Average Medicaid Office Visit Payments in Lexington, MS: $45.88
Avg. Paid
$45.88
Range
$0.00 – $122.06
Total Claims
65,098
Providers
27
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 Lexington, MS
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gerald Stinson Jr Od Llc
210 Court Sq |
$8.54 | 33 | 29 |
|
Melanie Eiland
17280 Highway 17 |
$97.41 | 43 | 39 |
|
Harsh Doshi
17280 Highway 17 South |
$72.04 | 67 | 48 |
|
Jocelyn Patrice Seawood
17280 Ms-17 |
$111.25 | 76 | 69 |
|
Ciera N Draine
Dr Arenia C Mallory Community Health Center |
$36.32 | 138 | 74 |
|
Keith I Stokes
239 Bowling Green Rd |
$99.65 | 172 | 131 |
|
Hometown Family Care, Llc
224 Court Sq |
$9.41 | 283 | 175 |
|
Durant Primary Care Clinic
22741 Bowling Green Rd |
$16.20 | 468 | 438 |
|
Frank A. Brown
239 Bowling Green Rd |
$74.04 | 704 | 586 |
|
Laura Lott Whittemore
110 Tchula St |
$96.07 | 707 | 673 |
|
Gerald W Stinson
210 Court Sq |
$26.30 | 1,011 | 943 |
|
Kimberly Mitchell Word
224 Court Sq |
$52.12 | 1,066 | 986 |
|
Greenwood Leflore Hospital
110 Tchula St |
$17.51 | 1,210 | 1,130 |
|
Jolynn M White
239 Bowling Green Rd |
$91.28 | 1,218 | 1,036 |
|
Clyde Rozell Chapman
17280 Highway 17 |
$122.06 | 1,311 | 1,172 |
|
Sarah Spencer Walker
110 Tchula St |
$73.15 | 1,482 | 1,309 |
|
Mallory Community Health
300 Yazoo Street |
$42.51 | 1,568 | 820 |
|
State Of Mississippi - University Of Mississippi Medical Center
239 Bowling Green Rd |
$23.61 | 1,723 | 1,161 |
|
Shelby Lipe
110 Tchula St |
$45.65 | 2,999 | 2,457 |
|
State Of Mississippi - University Of Mississippi Medical Center
239 Bowling Green Road |
$25.18 | 3,095 | 2,763 |
|
Kathryn Conner Carroll
17280 Highway 17 |
$101.73 | 3,413 | 2,754 |
|
Mallory Community Health
17280 Highway 17 South |
$21.35 | 3,592 | 2,633 |
|
Doris Plunkett Sanford
224 Court Sq |
$39.48 | 4,245 | 3,683 |
|
Elias Habib Abboud
22741 Highway 12 |
$56.45 | 4,976 | 4,418 |
|
Amy Chapman Johnson
239 Bowling Green Rd |
$111.29 | 6,286 | 5,875 |
|
Calvin Ramsey
21534 Highway 17 |
$43.31 | 10,142 | 8,729 |
|
Cynthia Ann Cross
Mallory Community Health Center |
$0.00 | 13,070 | 9,781 |
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 Lexington, MS?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lexington, MS is $45.88 per claim, based on 65,098 claims from 27 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 Lexington, MS?
There are 27 Medicaid providers offering Office Visit related services in Lexington, MS according to public payment data.
What is the price range for Office Visit in Lexington, MS?
Medicaid reimbursement for Office Visit in Lexington, MS ranges from $0.00 to $122.06 per claim, with an average of $45.88. 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 Lexington, MS
Blood Work & Lab Tests
Avg $5.51
66,973 claims
Emergency Room Visit
Avg $98.64
41,803 claims
Physical Therapy
Avg $17.09
29,311 claims
Prescription Medications
Avg $0.85
22,422 claims
Urinalysis & Urine Tests
Avg $3.26
19,110 claims
Eye Exam
Avg $51.57
13,369 claims
Dental Cleaning & Exam
Avg $30.32
12,815 claims
X-Ray
Avg $31.54
11,760 claims