Average Medicaid Office Visit Payments in Loganville, GA: $108.42
Avg. Paid
$108.42
Range
$13.90 – $437.78
Total Claims
11,167
Providers
17
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 Loganville, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kenyatta Merriweather
367 Athens Hwy Ste 1800 |
$32.79 | 3,040 | 2,870 |
|
Melissa Merrill Magill
297 Cooper Rd |
$75.23 | 2,296 | 2,085 |
|
Brandi Hartman Willard
4589 Lawrenceville Rd |
$437.78 | 1,730 | 1,582 |
|
Xala X Yang
4398 Atlanta Hwy |
$35.26 | 1,628 | 1,537 |
|
Suzette Sharlette Scott
151 Lake Valley Dr |
$45.07 | 606 | 563 |
|
Akhila Takkallapalli
101 Tara Commons Dr |
$67.12 | 533 | 486 |
|
Michael T Kissel
151 Lee Byrd Rd |
$13.90 | 369 | 331 |
|
Irene Ristic
902 Athens Hwy |
$43.78 | 204 | 195 |
|
Nilton D Medina
367 Athens Hwy Ste 100 |
$60.67 | 183 | 183 |
|
Elisha Jackson Poynter
106 Broad St Ste 300 |
$58.31 | 178 | 153 |
|
Yan Yu Chen
3869 Highway 81 |
$85.56 | 123 | 118 |
|
Saghar Navid
106 Broad St |
$21.92 | 79 | 67 |
|
Holly Lorraine Hubbard
4495 Atlanta Hwy |
$67.24 | 67 | 64 |
|
Julia Smith
2745 Loganville Hwy |
$41.92 | 46 | 43 |
|
Derica Nicole Sams
3925 Harrison Rd Ste 100 |
$79.95 | 43 | 43 |
|
Kendra Vanice Gamble-Webb
3869 Highway 81 |
$51.28 | 26 | 24 |
|
Natalie Brown Shumate
297 Cooper Rd |
$95.36 | 16 | 16 |
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 Loganville, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Loganville, GA is $108.42 per claim, based on 11,167 claims from 17 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 Loganville, GA?
There are 17 Medicaid providers offering Office Visit related services in Loganville, GA according to public payment data.
What is the price range for Office Visit in Loganville, GA?
Medicaid reimbursement for Office Visit in Loganville, GA ranges from $13.90 to $437.78 per claim, with an average of $108.42. 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 Loganville, GA
Speech Therapy
Avg $56.62
29,905 claims
Physical Therapy
Avg $81.97
15,062 claims
Nursing Facility Care
Avg $11.12
12,932 claims
Emergency Room Visit
Avg $68.71
8,985 claims
Psychiatric Evaluation
Avg $73.24
6,041 claims
Vaccines & Immunizations
Avg $13.63
3,385 claims
Blood Work & Lab Tests
Avg $2.32
826 claims
Dental Cleaning & Exam
Avg $4.52
661 claims