Average Medicaid Office Visit Payments in Lithonia, GA: $61.15
Avg. Paid
$61.15
Range
$0.00 – $91.07
Total Claims
46,628
Providers
21
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 Lithonia, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Celine'S Family Service, Inc
6440 Old Hillandale Dr |
$66.98 | 12 | 12 |
|
Vicky Lenette Johnson
2491 Panola Rd |
$89.16 | 13 | 13 |
|
Carmen Echols
5910 Hillandale Dr |
$46.16 | 15 | 13 |
|
Candace Charysse White
2745 Dekalb Medical Pkwy Ste 110 |
$20.50 | 26 | 26 |
|
Coreyonna Durayne Whitehead
5700 Hillandale Dr Ste 290 |
$84.57 | 30 | 29 |
|
Mary Kathryn Nobles
5900 Hillandale Dr Ste 215 |
$27.25 | 37 | 37 |
|
Hedayah Scoon
11007 Stonecrest Trl |
$91.07 | 56 | 54 |
|
Kristi Nicole Kinsey Gotier
8225 Mall Pkwy |
$55.59 | 65 | 63 |
|
Takiyah Jamila Rowe
7944 Harmony Lakes Dr |
$0.00 | 73 | 55 |
|
Lawrence F Brack
5900 Hillandale Dr |
$37.83 | 103 | 95 |
|
Jeannie A Belay
5440 Hillandale Drive |
$55.66 | 107 | 98 |
|
Kes Inc
6615 Tribble St |
$66.10 | 127 | 114 |
|
Chineta Rena Eure-Miller
5440 Hillandale Drive |
$74.47 | 209 | 200 |
|
Horizon Urgent Care Llc
6000 Hillandale Dr |
$69.28 | 297 | 293 |
|
Nnenna Egbuna
7231 Rockbridge Rd |
$29.65 | 387 | 382 |
|
Latoya Britt
4573 Pamela Pl |
$11.35 | 445 | 357 |
|
Ellen Browne Mitchell
6000 Hillandale Dr Ste 130 |
$67.63 | 566 | 533 |
|
Penelope Marshall Mccown
5900 Hillandale Dr |
$8.47 | 1,313 | 1,064 |
|
Augustine H Conduah
8225 Mall Pkwy |
$45.43 | 1,572 | 1,422 |
|
Michael Cantrell
6857 Gangle Ct |
$11.70 | 2,884 | 2,491 |
|
Pascal George Crosley
2801 Dekalb Medical Parkway |
$68.17 | 38,291 | 29,833 |
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 Lithonia, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lithonia, GA is $61.15 per claim, based on 46,628 claims from 21 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 Lithonia, GA?
There are 21 Medicaid providers offering Office Visit related services in Lithonia, GA according to public payment data.
What is the price range for Office Visit in Lithonia, GA?
Medicaid reimbursement for Office Visit in Lithonia, GA ranges from $0.00 to $91.07 per claim, with an average of $61.15. 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 Lithonia, GA
Psychiatric Evaluation
Avg $84.86
6,791 claims
Podiatry (Foot Care)
Avg $5.33
3,077 claims
Blood Work & Lab Tests
Avg $2.33
2,429 claims
Eye Exam
Avg $21.34
1,413 claims
Behavioral & Mental Health Therapy
Avg $118.72
654 claims
Prescription Medications
Avg $0.75
527 claims
Substance Abuse Treatment
Avg $117.44
368 claims
Urinalysis & Urine Tests
Avg $0.91
190 claims