Average Medicaid Office Visit Payments in Opelika, AL: $61.25
Avg. Paid
$61.25
Range
$0.00 – $304.48
Total Claims
372,287
Providers
144
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 Opelika, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pediatric Clinic Llc
2401 Village Professional Drive |
$78.67 | 22,348 | 18,665 |
|
Lisa Dyer Young
2401 Village Professional Drive |
$63.78 | 16,478 | 15,275 |
|
Florance Hyppolite
2401 Village Professional Dr S |
$64.22 | 15,989 | 14,868 |
|
Michelle S. Freeman
2401 Village Professional Dr S |
$69.59 | 15,143 | 14,075 |
|
Lee Johnson
2401 Village Professional Dr S |
$61.06 | 13,882 | 12,723 |
|
Megan Elizabeth Willis
2401 Village Professional Dr S |
$61.15 | 12,904 | 12,021 |
|
Richard Lee Glaze
2401 Village Professional Drive |
$61.74 | 12,491 | 11,345 |
|
Katherine Kern Nichols
2401 Village Professional Pkwy |
$63.19 | 11,634 | 10,799 |
|
Tricia Allison Day Gibbs
2401 Village Professional Dr S |
$63.12 | 11,437 | 10,653 |
|
Brooke Bondly Williams
2401 Village Professional Dr |
$63.48 | 10,807 | 10,178 |
|
Ellen Lewis Royal
2901 Corporate Park Dr |
$65.76 | 10,208 | 8,991 |
|
Brian Christopher Fuller
2401 Village Professional Drive |
$62.95 | 9,676 | 9,152 |
|
Matthew Justice Carter
2401 Village Professional Dr S |
$63.48 | 9,444 | 8,852 |
|
Lee County Health Dept Fp Clinic
1801 Corporate Dr |
$203.85 | 9,363 | 8,507 |
|
Njideka Chinyelu Obiekwe
2505 Village Professional Dr |
$29.43 | 9,170 | 6,933 |
|
Stephanie Hickerson-Jones
2123 Executive Park Dr |
$58.76 | 9,156 | 8,280 |
|
Brooke Taylor Haynes
2401 Village Professional Dr S |
$61.28 | 8,928 | 8,188 |
|
Margaret Whitney Parrish Sheffield
2401 Village Professional Dr S |
$42.04 | 8,863 | 8,391 |
|
Lesley Hebson Works
2401 Village Professional Dr S |
$49.73 | 8,144 | 7,465 |
|
Opelika Pediatrics & Family Clinic Pc
5809 Hwy 280E |
$3.70 | 8,075 | 6,967 |
|
Sara Lynn Smith T
2401 Village Professional Drive |
$63.43 | 7,499 | 6,921 |
|
Caroline Yeargan
121 N 20Th St Ste 2 |
$52.65 | 7,446 | 6,658 |
|
Richard Mcconnell Freeman
2901 Corporate Park Dr |
$62.07 | 7,226 | 6,278 |
|
Gretchen Hillary Vandiver
2901 Corporate Park Dr |
$64.96 | 6,015 | 5,468 |
|
Pediatric Associates Of Auburn
2901 Corporate Park Dr |
$72.67 | 5,697 | 4,564 |
|
Chima Austin Ukachi
3320 Skyway Dr Ste 807 |
$93.63 | 5,546 | 5,212 |
|
Victoria Grace Benes
2901 Corporate Park Dr |
$61.84 | 5,499 | 4,756 |
|
Lesley Dale Teel
2123 Executive Park Dr |
$63.24 | 4,787 | 4,009 |
|
William M Meadows
2000 Pepperell Pkwy |
$16.30 | 4,294 | 3,210 |
|
Shelby Diane Rolader
2401 Village Professional Dr S |
$65.29 | 4,185 | 4,011 |
|
Sunil Kumar Sharma
101 24Th St |
$8.49 | 4,074 | 3,710 |
|
Teresa Greinke
2401 Village Professional Dr S |
$53.62 | 4,032 | 3,880 |
|
Tyanne F Lindsey
2401 Village Professional Dr S |
$133.74 | 3,610 | 3,538 |
|
Bantwal Suresh Baliga
3320 Skyway Dr |
$33.38 | 3,515 | 2,975 |
|
Wesley Stites Whatley
1965 First Ave |
$50.25 | 3,326 | 3,039 |
|
David Bryant Smalley
2401 Village Professional Drive |
$57.58 | 2,582 | 2,367 |
|
Shashi Sharma
121 N 20Th St |
$25.57 | 2,574 | 2,233 |
|
Marina Ashlyn Marshall
2401 Village Professional Dr S |
$66.19 | 2,551 | 2,424 |
|
Warren A Stiles
1965 1St Ave |
$63.19 | 2,551 | 2,398 |
|
Katie Ann Wolter
2901 Corporate Park Dr |
$62.40 | 2,270 | 2,074 |
|
Ashley Laura Anyadike
2505 Village Professional Dr |
$19.71 | 2,174 | 1,125 |
|
William R Blythe
1965 1St Ave |
$45.81 | 1,839 | 1,731 |
|
Krishna Kishore Chivukula
3120 Frederick Rd |
$27.81 | 1,744 | 1,400 |
|
Adam Craig Dooley
121 N 20Th St Ste 18 |
$78.98 | 1,564 | 1,307 |
|
Emily Jackson
2401 Village Professional Dr S |
$53.73 | 1,450 | 1,377 |
|
Keith Lyle Fuller
2214 Gateway Dr |
$34.81 | 1,428 | 1,280 |
|
Kevin P Ryan
2601 Village Professional Dr N |
$21.44 | 1,364 | 1,137 |
|
Chelsea Zimmerman
2420 Village Professional Dr S |
$84.85 | 1,331 | 1,282 |
|
Daniel Mejer
2202A Gateway Drive |
$50.83 | 1,241 | 1,093 |
|
Brandon Scott Johnson
2000 Pepperell Pkwy |
$35.38 | 1,204 | 1,006 |
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 Opelika, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Opelika, AL is $61.25 per claim, based on 372,287 claims from 144 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 Opelika, AL?
There are 144 Medicaid providers offering Office Visit related services in Opelika, AL according to public payment data.
What is the price range for Office Visit in Opelika, AL?
Medicaid reimbursement for Office Visit in Opelika, AL ranges from $0.00 to $304.48 per claim, with an average of $61.25. 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 Opelika, AL
Behavioral & Mental Health Therapy
Avg $70.49
344,786 claims
Psychiatric Evaluation
Avg $77.27
176,145 claims
Vaccines & Immunizations
Avg $25.32
153,927 claims
Case Management Services
Avg $65.21
153,762 claims
Non-Emergency Medical Transportation
Avg $16.32
81,342 claims
Emergency Room Visit
Avg $46.71
80,800 claims
Blood Work & Lab Tests
Avg $9.29
70,723 claims
Hearing Test (Audiometry)
Avg $7.84
50,567 claims