Average Medicaid Office Visit Payments in Madison, MS: $45.34
Avg. Paid
$45.34
Range
$0.00 – $150.14
Total Claims
61,239
Providers
69
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, MS
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dana Roberts
2173 Main St |
$39.73 | 13 | 12 |
|
Hunter Vaughn
203 Calhoun Station Parkway |
$114.93 | 14 | 14 |
|
Joe W Terry
935 Highway 51 |
$21.53 | 15 | 13 |
|
Lewis Dubard Johnston
2173 Main St |
$61.60 | 15 | 13 |
|
Ashley Burleson Pullen
2173 Main St |
$35.04 | 17 | 12 |
|
Mohammad Reza Parsa
980 Highway 51 |
$77.22 | 17 | 13 |
|
Natalie Ethridge Rudsenske
7730 Old Canton Rd Bldg B |
$123.24 | 25 | 25 |
|
St. Dominic Medical Associates, Llc
106 Highland Way Ste 208 |
$33.59 | 32 | 25 |
|
Larry W Sivils
935 Highway 51 |
$65.90 | 39 | 37 |
|
Nathan Dale Johnson
401 Baptist Dr Ste 301 |
$16.20 | 42 | 37 |
|
Sara Porter
401 Baptist Dr Ste 301 |
$138.01 | 58 | 57 |
|
Mary Hamilton Harkins
1082 Gluckstadt Rd |
$0.00 | 70 | 51 |
|
Brian Scott Torrey
106 Highland Way |
$33.18 | 70 | 65 |
|
Allison Rene Ellzey
401 Baptist Dr Ste 301 |
$150.14 | 72 | 66 |
|
James Kevin Bridges
920 Ebenezer Blvd Ste A |
$23.95 | 72 | 49 |
|
Clifton Story
106 Highland Way Ste 103 |
$69.40 | 75 | 70 |
|
Lauren Mize
101 Avery Ct |
$44.24 | 87 | 86 |
|
Madina C Dixon
111 Colony Crossing Way Ste 250 |
$11.48 | 104 | 64 |
|
Jennifer Y Hollingsworth
110 Bremen Way |
$34.42 | 105 | 92 |
|
Bobby E Proctor
286 Calhoun Station Parkway |
$48.42 | 121 | 102 |
|
Jeremy S. Taylor
804 Highway 51 |
$15.60 | 121 | 85 |
|
Sana L Bhatti
7730 Old Canton Rd Bldg A |
$83.35 | 128 | 118 |
|
David Green
102 Lexington Drive |
$48.99 | 140 | 116 |
|
Dean E Whitley
794 Highway 51 |
$27.02 | 141 | 136 |
|
Jerad Robinson
129 Fountains Blvd |
$16.90 | 179 | 165 |
|
Kimberly F Davis
120 Fountains Blvd |
$79.86 | 187 | 128 |
|
Jeremy David Hudson
203 Calhoun Station Pkwy |
$98.11 | 193 | 190 |
|
Mary Kamryn Brewer
2173 Main St |
$45.07 | 231 | 209 |
|
Morgan Ariel Doty Moody
102 Lexington Dr Ste 100 |
$36.13 | 237 | 196 |
|
Lauren Egger Williamson
106 Highland Way Ste 200 |
$40.35 | 242 | 222 |
|
Saima Hanif
7730 Old Canton Rd Bldg A |
$93.75 | 283 | 279 |
|
Quad Intermed Company Llc
935 Highway 51 |
$43.15 | 292 | 230 |
|
Catherine Elizabeth Clingan
129 Fountains Blvd Ste 201 |
$45.78 | 345 | 331 |
|
Lindsey Lea Clarke
401 Baptist Dr Ste 104 |
$17.99 | 372 | 342 |
|
Meghan Page Poole
286 Calhoun Station Pkwy |
$59.81 | 405 | 355 |
|
Cris Anna Parker
102 Lexington Dr Ste 100 |
$16.54 | 418 | 381 |
|
James Adam Smitherman
401 Baptist Dr Ste 301 |
$41.48 | 424 | 363 |
|
Timothy Chin-Yu Chen
401 Baptist Dr |
$53.91 | 443 | 371 |
|
Jessica C Sinclair
102 Lexington Dr Ste 100 |
$66.44 | 467 | 429 |
|
Varun Sreenivasan
7730 Old Canton Rd Bldg A |
$68.34 | 472 | 357 |
|
Brittany Davis Hart
129 Fountains Blvd |
$24.93 | 482 | 412 |
|
Joseph Brooks Montgomery
401 Baptist Dr Ste 104 |
$26.18 | 519 | 429 |
|
Amy Potter
7730 Old Canton Rd Bldg A |
$94.04 | 537 | 517 |
|
Nina T Washington
401 Baptist Dr Ste 301 |
$86.46 | 604 | 537 |
|
Patricia Honea Stewart
7730 Old Canton Rd Bldg B |
$68.34 | 711 | 660 |
|
Kellie J Watkins
129 Fountains Blvd |
$6.52 | 807 | 633 |
|
Kelli Conwill Cranford
401 Baptist Dr Ste 401 |
$37.32 | 833 | 810 |
|
Amy Williams Easley
106 Highland Way |
$55.91 | 841 | 735 |
|
Vettaikorumakankav V Vedanarayanan
401 Baptist Dr Ste 301 |
$44.19 | 887 | 763 |
|
Tyler Wayne Winford
401 Baptist Dr Ste 206 |
$51.73 | 903 | 804 |
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, MS?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Madison, MS is $45.34 per claim, based on 61,239 claims from 69 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, MS?
There are 69 Medicaid providers offering Office Visit related services in Madison, MS according to public payment data.
What is the price range for Office Visit in Madison, MS?
Medicaid reimbursement for Office Visit in Madison, MS ranges from $0.00 to $150.14 per claim, with an average of $45.34. 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, MS
Dental Cleaning & Exam
Avg $29.14
84,241 claims
Physical Therapy
Avg $35.76
47,769 claims
Nursing Facility Care
Avg $26.23
35,956 claims
Blood Work & Lab Tests
Avg $3.06
22,751 claims
Speech Therapy
Avg $52.91
22,023 claims
Tooth Extraction
Avg $118.70
18,099 claims
Dental Filling
Avg $80.34
15,652 claims
Eye Exam
Avg $35.35
14,546 claims