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 |
|---|---|---|---|
|
Jennifer Evans
770 Walnut St |
$23.69 | 12 | 12 |
|
Thomas L Terry
2064 Vineville Ave |
$36.02 | 13 | 12 |
|
Mark Lloyd Burson
330 Hospital Dr Ste 315 |
$50.35 | 13 | 12 |
|
Susan Meredith Debey
240 Sheraton Blvd |
$25.59 | 13 | 13 |
|
Harry S Strothers
3780 Eisenhower Pkwy |
$0.00 | 14 | 12 |
|
John Jahu Barnes
1062 Forsyth St |
$35.96 | 14 | 12 |
|
Trellis H. Baker
420 Lamar Rd N |
$13.00 | 15 | 14 |
|
Jessica Knight
840 Pine St |
$44.39 | 15 | 15 |
|
Dudley Benjamin Christie
840 Pine St Ste 750 |
$33.53 | 16 | 12 |
|
Marian Symmes Johnson
682 Hemlock St Ste 210 |
$16.64 | 16 | 14 |
|
Joanna M Ortega
770 Pine St Ste 360 |
$38.61 | 17 | 16 |
|
Kayla Sue Whitley
2076 Ingleside Ave |
$65.10 | 17 | 17 |
|
Kaitlin Brooke Harper
1550 College St |
$82.80 | 19 | 19 |
|
Franc Wallace
308 Coliseum Drive |
$7.08 | 19 | 17 |
|
Cheyenne Taylor
3330 Northside Dr Ste 200 |
$14.27 | 21 | 12 |
|
Alan N Gordon
840 Pine St |
$59.72 | 24 | 24 |
|
Christina Nicole Evans
446 Poplar St |
$29.97 | 25 | 25 |
|
Matthew Harrison Martell
840 Pine St Ste 500 |
$62.45 | 25 | 24 |
|
Mikell Brett Karsten
668 Oglethorpe St |
$4.02 | 26 | 16 |
|
William F Bina
1327 Stadium Dr |
$94.89 | 26 | 25 |
|
Stephanie Martin
540 Hemlock St |
$82.65 | 27 | 26 |
|
Sandhya Ramayya
3780 Eisenhower Pkwy |
$36.20 | 28 | 28 |
|
Jill D Walker
682 Hemlock St Ste 210 |
$7.64 | 31 | 26 |
|
Jacey Marie Coffey
639 Hemlock St |
$9.41 | 32 | 27 |
|
Community Health Care Systems, Inc
250 Martin Luther King Jr Blvd |
$79.06 | 33 | 32 |
|
Osama Bisher Atallah
380 Hospital Dr Ste 320 |
$19.64 | 33 | 24 |
|
Ravinder Reddy Valadri
6211 Thomaston Rd |
$0.00 | 35 | 33 |
|
Jessica Crowe Roberts
1062 Forsyth St |
$43.93 | 35 | 27 |
|
William B Schroder
575 1St St |
$17.33 | 35 | 24 |
|
Adam Norman Rhoades
640 Martin Luther King Jr Blvd |
$23.40 | 37 | 33 |
|
Merrill Sloan May
1062 Forsyth St Ste 2D |
$43.51 | 38 | 38 |
|
Madalina Ilioaia
1550 College St |
$17.67 | 43 | 42 |
|
Maryam Sedghi
3780 Eisenhower Pkwy |
$22.73 | 45 | 45 |
|
Patrick Demoss
770 Pine St Ste 520 |
$135.97 | 47 | 43 |
|
Clyde O. Green
841 Mulberry St |
$48.72 | 48 | 40 |
|
Oluwatosin J Ojo
3708 Northside Dr |
$35.91 | 50 | 44 |
|
Hailey Annalyn Stringer
116 Senora Pl |
$47.72 | 54 | 44 |
|
Mallory A. Booth
800 1St St Ste 410 |
$82.12 | 54 | 45 |
|
Paul Stephen Dale
800 1St St Ste 240 |
$15.09 | 54 | 41 |
|
Jamila Staples
888 Pine St |
$0.00 | 56 | 48 |
|
Shayan Greg Zafrani
777 Hemlock St |
$38.76 | 56 | 52 |
|
Ludwig V Cavaliere
640 Martin Luther King Jr Blvd |
$14.28 | 57 | 47 |
|
Marcus L Simmons
5569 Houston Rd |
$12.95 | 57 | 40 |
|
Arnold Michael Conforti
800 1St St Ste 240 |
$26.54 | 57 | 50 |
|
Robert Jack Parel
840 Pine St |
$60.85 | 58 | 54 |
|
Stephen Jenkins
639 Hemlock St Ste 100 |
$19.68 | 59 | 55 |
|
Jennifer M Bryant
639 Hemlock St |
$13.47 | 62 | 53 |
|
Rahul N Maheshwari
610 3Rd St Ste 100 |
$25.04 | 65 | 64 |
|
Sara Strebe Behrens
840 Pine St |
$29.27 | 72 | 65 |
|
Beth Scoggan Costolnick
550 Professional Dr |
$102.25 | 74 | 74 |
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