Average Medicaid Office Visit Payments in Muscle Shoals, AL: $54.76
Avg. Paid
$54.76
Range
$0.00 – $98.31
Total Claims
114,670
Providers
50
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 Muscle Shoals, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tetiana Litvinchuk
716 State Street |
$84.97 | 10,869 | 9,426 |
|
Carrie Amanda Hill
2400 Avalon Ave |
$66.81 | 10,428 | 9,790 |
|
Katie Schlarp
716 State Street |
$67.56 | 10,348 | 9,231 |
|
Jessica Byrd
716 State St |
$70.46 | 10,039 | 8,691 |
|
Tonia M Long
1110 E 6Th St Ste D |
$34.06 | 8,866 | 7,442 |
|
Courtney Hood
2415B Avalon Ave |
$54.58 | 6,900 | 6,395 |
|
Roy Barco
102 Physicians Dr Ste A |
$69.89 | 5,681 | 5,075 |
|
Don E Heinkel
2410 Avalon Ave |
$44.12 | 5,427 | 4,983 |
|
Stephanie Weems
102 Physicians Dr Ste B |
$0.23 | 4,924 | 3,485 |
|
Kendra Leigh Flanagan
716 State St |
$74.50 | 4,233 | 3,678 |
|
Amy T Clark
203 Avalon Ave |
$44.75 | 4,031 | 3,163 |
|
Quad Cities Pediatrics, Llc
716 State St |
$78.01 | 3,776 | 3,045 |
|
Ahmad B Al-Hamda
203 Avalon Ave Ste 200 |
$34.39 | 3,494 | 3,116 |
|
Laura M Lindsey
2410 Avalon Ave |
$62.55 | 3,439 | 3,079 |
|
Timothy J Whalen
1800 Beverly Ave |
$17.96 | 2,129 | 1,172 |
|
Terry J. True
104A Physicians Dr |
$17.63 | 1,785 | 1,633 |
|
Rachel Starks Austin
203 Avalon Ave Ste 100 |
$51.46 | 1,552 | 1,447 |
|
Adam Dwight Isbell
2410 Avalon Ave |
$57.47 | 1,279 | 1,144 |
|
Kenneth E. Rose
2410 Avalon Ave |
$30.10 | 1,236 | 1,135 |
|
Elizabeth Boatwright Dobbs
600 Woodward Ave |
$46.41 | 1,028 | 878 |
|
Laura Geneva Gilmer
210 Avalon Ave |
$53.75 | 1,026 | 937 |
|
Lindsey Moore
2410 Avalon Ave |
$29.61 | 1,002 | 859 |
|
Loren E Mccoy
2410 Avalon Ave |
$31.16 | 975 | 841 |
|
Hemant K. Patel
101 Dr W H Blake Jr Dr |
$12.75 | 970 | 862 |
|
Tracey Louise Owen
2410 Avalon Ave Ofc |
$34.19 | 962 | 685 |
|
Jennifer Ann Rose
2410 Avalon Ave |
$55.81 | 914 | 679 |
|
Stacy Davis
503 W State St |
$33.27 | 882 | 612 |
|
Chasity Danielle Fortune
108 Avalon Ave |
$53.22 | 872 | 753 |
|
Jonathan D Parker
2410 Avalon Ave |
$20.51 | 684 | 605 |
|
Karl Tracy Hagler
101 Dr W H Blake Jr Dr |
$15.77 | 668 | 359 |
|
Viviam Frade Dante
102 Physicians Dr Ste A |
$65.57 | 571 | 539 |
|
Thaddeus Jason Boughton
1110 E 6Th Street Suite E |
$39.35 | 498 | 459 |
|
Zeke Nichols
14490 County Line Rd |
$8.71 | 423 | 399 |
|
Russell Riley Bien
1110 E 6Th St Ste D |
$29.05 | 418 | 384 |
|
Jordan K Weaver
101 Blake Ave |
$34.68 | 407 | 370 |
|
Sara Richardson Rickard
2410 Avalon Ave |
$57.17 | 391 | 345 |
|
Rohan Pareek
2410 Avalon Ave |
$98.31 | 371 | 336 |
|
Erica Diane Hogeland
203 Avalon Ave |
$29.22 | 367 | 219 |
|
Tabitha T Clemons
104A Physicians Dr |
$58.47 | 192 | 164 |
|
Elizabeth L Livingston
2410 Avalon Ave |
$54.98 | 124 | 118 |
|
Melissa Anne Aycock
104A Physicians Dr |
$32.64 | 110 | 95 |
|
Martina Renee Mitchell
108 Avalon Ave |
$18.26 | 97 | 86 |
|
Sean Robert Bachelor
102 Physicians Dr Ste A |
$11.27 | 69 | 22 |
|
Little River Pediatrics Inc
314 Woodward Ave Ste C |
$79.82 | 53 | 52 |
|
Bradley W. Wargo
203 Avalon Ave Ste 120 |
$50.16 | 45 | 42 |
|
Kristy Miles
108 Avalon Ave |
$20.75 | 31 | 31 |
|
Med-Plus Muscle Shoals Llc
108 Avalon Ave |
$41.63 | 29 | 25 |
|
Brian Anthony Davenport
2410 Avalon Ave |
$62.44 | 28 | 28 |
|
Avalon Medical Group
2410 Avalon Ave |
$0.00 | 14 | 13 |
|
Wesley Joseph Desselle
2411 Avalon Ave Ste C |
$22.10 | 13 | 12 |
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 Muscle Shoals, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Muscle Shoals, AL is $54.76 per claim, based on 114,670 claims from 50 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 Muscle Shoals, AL?
There are 50 Medicaid providers offering Office Visit related services in Muscle Shoals, AL according to public payment data.
What is the price range for Office Visit in Muscle Shoals, AL?
Medicaid reimbursement for Office Visit in Muscle Shoals, AL ranges from $0.00 to $98.31 per claim, with an average of $54.76. 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 Muscle Shoals, AL
Blood Work & Lab Tests
Avg $6.18
32,470 claims
Emergency Room Visit
Avg $44.07
16,540 claims
Nursing Facility Care
Avg $3.77
13,854 claims
Speech Therapy
Avg $49.23
12,556 claims
Psychiatric Evaluation
Avg $61.73
12,436 claims
Dental Cleaning & Exam
Avg $24.26
12,297 claims
X-Ray
Avg $3.06
8,311 claims
Vaccines & Immunizations
Avg $16.94
7,260 claims