Average Medicaid Office Visit Payments in Madison, AL: $59.62
Avg. Paid
$59.62
Range
$0.00 – $967.65
Total Claims
168,475
Providers
105
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 Madison, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jitendra A Jain
102 Essex Ct |
$63.60 | 19,132 | 16,836 |
|
Christina Lynn Paasche
400 Sun Temple Dr |
$46.01 | 10,784 | 9,301 |
|
Nermein Mohamed Lotfy
708 Will Halsey Way Ste A |
$77.82 | 9,800 | 8,582 |
|
Cornerstone Pediatrics, P.C
701 Will Halsey Way |
$95.88 | 8,780 | 7,744 |
|
Verne H Webster
8045 Highway 72 W |
$26.00 | 7,873 | 5,426 |
|
Ellie Tsikalas
102 Essex Ct Ste A |
$52.58 | 6,869 | 6,292 |
|
Shivani Malhotra
12100 County Line Rd |
$92.33 | 6,845 | 6,118 |
|
Jacqueline Crespo-Gales
101 Westover Cir |
$69.51 | 4,956 | 4,368 |
|
Erin Elizabeth Percy
102 Essex Ct |
$53.93 | 4,591 | 3,923 |
|
Hannah Denton
8337 Hwy 72 W |
$51.35 | 4,429 | 3,528 |
|
Latoya Ann Solomon
9238 Madison Blvd Ste. 110 |
$87.42 | 4,310 | 3,775 |
|
Pediatric Associates Of Madison,Pc
21 Hughes Road |
$86.32 | 4,122 | 3,637 |
|
Brightstarts Pediatrics Pc
3776 Sullivan St |
$74.74 | 4,116 | 3,651 |
|
Kevin Scott Denny
701 Will Halsey Way |
$67.25 | 3,709 | 3,469 |
|
Shawn Seal
133 Heatherwood Dr |
$67.66 | 3,631 | 3,005 |
|
Integrated Behavioral Health, Inc.
600 Sun Temple Drive |
$62.50 | 3,293 | 3,194 |
|
William Craig Van Cleave
701 Will Halsey Way |
$74.55 | 3,289 | 3,010 |
|
Brittney Nicole White
119 Timbercove Cir Sw |
$51.03 | 3,110 | 2,808 |
|
Kristi Jo Krueger
226 Garden Brook Dr |
$7.88 | 3,097 | 2,102 |
|
Kimberly W Miller
701 Will Halsey Way |
$69.03 | 3,094 | 2,850 |
|
Jeffrey D Brassart
701 Will Halsey Way |
$67.34 | 2,557 | 2,399 |
|
Theodros Mengesha
8484 Wann Dr Nw Ste A |
$19.12 | 2,480 | 1,816 |
|
Tanya Jean Pike
400 Sun Temple Dr. |
$24.51 | 2,291 | 1,976 |
|
James Morgan Tucker
1041 Balch Rd Ste 250 |
$40.71 | 2,164 | 1,440 |
|
Amy Manners
701 Will Halsey Way |
$77.66 | 2,019 | 1,907 |
|
Stacey Davis Tatum
701 Will Halsey Way |
$73.19 | 1,813 | 1,676 |
|
Steven E Johnson
701 Will Halsey Way |
$73.44 | 1,809 | 1,690 |
|
Ammar Alrefai
708 Will Halsey Way Ste C |
$18.73 | 1,747 | 1,576 |
|
Afolabi Idowu
44 Hughes Rd Ste 2100 |
$54.91 | 1,614 | 1,450 |
|
Crh Umc Llc
7583 Wall Triana Hwy |
$69.86 | 1,460 | 1,373 |
|
Madison Valley Pediatrics
3809 Sullivan St |
$66.75 | 1,234 | 1,106 |
|
Melissa Aberg West
600 Sun Temple Dr |
$82.57 | 1,205 | 981 |
|
Leonard A Rose
600 Sun Temple Dr |
$15.77 | 1,162 | 444 |
|
Janet Mc Reynolds Lawley
701 Will Halsey Way |
$76.13 | 1,119 | 1,063 |
|
Tara L. F. Blasingame
131 W Dublin Dr |
$4.52 | 943 | 838 |
|
Satyabrata Chatterjee
12205 County Line Rd Ste D |
$31.78 | 934 | 781 |
|
Kelly Baugher
400 Sun Temple Dr |
$68.03 | 931 | 869 |
|
Patrick Carr
104 J E Briscoe Way |
$72.67 | 875 | 827 |
|
Jessica Anne Tysz
9000 Greenbrier Rd |
$25.49 | 874 | 443 |
|
Empower2, Llc.
101 Ivory Pl |
$71.45 | 870 | 744 |
|
Akram Ibrahiem Haggag
708 Will Halsey Way Ste A |
$36.59 | 863 | 705 |
|
Erin Olsen Pierce
8490 Highway 72 W Ste 100 |
$42.88 | 856 | 647 |
|
Alice T Mcduffee
701 Will Halsey Way |
$74.02 | 853 | 802 |
|
Harmony Rose
9238 Madison Blvd Ste 750 |
$36.57 | 805 | 667 |
|
Heidi Melissa Simpson
708 Will Halsey Way Ste A |
$56.72 | 771 | 470 |
|
Lauren Ross
350 Sun Temple Dr |
$11.11 | 747 | 562 |
|
Joseph M. Dai
44 Hughes Rd Ste 100 |
$56.20 | 733 | 687 |
|
Charles Lee Mccain
1041 Balch Rd Ste 250 |
$0.00 | 729 | 663 |
|
Valley Internal Medicine And Pediatrics
708 Will Halsey Way |
$77.66 | 644 | 582 |
|
Scott Bell
1600 Browns Ferry Rd |
$11.18 | 641 | 464 |
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 Madison, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Madison, AL is $59.62 per claim, based on 168,475 claims from 105 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 Madison, AL?
There are 105 Medicaid providers offering Office Visit related services in Madison, AL according to public payment data.
What is the price range for Office Visit in Madison, AL?
Medicaid reimbursement for Office Visit in Madison, AL ranges from $0.00 to $967.65 per claim, with an average of $59.62. 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 Madison, AL
Dental Cleaning & Exam
Avg $24.12
106,529 claims
Psychiatric Evaluation
Avg $21.91
70,524 claims
Emergency Room Visit
Avg $47.94
50,676 claims
Vaccines & Immunizations
Avg $26.10
48,698 claims
Nursing Facility Care
Avg $1.98
40,490 claims
Blood Work & Lab Tests
Avg $8.09
31,757 claims
Urinalysis & Urine Tests
Avg $2.79
25,536 claims
Eye Exam
Avg $30.01
18,155 claims