Average Medicaid Office Visit Payments in Newton, MS: $83.53
Avg. Paid
$83.53
Range
$14.19 – $138.05
Total Claims
57,132
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 Newton, MS
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mohammad Sohaib Arain
208 S Main St |
$123.51 | 15,874 | 14,415 |
|
Independent Healthcare Management, Inc.
9427 Eastside Drive Ext |
$18.74 | 8,415 | 6,740 |
|
Elizabeth Pitts
9421 Eastside Drive Ext |
$97.14 | 5,842 | 4,768 |
|
Samuel Oluwasye Olaleye
191 Northside Dr |
$46.62 | 5,817 | 4,449 |
|
Sallye Ann Miley
9431 Eastside Drive Ext Ste E |
$103.48 | 4,857 | 4,235 |
|
Meagan Nicole Mcmahan Chaney
9421 Eastside Drive Ext |
$98.29 | 4,308 | 3,497 |
|
Keisha L Oliphant
9421 Eastside Drive Ext |
$77.48 | 4,044 | 2,873 |
|
East Central Mississippi Health Care, Inc.
9431 Eastside Drive Ext |
$56.53 | 3,726 | 2,916 |
|
Madison Windham
9427 Eastside Drive Ext Ste A |
$138.05 | 1,249 | 1,177 |
|
Abby Nicole Novak
296 Eastside Dr |
$76.51 | 802 | 760 |
|
Wendy D Gressett
9431 Eastside Drive Ext Ste B |
$39.33 | 445 | 398 |
|
Brelan Mikal Gardner
296 Eastside Dr |
$107.67 | 386 | 376 |
|
Rhonda P. Davis
109 School Street Ext |
$87.86 | 359 | 297 |
|
Laird Hospital, Inc.
252 Northside Dr |
$27.53 | 269 | 213 |
|
Hollie Ables Sappington
252 Northside Dr |
$57.84 | 252 | 226 |
|
Cynthia Marguerite Schuetz Boyd Smith
9425 Eastside Dr. Ext Hwy 15 North |
$34.07 | 222 | 195 |
|
Rebecca Elon Everett Espey
701 Northside Drive |
$18.64 | 151 | 147 |
|
Vanessa Norman
252 Northside Dr |
$84.78 | 100 | 89 |
|
Veronica Y Johnson
252 Northside Dr |
$14.19 | 14 | 13 |
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 Newton, MS?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Newton, MS is $83.53 per claim, based on 57,132 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 Newton, MS?
There are 19 Medicaid providers offering Office Visit related services in Newton, MS according to public payment data.
What is the price range for Office Visit in Newton, MS?
Medicaid reimbursement for Office Visit in Newton, MS ranges from $14.19 to $138.05 per claim, with an average of $83.53. 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 Newton, MS
Case Management Services
Avg $188.94
112,414 claims
Physical Therapy
Avg $7.55
35,260 claims
Dental Cleaning & Exam
Avg $24.08
29,990 claims
Vaccines & Immunizations
Avg $0.32
29,142 claims
Eye Exam
Avg $39.52
8,294 claims
Dental Filling
Avg $74.76
6,132 claims
Blood Work & Lab Tests
Avg $0.45
2,550 claims
Tooth Extraction
Avg $60.94
2,392 claims