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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Monroe, GA: $68.24

Avg. Paid

$68.24

Range

$12.57 – $123.91

Total Claims

68,374

Providers

27

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 Monroe, GA

Provider Avg. Paid Claims Patients
Larry Paul Parworth

307 S Broad St

 $34.31 13 13
William Donovan Delp

1016 E Spring St

 $12.57 13 12
Princy George

2151 W Spring St

 $20.11 13 12
Lawrence Michael Bruner

1016 E Spring St

 $30.04 121 89
Tangel Smith

2161 W Spring St Ste A

 $71.20 127 117
Maribelle Verdiales

924 W Spring St

 $101.30 376 323
Luis Pluguez

2151 W Spring St Ste B140

 $69.98 391 349
Shayne R Squires

2151 W Spring St Ste B110

 $29.91 460 390
Heather Marie Goodwin Mancebo

2130 W Spring Street, Suite 300

 $123.91 517 511
Alicia S Whitley

1016 E Spring St

 $59.83 589 448
Rosemary Chickos

2151 W Spring St Ste B210

 $24.56 631 519
Sherry G. Shuman

2161 W Spring St Ste C

 $31.68 651 598
Sandra Harrison Haupt

705 Breedlove Dr Ste 800

 $41.51 677 610
Tiffany Welch

2161 W Spring St

 $35.62 680 613
Sarah Elizabeth Smith

2161 W Spring St

 $44.81 827 715
Angie Pagano

2161 W Spring St Ste A

 $70.20 1,033 949
Stephen Dale Bovenkerk

2151 W Spring St Ste B120

 $47.02 1,175 1,058
Cindy Gissel Laing

2161 W Spring St Ste A

 $61.22 1,246 1,131
Rebecca Redding

704 Breedlove Dr Ste B

 $115.00 1,471 1,314
Diondra Trenee' Burney Atoyebi

2161 W Spring St Ste A

 $58.16 2,493 2,232
Douglas Christian Miller

2151 W Spring St Ste B120

 $47.27 2,542 2,379
Shanon Renee Phillips

80 Parker Dr

 $74.09 2,634 2,494
Judith D Delima

333 Alcovy St

 $78.26 3,286 3,074
Medlink Georgia Inc

705 Breedlove Dr Ste 100

 $90.93 3,651 3,056
Joel R. Garrison

705 Breedlove Dr Ste 800

 $43.15 3,979 3,572
Gerald Pierre Jean

709 Breedlove Dr

 $51.26 4,232 4,001
Roger Leon Morales

333 Alcovy St

 $73.45 34,546 31,843

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 Monroe, GA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Monroe, GA is $68.24 per claim, based on 68,374 claims from 27 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 Monroe, GA?

There are 27 Medicaid providers offering Office Visit related services in Monroe, GA according to public payment data.

What is the price range for Office Visit in Monroe, GA?

Medicaid reimbursement for Office Visit in Monroe, GA ranges from $12.57 to $123.91 per claim, with an average of $68.24. 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 Monroe, GA

Vaccines & Immunizations

Avg $19.69

33,078 claims

Physical Therapy

Avg $8.18

30,310 claims

Emergency Room Visit

Avg $67.40

13,354 claims

Blood Work & Lab Tests

Avg $1.55

12,438 claims

Hearing Test (Audiometry)

Avg $12.91

3,873 claims

Psychiatric Evaluation

Avg $179.54

3,058 claims

Pulmonary Function Test

Avg $25.42

1,991 claims

EKG / ECG (Electrocardiogram)

Avg $5.57

1,261 claims