Based on public Medicaid payment data.

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
Addlynn Health, Llc 207 N 6Th St	$35.82	12	12
Russell Lee Whatley 518 Avenue A	$59.42	12	12
George Gregory Gilbert 121 N 20Th St	$24.98	13	13
Jeremy Wayne Ledford 101 24Th St	$10.23	14	12
Christy Michelle Ballard 2000 Pepperell Pkwy	$42.69	16	16
East Alabama Mental Health-Mental Retardation Board Incorpor 2506 Lambert Dr	$0.00	17	16
Joseph Earl Kaczynski 2000 Pepperell Pkwy	$19.44	18	17
David G Farr 121 N 20Th St	$15.90	24	24
Joseph Randall Newman 2000 Pepperell Pkwy # 4	$50.95	24	16
Meshia Kerry-Ann Wallace 2412 Village Professional Dr S	$68.66	25	24
Nathan Terry Douthit 2000 Pepperell Pkwy	$18.27	26	15
Brooke Causland 2412 Village Professional Dr S	$38.58	26	24
Aspire Integrative Health Clinic 2202 Gateway Dr Ste D	$1.23	26	13
Lautrec Wilson Radcliff 2609 Village Professional Dr	$8.58	26	12
William Chalmers Ruffin 1965 1St Ave	$109.14	28	28
Howard C Harper 121 N 20Th St	$32.04	29	26
Neil Edward Schaffner 2420 Village Professional Dr.	$37.30	35	32
Thao Nguyen N Tran 2000 Pepperell Pkwy	$72.37	38	36
James D Crosby 2000 Pepperell Pkwy	$68.70	39	32
Edith K Graves 2000 Pepperell Pkwy	$26.37	41	38
William P Mcgehee 121 N 20Th St	$42.98	46	38
Alyson O Smith 1965 1St Ave	$52.04	46	38
Martin G Roach 7667 Al Highway 51 Ste B	$24.66	49	47
Joanna Barbara Szulga 2000 Pepperell Pkwy	$18.20	49	41
Hiren K Patel 1941 1St Ave	$13.65	50	50
Lisa Smith 3320 Skyway Dr Ste 602	$23.97	52	44
Merri Earl 122 N 20Th St Bldg 24	$35.54	60	58
Aggie Kalyn Hunt 2601 Village Professional Dr N	$18.08	62	39
William K Adkins 121 N 20Th St	$73.80	62	57
East Alabama Endocrinology, P.C. 3320 Skyway Dr	$0.00	65	62
James Kevin Royal 121 N 20Th St	$3.28	71	66
Lindsey George 2111 Tiger Town Pkwy	$45.38	73	70
Kimberly D Fields 1711 Pepperell Pkwy	$1.64	74	50
Travis Woodley 3021 Frederick Rd	$24.73	77	67
Laura B Hughes 2000 Pepperell Pkwy	$65.11	79	67
David R Mckenzie 121 N 20Th St Ste 19	$12.50	85	66
Morgan Duke 2570 Village Professional Dr	$24.71	86	81
Nathanael Sbravati 2000 Pepperell Pkwy	$126.83	89	86
Frances A Stuckwisch 2506 Lambert Dr	$1.71	96	94
William O'Neal Griffin 121 N 20Th St Ste 6	$15.76	104	92
Nathan Lee Mendoza 121 N 20Th St Ste 19	$33.20	115	106
James Gerard Lennon 2501 Village Professional Dr	$68.65	116	96
The East Alabama Health Care Authority 2000 Pepperell Pkwy	$79.63	117	114
Michael Gunter 121 N 20Th St	$14.14	119	88
Steven E Dekich 121 N 20Th St	$20.51	160	144
Ryan Christopher Palmer 121 N 20Th St Ste 18	$284.13	182	152
Harold Todd Blackmon 2601 Village Professional Dr N	$19.20	239	224
Anna Petty Gardner 2214 Gateway Dr Ste C	$1.18	239	129
Frazier Kavanuagh Jones 121 N 20Th St	$304.48	250	202
Donald W Rhodes 2601 Village Professional Dr N	$14.69	267	192

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.

Average Medicaid Office Visit Payments in Opelika, AL: $61.25

Providers Offering Office Visit in Opelika, AL

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Opelika, AL

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Psychiatric Evaluation

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Non-Emergency Medical Transportation

Emergency Room Visit

Blood Work & Lab Tests

Hearing Test (Audiometry)