Based on public Medicaid payment data.

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
David W Purner 12205 County Line Rd	$11.33	12	12
William John Crain 708 Will Halsey Way Ste C	$68.90	13	13
Dianne L Hartwig 8371 Highway 72 West	$0.00	14	12
Lalleh Fatimeh-Adhami Vigo 8331 Madison Blvd Ste 100-F	$3.00	14	12
Stephanie Marie Kitchen 600 Sun Temple Dr	$16.71	15	13
Leelasri Vanguru 44 Hughes Rd Ste 2500	$112.93	15	15
Stephanie Faith Barnett 12205 County Line Rd Ste C	$0.00	15	13
Cynthia J Dill 21 Hughes Rd	$104.47	17	16
Roger Dale Stanmore 7583 Wall Triana Hwy	$68.61	19	15
Gwendolyn Eleanor Adams 101 Ivory Pl	$101.63	20	19
Joy M Kello 600 Sun Temple Dr	$0.00	25	12
Addiction & Mental Health Services, Llc 1600 Browns Ferry Road	$14.53	30	14
Rita Wiggins Branch 600 Sun Temple Dr	$0.00	33	22
Community Urgent Care Of Madison, Inc 30694 Highway 72	$49.62	37	37
Valerie Le 101 Westover Cir Ste C	$89.13	40	37
Valerie Levick Wright 1650 Slaughter Rd Ste A	$69.56	43	37
Zaunklay Finnila 540 Hughes Rd Ste 4	$37.02	61	51
Johnna Grimes 9238 Madison Blvd Ste 100	$13.46	61	52
Kelly Elise Calhoun Greer 600 Sun Temple Dr	$7.61	74	37
Marc Alan Hultquist 12205 County Line Rd Ste C	$967.65	86	69
Nemil Ashvin Shah 101 Ivory Pl	$86.54	94	80
Richard Hayward 1600 Browns Ferry Rd	$8.42	96	60
Schonna Maria Etheridge 7559 Highway 72 W	$27.91	97	92
Caswall C Harrigan 8045 Highway 72 W	$1.25	127	102
Haven Shaye Brolsma 101 Ivory Pl	$64.62	139	102
Mark T Purvis 1041 Balch Rd Ste 250	$0.00	145	127
North Alabama Family Psychiatry & Counseling 9238 Madison Blvd	$45.72	165	144
Tiffiney Oleyte 101 Ivory Pl	$177.37	165	152
Alabama Allergy & Asthma Care, Llc 101 Westover Cir	$0.00	183	142
Rachel Elizabeth Acuff 1041 Balch Rd Ste 250	$0.00	190	165
William Ray Stroud 3825 Sullivan Street	$0.00	195	165
Alysha Walker 1041 Balch Rd Ste 250	$22.31	203	117
Charles D. Coffey 12205 County Line Rd Ste B	$13.57	203	191
Shivanshu Shrivastava 600 Sun Temple Dr	$35.25	215	109
Shelly Harlow 8489 Madison Blvd	$73.74	220	206
Whitney E West 550 Sun Temple Dr	$21.93	231	176
Abigail Lynn Brock 8489 Madison Blvd	$53.56	245	228
Anika Wilson 9238 Madison Blvd Ste 750	$70.24	250	221
Valley Behavioral Services Inc 708 Will Halsey Way Ste C	$29.33	260	242
Adeel A Bodla 400 Sun Temple Dr	$42.73	268	210
Anne Elizabeth Bauer 102 Big Oak Cir	$28.43	289	263
Stephanie W Burton 7559 Highway 72 W	$66.41	299	251
Ndongo Likembi 8045 Highway 72 W	$34.82	301	261
Erin Whitley Lee 400 Sun Temple Dr	$79.87	304	288
Kathryn Anne Petersen 44 Hughes Rd Ste 2500	$10.27	322	86
Kerri C Abernathy 600 Sun Temple Dr	$38.25	377	307
Emily Defourneaux 44 Hughes Rd Ste 100	$44.28	394	385
Jennifer Jo Beatty 133 Heatherwood Dr	$24.68	420	352
Emily Nicole Elam 283 Dustin Ln Nw	$47.28	422	373
Bhavna Sharma 12205 County Line Rd Ste B	$21.44	441	340

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.

Average Medicaid Office Visit Payments in Madison, AL: $59.62

Providers Offering Office Visit in Madison, AL

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Madison, AL

Dental Cleaning & Exam

Psychiatric Evaluation

Emergency Room Visit

Vaccines & Immunizations

Nursing Facility Care

Blood Work & Lab Tests

Urinalysis & Urine Tests

Eye Exam