Average Medicaid Office Visit Payments in Opp, AL: $60.65
Avg. Paid
$60.65
Range
$0.94 – $85.64
Total Claims
74,204
Providers
23
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 Opp, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Blissful Healthcare Llc
101 E Paulk Ave Ste A |
$53.29 | 21 | 15 |
|
Michael Aaron Maschek
702 N Main St |
$20.07 | 33 | 24 |
|
Vicki Senn
1800 Us Highway 84 W |
$62.39 | 71 | 56 |
|
Hejal C Patel
802 N Main St |
$16.79 | 109 | 81 |
|
Steven J Davis
802 N Main St |
$57.39 | 120 | 110 |
|
Mizell Memorial Hospital, Inc.
802 N Main St |
$0.94 | 179 | 154 |
|
Joshua Jonathan Driver
604 N Main St |
$23.09 | 191 | 163 |
|
Andrew Scott Carter
604 N Main St |
$31.61 | 313 | 266 |
|
Robert Mclain Williams
103 E Memorial Ave |
$15.55 | 344 | 284 |
|
Kimberly Hornsby
604 Brantley St |
$46.60 | 358 | 271 |
|
Tracy Odom
101 E Paulk Ave Ste A |
$14.59 | 402 | 260 |
|
Kenneth Joseph Crowe
802 N Main St |
$17.09 | 707 | 610 |
|
Tonya Wynette Wright
511 Brantley St |
$61.64 | 717 | 657 |
|
Kenny Ray Blackston
102 W Covington Ave |
$23.11 | 886 | 758 |
|
David Russell Adams
702 N Main St |
$35.32 | 1,134 | 861 |
|
Sean M Owen
1800 Us Highway 84 W |
$47.75 | 1,162 | 1,102 |
|
Kevin Ray Diel
1800 Us Highway 84 W |
$30.97 | 2,019 | 1,869 |
|
Larry C Norris
103 E Memorial Ave |
$38.51 | 2,060 | 1,523 |
|
Jonathan Michael Stanfield
604 Brantley St |
$38.87 | 2,464 | 1,845 |
|
South Alabama Pediatrics
101 E Paulk Ave |
$85.64 | 3,563 | 3,161 |
|
Lisa Adamson
1800 Us Highway 84 W |
$31.11 | 4,686 | 3,682 |
|
Patricia Leigh Rountree
802 N Main St |
$25.14 | 6,418 | 4,741 |
|
Bhagwan D Bang
101 E Paulk Ave |
$73.96 | 46,247 | 40,493 |
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 Opp, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Opp, AL is $60.65 per claim, based on 74,204 claims from 23 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 Opp, AL?
There are 23 Medicaid providers offering Office Visit related services in Opp, AL according to public payment data.
What is the price range for Office Visit in Opp, AL?
Medicaid reimbursement for Office Visit in Opp, AL ranges from $0.94 to $85.64 per claim, with an average of $60.65. 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 Opp, AL
Vaccines & Immunizations
Avg $19.86
19,179 claims
Eye Exam
Avg $31.18
16,377 claims
Nursing Facility Care
Avg $2.79
15,229 claims
Dental Cleaning & Exam
Avg $20.31
14,774 claims
Hearing Test (Audiometry)
Avg $4.63
11,118 claims
Blood Work & Lab Tests
Avg $4.38
11,040 claims
Emergency Room Visit
Avg $40.56
7,263 claims
X-Ray
Avg $3.42
5,409 claims