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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Phenix City, AL: $60.27

Avg. Paid

$60.27

Range

$7.33 – $224.99

Total Claims

119,777

Providers

27

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 Phenix City, AL

Provider Avg. Paid Claims Patients
Willis Mccoy Privott

1610 Opelika Rd

 $44.85 36,648 22,763
Kimberly Ann Funches-Jackson

1810 Stadium Dr

 $69.69 23,601 19,783
Ritu Chandra

3700 S Railroad St

 $61.37 18,751 16,766
Michael W Johnston

7 Windsweep Ct

 $80.31 8,522 7,199
Bill G Berryman

1810 Stadium Drive

 $30.01 6,108 5,340
Daryl Ellis

5009 River Chase Dr

 $37.54 4,588 3,698
Russell County Health Dept Fp Clinic

1850 Crawford Rd

 $224.99 3,674 3,440
Julia J Sieth

1615 21St Ct

 $46.47 3,203 1,831
Pinnacle Enterprises Pc

3700 S Railroad St Ste A

 $73.67 2,826 2,548
Dennis Keith Harden

1810 Stadium Dr

 $41.36 1,870 1,497
Alexa Paige Jones

3700 Ste A S Railroad St

 $61.51 1,819 1,596
Adrienne Nicole Crow

1810 Stadium Dr

 $54.16 1,564 1,090
Richard A Valentine

1615 21St Ct

 $49.10 1,441 1,257
Jemese Richards-Boyd

1615 21St Ct

 $57.88 1,414 1,174
Bradley Lamar Carden

4401 Riverchase Dr

 $49.00 1,122 993
Juanita Jones-Harris

5009 Riverchase Dr Ste 500

 $40.61 575 408
Jamie Danielle Oubre

5009 Riverchase Dr Ste 500

 $20.45 535 238
Nedra Latoya Hughes

1810 Stadium Dr Ste 210

 $7.33 414 336
Rebekah Washington Simmons

1810 Stadium Dr Ste 240

 $45.45 280 210
Rosa Linda Niemi

1720 Knowles Rd

 $25.38 239 192
Caring For Kids

1610 Opelika Road

 $51.23 167 143
James Frederick Zumstein

1810 Stadium Drive

 $8.28 154 145
William Edward Lindley

3700 S Railroad St Ste A

 $33.23 126 116
Gary Amon Dillard

1810 Stadium Drive Ste 240

 $25.03 67 65
Azad Alamgir Kabir

4401 Riverchase Dr

 $41.84 35 26
Elizabeth Buss Robinson

4401 Riverchase Dr

 $53.58 17 14
Richard G Gordy

5009 River Chase Dr

 $37.06 17 15

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 Phenix City, AL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Phenix City, AL is $60.27 per claim, based on 119,777 claims from 27 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 Phenix City, AL?

There are 27 Medicaid providers offering Office Visit related services in Phenix City, AL according to public payment data.

What is the price range for Office Visit in Phenix City, AL?

Medicaid reimbursement for Office Visit in Phenix City, AL ranges from $7.33 to $224.99 per claim, with an average of $60.27. 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 Phenix City, AL

Dental Cleaning & Exam

Avg $23.94

62,137 claims

Vaccines & Immunizations

Avg $17.58

42,233 claims

Emergency Room Visit

Avg $71.23

29,119 claims

Dental Filling

Avg $69.14

19,255 claims

Blood Work & Lab Tests

Avg $7.05

16,603 claims

Hearing Test (Audiometry)

Avg $8.01

14,796 claims

Eye Exam

Avg $38.96

14,707 claims

Speech Therapy

Avg $53.38

10,786 claims