Average Medicaid Office Visit Payments in Pell City, AL: $66.77
Avg. Paid
$66.77
Range
$0.00 – $800.24
Total Claims
123,402
Providers
58
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 Pell City, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Irfan Ur Rahim
2850 Dr John Haynes Dr |
$75.37 | 18,287 | 16,142 |
|
Farzana Malik
2850 Dr John Haynes Dr |
$76.61 | 12,297 | 11,020 |
|
Rubina Siddiqui
2850 Dr John Haynes Dr |
$85.73 | 9,288 | 8,212 |
|
Main Street Clinic, Llc
1508 Cogswell Ave |
$4.02 | 8,446 | 7,063 |
|
Hasmukh Nagindas Jariwala
2811 Dr John Haynes Dr |
$61.13 | 7,433 | 6,764 |
|
Edina Eva Von Rottenthaler
2804 Dr John Haynes Dr |
$42.74 | 6,500 | 5,057 |
|
St Clair County Health Dept-Pell City Fp Clinic
1175 23Rd St N |
$235.72 | 5,941 | 5,444 |
|
Ilinca Cristina Prisacaru
7067 Veterans Pkwy Ste 200 |
$53.29 | 5,388 | 4,075 |
|
Jeremy Allen
70 Plaza Dr |
$57.92 | 5,318 | 4,646 |
|
Jonathan Mark Windham
70 Plaza Dr |
$40.14 | 4,040 | 3,219 |
|
Carl Hunter Russell
70 Plaza Dr |
$69.89 | 3,531 | 3,075 |
|
Kimberli Clinkscales
70 Plaza Dr |
$54.10 | 2,685 | 2,293 |
|
Brittany Stokes
7067 Veterans Pkwy Ste 210 |
$3.84 | 2,538 | 2,288 |
|
Kaley Green
70 Plaza Dr |
$52.06 | 2,458 | 1,985 |
|
Jessica Marshman
2804 Dr John Haynes Dr |
$26.74 | 2,413 | 1,902 |
|
Rutwij K Jotani
7067 Veterans Pkwy |
$55.35 | 2,276 | 1,925 |
|
Gaylyn Mcilwain Horne
7067 Veterans Parkway |
$7.86 | 2,105 | 1,932 |
|
The Children'S Hospital Of Alabama
2850 Dr John Haynes Dr |
$76.98 | 1,913 | 1,711 |
|
Inri Medical Associates, Pc
70 Plaza Dr |
$66.46 | 1,834 | 1,660 |
|
Dakota Dean Nichols
70 Plaza Dr |
$44.13 | 1,812 | 1,624 |
|
Lisa Ellison
70 Plaza Dr |
$54.22 | 1,525 | 1,252 |
|
Kelsie W Roulaine
74 Plaza Dr |
$45.55 | 1,486 | 1,284 |
|
Michael D Dupre
74 Plaza Dr |
$54.27 | 1,116 | 946 |
|
Pell City Internal Medicine Llc
41 Eminence Way Ste A |
$50.23 | 1,099 | 981 |
|
Jessica Chapman Earnest
41 Eminence Way Ste A |
$50.64 | 1,087 | 855 |
|
Matthew P Bennett
2804 Dr John Haynes Dr |
$15.54 | 1,082 | 705 |
|
Carl T Frosina
70 Plaza Dr |
$28.66 | 958 | 876 |
|
Marvin Earl Williams
4109 Cogswell Ave |
$11.54 | 877 | 666 |
|
Adrienne Nicole Shambray
2048 Martin St S |
$40.30 | 794 | 645 |
|
Jennifer Joy St. John
74 Plaza Dr |
$50.32 | 765 | 707 |
|
Maranda Kay Thompson
20 Hazelwood Dr |
$66.23 | 636 | 586 |
|
Laura Paige Farris
1508 Cogswell Ave |
$32.78 | 626 | 563 |
|
Holly Cova Nichols
70 Plaza Dr |
$53.63 | 577 | 470 |
|
Mary Ann Crow
20 Hazelwood Dr |
$800.24 | 534 | 467 |
|
Erin Chrisla Martin
70 Plaza Dr |
$22.62 | 491 | 322 |
|
Shelby Thompson
70 Plaza Dr |
$45.77 | 415 | 338 |
|
Lori Michelle Hart
7063 Veterans Pkwy |
$57.28 | 377 | 360 |
|
James Murray Tuck
4010 Masters Rd |
$52.89 | 359 | 317 |
|
Wesley Lee Quarles
2804 Dr. John Haynes Drive |
$0.89 | 349 | 282 |
|
Haley Calhoun White
74 Plaza Dr |
$41.64 | 272 | 233 |
|
Wendy O'Neal
41 Eminence Way Ste A |
$42.74 | 204 | 180 |
|
Barry G Collins
7067 Veterans Parkway |
$57.46 | 150 | 134 |
|
Justin Fuller
70 Plaza Dr |
$54.46 | 120 | 116 |
|
Alabama Anesthesiology And Pain Consultants P.C.
2804 Dr. John Haynes Drive |
$0.00 | 105 | 101 |
|
Stephen B Fortson
70 Plaza Dr |
$63.61 | 104 | 96 |
|
William Weller
2804 Dr John Haynes Dr |
$0.78 | 95 | 73 |
|
Jessica Coe Lockhart
70 Plaza Dr |
$21.21 | 85 | 37 |
|
Jerry Bruce Hankins
12 Cropwell Dr |
$65.87 | 83 | 65 |
|
Matthew Tyler Mckinney
41 Eminence Way Ste A |
$24.24 | 81 | 75 |
|
Jessica Stewart
510 Wolf Creek Rd N |
$55.30 | 81 | 72 |
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 Pell City, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pell City, AL is $66.77 per claim, based on 123,402 claims from 58 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 Pell City, AL?
There are 58 Medicaid providers offering Office Visit related services in Pell City, AL according to public payment data.
What is the price range for Office Visit in Pell City, AL?
Medicaid reimbursement for Office Visit in Pell City, AL ranges from $0.00 to $800.24 per claim, with an average of $66.77. 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 Pell City, AL
Blood Work & Lab Tests
Avg $14.75
17,533 claims
Nursing Facility Care
Avg $4.99
14,036 claims
Speech Therapy
Avg $52.40
13,968 claims
Eye Exam
Avg $31.13
13,553 claims
Psychiatric Evaluation
Avg $89.28
13,066 claims
Physical Therapy
Avg $29.48
12,662 claims
Vaccines & Immunizations
Avg $18.47
11,816 claims
Emergency Room Visit
Avg $56.49
9,821 claims