 Nw

 $51.36 567 523
Hartselle Med-Peds

301 Pine St Nw

 $64.54 512 469
Lorie Janelle Jones

1635 Highway 31 Nw Ste C

 $50.91 470 437
Jay Thomas Pohl

615 Mynatt Street

 $22.69 458 360
Alan Bruce Walker

615 Mynatt Street

 $46.02 376 302
Lindsay Elizabeth Smith

1211 Hwy 31 Nw

 $30.68 373 303
Hailey R Heiderman

301 Pine St Nw Ste B

 $72.12 288 273
James Christopher Allen

1549 Highway 31 Nw

 $47.61 279 249
Shannon Lynn Lee

1549 Highway 31 Nw

 $67.52 246 231
Ashlee Mae Drake

615 Mynatt Street

 $29.25 214 161
Hartselle Family Medicine

615 Mynatt St

 $41.13 144 125
Jenna Anne Mcgee

1549 Highway 31 Nw

 $76.86 124 122
Haley Jordan Hazen

220 Cedar St Nw

 $59.92 108 105
Christy Darline Myrick

1635 Highway 31 Nw

 $42.55 104 86
Cedar Street Primary Care Inc.

220 Cedar St Nw

 $67.68 75 63
Anna Holland

615 Mynatt St Sw

 $44.99 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 Hartselle, AL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hartselle, AL is $43.55 per claim, based on 37,514 claims from 28 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 Hartselle, AL?

There are 28 Medicaid providers offering Office Visit related services in Hartselle, AL according to public payment data.

What is the price range for Office Visit in Hartselle, AL?

Medicaid reimbursement for Office Visit in Hartselle, AL ranges from $0.00 to $76.86 per claim, with an average of $43.55. 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 Hartselle, AL

Physical Therapy

Avg $49.80

37,831 claims

Eye Exam

Avg $33.47

15,077 claims

Dental Cleaning & Exam

Avg $22.31

10,579 claims

Speech Therapy

Avg $47.10

6,843 claims

Emergency Room Visit

Avg $33.07

5,831 claims

Nursing Facility Care

Avg $4.25

4,240 claims

Blood Work & Lab Tests

Avg $2.88

2,846 claims

Psychiatric Evaluation

Avg $34.14

2,644 claims