Average Medicaid Office Visit Payments in Montgomery, AL: $90.63
Avg. Paid
$90.63
Range
$0.00 – $2,019
Total Claims
1,110,267
Providers
519
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 Montgomery, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alabama Department Of Public Health Ehr Mu
201 Monroe St |
$28.67 | 82,112 | 78,277 |
|
Abdulsattar Zidan
1845 Cherry St |
$0.42 | 39,964 | 32,209 |
|
Mahmood A Zaied
1000 Adams Ave |
$0.00 | 30,278 | 26,892 |
|
Jenny Sarah Alexander
330 St. Lukes Drive |
$92.66 | 29,447 | 27,218 |
|
Alabama Department Of Rehabilitation Services
2129 E South Blvd |
$1,874 | 27,046 | 25,620 |
|
Jacob Anthony Vella
488 Saint Lukes Dr |
$36.43 | 25,180 | 19,639 |
|
Shawn D. Trask
8104 Seaton Pl |
$62.74 | 24,063 | 22,836 |
|
Elmer Dejesus Roque
337 St Lukes Dr |
$90.96 | 21,075 | 18,882 |
|
Partners In Pediatrics, Llc
8160 Seaton Pl |
$98.55 | 20,924 | 18,684 |
|
Montgomery Pediatric Assoc, P.A.
420 Cotton Gin Rd |
$22.40 | 20,295 | 16,924 |
|
Nicole M Sheffield
2895 Zelda Rd |
$55.81 | 16,927 | 15,090 |
|
Vanessa Brown
3060 Mobile Hwy |
$0.00 | 16,788 | 14,157 |
|
John Kevyn Otero
4241 Lomac St |
$50.15 | 13,869 | 11,716 |
|
Shabnam Guard
1845 Cherry St |
$0.00 | 12,165 | 8,658 |
|
Angela Lafaye Stallworth
4371 Narrow Lane Rd |
$62.97 | 12,027 | 10,555 |
|
Danielle Franklin Speight
8160 Seaton Pl |
$63.29 | 11,398 | 10,295 |
|
Montgomery County Health Dept Fp Clinic
3060 Mobile Hwy |
$216.24 | 11,015 | 10,148 |
|
Erik Paul Lessmann
4371 Narrow Lane Rd |
$60.99 | 10,855 | 7,631 |
|
Julius Nestor Sadiarin
3060 Mobile Hwy |
$0.00 | 10,659 | 9,357 |
|
Albert Z Holloway
2611 Woodley Park Dr |
$74.89 | 10,643 | 9,228 |
|
Elizabeth W Diebel
8160 Seaton Pl |
$72.99 | 10,564 | 9,634 |
|
Melissa Sadowski Mcnally
8160 Seaton Pl |
$60.54 | 10,287 | 9,249 |
|
Bernard Theotis Hale
2936 Marti Lane |
$38.60 | 10,275 | 7,459 |
|
Coretta E Pitters
1845 Cherry St |
$61.59 | 9,733 | 8,549 |
|
The Children'S Hospital Of Alabama
470 Taylor Road |
$102.82 | 9,618 | 8,661 |
|
Terry A Treadwell
2167 Normandie Dr |
$7.87 | 8,978 | 2,842 |
|
Leatha Barber Morgan
4825 Virginia Loop Rd |
$63.36 | 8,788 | 8,047 |
|
Bradley Phillip Katz
488 Saint Lukes Dr |
$24.69 | 8,698 | 6,992 |
|
Vikas Gupta
4371 Narrow Lane Rd |
$64.02 | 8,079 | 7,130 |
|
Lamenda N Blakeney
8160 Seaton Pl |
$66.98 | 8,044 | 7,349 |
|
James Wesley Rabon
420 Cotton Gin Rd |
$59.04 | 7,916 | 7,048 |
|
Jennifer Johnson
215 Winton M Blount Loop |
$0.65 | 7,906 | 6,933 |
|
Amin B. Gilani
233 Winton Blount Loop |
$35.60 | 7,772 | 5,284 |
|
Jamil Akhtar
1845 Cherry St |
$0.00 | 7,688 | 5,925 |
|
Rama Lakshmi Mukkamala
8160 Seaton Pl |
$69.26 | 7,676 | 7,005 |
|
Reva Cade
3039 Vaughn Road |
$63.68 | 7,600 | 6,242 |
|
Danica S Taylor
3058 Mobile Hwy |
$36.05 | 7,445 | 6,592 |
|
Susan A Brannon
8160 Seaton Pl |
$66.62 | 7,155 | 6,509 |
|
Casey Long
432 Saint Lukes Dr |
$29.14 | 7,106 | 6,360 |
|
Trupti Nadkar
4371 Narrow Lane Rd Ste 100 |
$58.82 | 7,083 | 6,171 |
|
J Allen Newton
2019 Normandie Dr |
$62.92 | 6,964 | 6,298 |
|
Catherine L Wood
8160 Seaton Pl |
$71.22 | 6,715 | 6,161 |
|
Shaneika Janay Shelton
8104 Seaton Pl |
$56.37 | 6,616 | 6,375 |
|
John Herbert Sumners
420 Cotton Gin Rd |
$64.39 | 6,570 | 5,894 |
|
Shawn Howard
445 Dexter Ave Ste 400 |
$76.76 | 6,555 | 4,687 |
|
Albert Eugene Lester
3091 Gaston Ave |
$41.29 | 6,261 | 5,903 |
|
Viplove Senadhi
1722 Pine St |
$44.55 | 6,121 | 3,519 |
|
David Phillp Herrick
2065 E South Blvd |
$23.84 | 6,114 | 4,885 |
|
Gerardo Sixto Gonzalez
239 Mitylene Park Dr |
$91.45 | 6,077 | 5,899 |
|
Cheryl G Fekete
470 Taylor Rd |
$71.48 | 6,012 | 5,305 |
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 Montgomery, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Montgomery, AL is $90.63 per claim, based on 1,110,267 claims from 519 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 Montgomery, AL?
There are 519 Medicaid providers offering Office Visit related services in Montgomery, AL according to public payment data.
What is the price range for Office Visit in Montgomery, AL?
Medicaid reimbursement for Office Visit in Montgomery, AL ranges from $0.00 to $2,019 per claim, with an average of $90.63. 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 Montgomery, AL
Case Management Services
Avg $50.35
3,554,330 claims
Home Health Visit
Avg $185.18
3,113,933 claims
Personal Care Services
Avg $31.48
2,769,775 claims
Blood Work & Lab Tests
Avg $14.18
711,060 claims
Dental Cleaning & Exam
Avg $22.41
518,844 claims
Emergency Room Visit
Avg $56.31
458,036 claims
Physical Therapy
Avg $34.56
443,809 claims
Behavioral & Mental Health Therapy
Avg $80.19
393,649 claims