Average Medicaid Office Visit Payments in Macon, GA: $56.72
Avg. Paid
$56.72
Range
$0.00 – $648.32
Total Claims
559,143
Providers
261
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 Macon, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jason Smith
550 Professional Dr |
$69.88 | 25,932 | 23,643 |
|
Christopher Jackson Cawley
550 Professional Dr |
$66.71 | 25,099 | 23,188 |
|
Stanley Seth Bush
1508B Hardeman Ave |
$67.90 | 23,518 | 20,536 |
|
Gabriella Kacsoh
550 Professional Dr |
$64.82 | 22,474 | 21,156 |
|
Lance E Slade
550 Professional Dr |
$66.99 | 21,709 | 20,036 |
|
Raymond Edward Betcher
770 Pine St Ste 360 |
$44.55 | 18,029 | 15,582 |
|
Joseph Martin Trasmonte
840 Pine St |
$69.50 | 17,630 | 17,008 |
|
Lindsay Shea Kinnebrew
550 Professional Dr |
$69.57 | 17,062 | 15,076 |
|
Jessica Tatum Ford
550 Professional Dr |
$65.04 | 14,201 | 13,029 |
|
Stephen N. Tafor
101 Preston Ct |
$3.12 | 13,896 | 10,837 |
|
Dana Lindsey Mayo
550 Professional Dr |
$63.13 | 13,429 | 11,689 |
|
Jill Mullins Waters
550 Professional Dr |
$63.96 | 12,231 | 11,292 |
|
Noel Raymund Israel
1062 Forsyth St Ste 2E |
$79.97 | 11,175 | 10,403 |
|
Rhonda Coker
777 Hemlock St |
$66.55 | 10,441 | 9,977 |
|
Peter Edward Allotey
5398 Thomaston Rd |
$38.43 | 9,520 | 7,917 |
|
Christy Renee Peterson
744 1St St |
$47.86 | 9,441 | 8,842 |
|
Lyra O Ratmeyer
550 Professional Dr |
$74.98 | 9,265 | 8,806 |
|
Sandeep Datta
101 Preston Ct |
$2.13 | 9,257 | 7,934 |
|
Obioha Louis Okoro
844 2Nd St |
$64.60 | 7,550 | 7,251 |
|
Donna Payne
550 Professional Dr |
$64.32 | 6,472 | 6,074 |
|
Domonique Charles
744 1St St |
$37.63 | 5,844 | 5,547 |
|
Robert Ford
550 Professional Dr |
$62.84 | 5,792 | 5,301 |
|
Yameika A Head
744 1St St |
$45.65 | 5,302 | 5,038 |
|
Heather Miranda Dykes
840 Pine St Ste 990 |
$39.50 | 5,291 | 4,072 |
|
Stephanie Anne Wilcox
550 Professional Dr |
$61.52 | 5,126 | 4,937 |
|
Charles D Gomez
840 Pine St |
$56.71 | 4,953 | 4,648 |
|
Macon-Bibb County Health Department
1600 Forsyth St |
$23.48 | 4,935 | 4,535 |
|
Linda K Hendricks
800 1St St |
$14.99 | 4,876 | 3,443 |
|
Harry Francis Moore
800 First Street, Suite 410 |
$12.04 | 4,574 | 3,223 |
|
Timothy Longaker
777 Hemlock St |
$54.97 | 4,561 | 4,465 |
|
Brian M Cardis
1062 Forsyth St |
$106.73 | 4,503 | 4,319 |
|
Emily Edwards
744 1St St |
$37.09 | 4,463 | 4,150 |
|
Wesley Lane Blackwood
1062 Forsyth St |
$107.86 | 4,458 | 4,340 |
|
April Nicole Colley
1014 Forsyth Street |
$49.11 | 4,366 | 4,129 |
|
Joni Reba Dixon-Milner
550 Professional Dr |
$59.30 | 4,310 | 4,068 |
|
Julia Elizabeth Yawn
550 Professional Dr |
$62.92 | 4,257 | 4,141 |
|
Bradley T Sumrall
800 1St St Ste 410 |
$15.73 | 4,251 | 2,974 |
|
Christine Harrell
1062 Forsyth St Ste 2E |
$53.40 | 4,181 | 3,678 |
|
Sushmita Nair
770 Pine St |
$68.00 | 4,089 | 3,243 |
|
Vishwas S Sakhalkar
770 Pine St Ste 520 |
$101.02 | 3,922 | 2,709 |
|
Brandee Laine Obenauf
840 Pine St Ste 510 |
$58.23 | 3,775 | 3,558 |
|
Tawanda Nacole Whidby
1544 Bass Rd |
$30.43 | 3,752 | 3,401 |
|
Kyle Stapleton Adams
1550 College St |
$10.46 | 3,618 | 998 |
|
Jennifer C Achebe
3780 Eisenhower Pkwy |
$76.59 | 3,588 | 3,539 |
|
Christopher Ryan Lutz
3708 Northside Dr |
$36.24 | 3,383 | 2,771 |
|
Amy Wood
550 Professional Dr |
$51.40 | 3,283 | 3,092 |
|
Edward K Clark
744 1St St |
$44.94 | 3,268 | 3,129 |
|
Taylor Abernathy
888 Pine St |
$43.62 | 3,267 | 2,934 |
|
Fred Girton
3780 Eisenhower Pkwy |
$72.23 | 3,263 | 2,906 |
|
Tarek Bisat
1062 Forsyth St Ste 210 |
$103.53 | 3,135 | 3,038 |
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 Macon, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Macon, GA is $56.72 per claim, based on 559,143 claims from 261 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 Macon, GA?
There are 261 Medicaid providers offering Office Visit related services in Macon, GA according to public payment data.
What is the price range for Office Visit in Macon, GA?
Medicaid reimbursement for Office Visit in Macon, GA ranges from $0.00 to $648.32 per claim, with an average of $56.72. 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 Macon, GA
Vaccines & Immunizations
Avg $18.68
229,978 claims
Home Health Visit
Avg $64.71
142,257 claims
Emergency Room Visit
Avg $79.62
120,832 claims
Blood Work & Lab Tests
Avg $4.98
107,587 claims
EKG / ECG (Electrocardiogram)
Avg $7.71
87,448 claims
Dental Cleaning & Exam
Avg $28.86
48,663 claims
X-Ray
Avg $6.57
41,340 claims
Physical Therapy
Avg $46.75
26,283 claims