Average Medicaid Office Visit Payments in Hoover, AL: $59.24
Avg. Paid
$59.24
Range
$0.00 – $107.15
Total Claims
99,219
Providers
64
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 Hoover, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
The Children'S Hospital Of Alabama
5295 Preserve Parkway |
$93.15 | 23,295 | 20,705 |
|
Amy E Mccollum
5295 Preserve Pkwy |
$68.07 | 9,460 | 8,963 |
|
Stephen Taylor Mcclanahan
5295 Preserve Pkwy Ste 100 |
$71.28 | 9,377 | 8,650 |
|
Tamara Ann Mason
3829 Lorna Rd Ste 328 |
$9.24 | 8,636 | 7,560 |
|
Candace Blount Harris
2949 John Hawkins Pkwy |
$64.79 | 4,736 | 4,164 |
|
Ramona Leigh Roach-Davis
774 Shades Mountain Plz |
$68.48 | 4,610 | 4,063 |
|
Ashley Renee Prichard
4517 Southlake Pkwy |
$18.78 | 3,933 | 2,665 |
|
Lee Mcphail Nail
1957 Hoover Ct |
$7.87 | 2,702 | 2,330 |
|
Abby Stone
5420 Highway 280 Ste 100 |
$43.59 | 2,597 | 2,249 |
|
Jeffery Davis Stone
5295 Preserve Parkway |
$64.58 | 2,449 | 2,216 |
|
Julia Mcmath Stewart
5295 Preserve Pkwy Ste 100 |
$72.33 | 2,445 | 2,272 |
|
Amber Nelson
5346 Stadium Trace Pkwy Ste 200 |
$35.93 | 2,321 | 1,328 |
|
Toren James Anderson
5295 Preserve Parkway |
$64.96 | 1,688 | 1,566 |
|
Michael G Gibson
4515 Southlake Pkwy Ste 200 |
$16.64 | 1,661 | 1,507 |
|
John Earl Reaves
1870 Chace Dr Ste 160 |
$45.22 | 1,599 | 1,320 |
|
Darby Patzius Hutcherson
1539 Montgomery Hwy Ste 101 |
$66.61 | 1,455 | 1,159 |
|
Caesar John Cortopassi
5295 Preserve Parkway |
$57.13 | 1,448 | 1,304 |
|
Madhav Devani
3635 Market St Ste A |
$28.56 | 1,242 | 703 |
|
Brian Paul Dudgeon
5295 Preserve Parkway |
$69.65 | 1,202 | 1,098 |
|
Marquisha Denise Moore Jarmon
430 Emery Dr Ste 200 |
$59.97 | 1,075 | 908 |
|
Daniel Thomas Carter
5295 Preserve Pkwy |
$64.53 | 1,070 | 963 |
|
Timothy Mark Ricketts
2010 Patton Chapel Rd |
$54.45 | 1,056 | 891 |
|
Natasha Denise Melton
774 Shades Mountain Plz |
$67.23 | 1,029 | 924 |
|
North Shelby Psychiatric Services, Inc.
2032 Valleydale Rd Ste D |
$36.48 | 861 | 816 |
|
Tom Welch
5608 Fairway Ct |
$0.00 | 801 | 578 |
|
Mohamed Hassan
5569 Grove Blvd |
$0.00 | 657 | 392 |
|
Travis J Buchanan
5295 Preserve Pkwy Ste 260 |
$19.84 | 518 | 409 |
|
Richard Lowell Grantier
4517 Southlake Pkwy |
$45.07 | 518 | 330 |
|
Thomas Wade Martin
2010 Patton Chapel Rd |
$7.10 | 491 | 457 |
|
John Shirk Kirchner
4517 Southlake Pkwy |
$13.79 | 476 | 257 |
|
Courtney L Hoeppner
5330 Stadium Trace Pkwy Ste 150 |
$52.52 | 294 | 268 |
|
Sumayah Abed
501 Emery Dr W |
$101.12 | 272 | 226 |
|
Jason Clint Swanner
2010 Patton Chapel Rd Ste 101 |
$19.35 | 272 | 133 |
|
Orthosports1St Pc
1031 Brocks Gap Pkwy Ste 185 |
$90.51 | 206 | 183 |
|
Alabama Game Changers
2111 Parkway Office Cir Ste 150 |
$106.13 | 189 | 168 |
|
Harveen Sodhi
5310 Medford Dr |
$63.31 | 176 | 156 |
|
Holly Jeanette Wimpee Gunn
2279 Valleydale Rd Ste 100 |
$37.46 | 168 | 131 |
|
Megan Daly Davis
5356 Stadium Trace Pkwy |
$27.74 | 162 | 127 |
|
Alex J Mcdonald
2949 John Hawkins Pkwy |
$67.98 | 161 | 145 |
|
Cahaba Dermatology & Skin Health Center, Llc
2279 Valleydale Rd Ste 100 |
$68.83 | 148 | 138 |
|
Philip Andrew Breiner
2321 Highway 150 |
$56.39 | 142 | 126 |
|
Nadia Baig Ali
2401 Chalybe Trl |
$95.86 | 136 | 128 |
|
Christopher Michael Bannon
2036 Patton Chapel Rd |
$72.32 | 128 | 122 |
|
Bryan Wimbish
1031 Brocks Gap Pkwy Ste 185 |
$40.39 | 128 | 66 |
|
Raj Vachhani
501 Emery Dr W |
$105.68 | 125 | 111 |
|
John Nick Petelos
5295 Preserve Parkway |
$83.86 | 111 | 106 |
|
Comprehensive Pediatrics And Internal Medicine, Llc
430 Emery Dr Ste 200 |
$0.00 | 101 | 39 |
|
Yaleshia Diann Taylor
2807 Greystone Commercial Blvd Ste 38 |
$19.43 | 98 | 69 |
|
Kelley Danielle Fry
1989 Montgomery Hwy |
$49.80 | 95 | 66 |
|
Gary Morgan Bullock
430 Emory Drive |
$50.62 | 94 | 80 |
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 Hoover, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hoover, AL is $59.24 per claim, based on 99,219 claims from 64 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 Hoover, AL?
There are 64 Medicaid providers offering Office Visit related services in Hoover, AL according to public payment data.
What is the price range for Office Visit in Hoover, AL?
Medicaid reimbursement for Office Visit in Hoover, AL ranges from $0.00 to $107.15 per claim, with an average of $59.24. 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 Hoover, AL
Dental Cleaning & Exam
Avg $24.23
151,848 claims
X-Ray
Avg $5.17
68,314 claims
Vaccines & Immunizations
Avg $53.41
47,378 claims
Blood Work & Lab Tests
Avg $6.14
37,910 claims
Emergency Room Visit
Avg $54.97
33,811 claims
Physical Therapy
Avg $28.50
32,710 claims
Eye Exam
Avg $34.37
30,548 claims
Nursing Facility Care
Avg $5.41
27,754 claims