Average Medicaid Office Visit Payments in Monroeville, AL: $29.53
Avg. Paid
$29.53
Range
$0.00 – $216.69
Total Claims
43,974
Providers
19
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 Monroeville, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Monroe County Health Care Authority
16 Medical Center Dr |
$40.34 | 12 | 12 |
|
Monroe County Health Care Authority
2016 S Alabama Ave Ste C |
$54.67 | 220 | 203 |
|
Hannah Bowers
2016 S Alabama Ave |
$9.40 | 235 | 205 |
|
Albert R Boroughs
75 Highway 136 W |
$26.45 | 350 | 299 |
|
Sage B Smith
16 Medical Center Drive |
$59.65 | 374 | 344 |
|
Kiara Gildersleeve Johns
Po Box 612 |
$18.01 | 521 | 503 |
|
Pamala J. Gibbs
129 Whetstone St |
$13.19 | 553 | 455 |
|
Allison Gibson
1195 S Alabama Ave |
$67.86 | 586 | 539 |
|
Charles M Eddins
1772 S Alabama Ave |
$25.60 | 600 | 547 |
|
Irene Klopner
1195 S Alabama Ave |
$54.09 | 995 | 892 |
|
Peggy A Gibson
16 Medical Center Drive |
$47.87 | 1,439 | 1,309 |
|
Sallyanna Silveria
1195 S Alabama Ave |
$21.74 | 2,034 | 1,167 |
|
Monroe County Health Dept Fp Clinic
416 Agriculture Dr |
$216.69 | 2,722 | 2,579 |
|
Thomas W Broughton
1075 Drewry Rd Ste B |
$0.00 | 2,958 | 1,986 |
|
Caroline Phillips Rainey
16 Medical Center Dr |
$38.66 | 3,273 | 2,898 |
|
James R Norman
2016 S Alabama Ave Ste C |
$47.14 | 3,940 | 3,036 |
|
Monroe County Health Care Authority
2016 S Alabama Ave Ste C |
$3.29 | 4,966 | 4,534 |
|
Angela A Powell
1075 Drewry Rd |
$0.01 | 5,528 | 4,190 |
|
Practice-Monroeville Inc
1075 Drewry Rd |
$7.51 | 12,668 | 11,360 |
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 Monroeville, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Monroeville, AL is $29.53 per claim, based on 43,974 claims from 19 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 Monroeville, AL?
There are 19 Medicaid providers offering Office Visit related services in Monroeville, AL according to public payment data.
What is the price range for Office Visit in Monroeville, AL?
Medicaid reimbursement for Office Visit in Monroeville, AL ranges from $0.00 to $216.69 per claim, with an average of $29.53. 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 Monroeville, AL
Behavioral & Mental Health Therapy
Avg $37.98
85,229 claims
Psychiatric Evaluation
Avg $90.42
50,041 claims
Emergency Room Visit
Avg $59.37
44,630 claims
Case Management Services
Avg $59.71
41,470 claims
Non-Emergency Medical Transportation
Avg $17.15
19,423 claims
Blood Work & Lab Tests
Avg $5.25
18,233 claims
Vaccines & Immunizations
Avg $8.24
12,748 claims
Substance Abuse Treatment
Avg $64.82
11,924 claims