Average Medicaid Office Visit Payments in Philadelphia, MS: $62.21
Avg. Paid
$62.21
Range
$8.83 – $171.18
Total Claims
129,942
Providers
59
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 Philadelphia, MS
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Julia E Riley
1122 E Main St |
$68.51 | 22,037 | 13,818 |
|
Bobby Smith
921 West Beacon Street |
$91.55 | 11,577 | 10,396 |
|
Stefanie Pepper
1071 West Beacon St. |
$51.43 | 10,781 | 8,515 |
|
Neshoba County General Hospital
213 Hospital Rd W |
$33.38 | 9,423 | 7,671 |
|
Laird Hospital, Inc.
1106 Central Dr |
$27.02 | 7,495 | 6,119 |
|
Jessica Stokes
1001 Holland Ave |
$97.24 | 5,256 | 4,965 |
|
Neshoba County General Hospital
1120 E Main St |
$25.48 | 4,972 | 4,037 |
|
Heather Cannon
1122 E Main St |
$58.79 | 4,389 | 2,346 |
|
Tonia Holley
1122 E Main St |
$51.02 | 4,291 | 2,505 |
|
Shannon Kirkland
1120 E Main St |
$120.03 | 4,022 | 3,690 |
|
Zaineb Daud
1001 Holland Ave |
$44.20 | 3,832 | 3,370 |
|
Neshoba County General Hospital
1001 Holland Ave |
$28.34 | 3,581 | 2,774 |
|
Pamela K Prince
1001 Holland Ave |
$80.36 | 3,478 | 2,962 |
|
Chermal Rondell Moore
1017 W Beacon St |
$51.74 | 3,313 | 2,219 |
|
Kaelyn James
10140 Road 531 |
$27.07 | 2,848 | 2,166 |
|
Anderson Regional Medical Center
1056 Holland Ave |
$42.41 | 2,175 | 1,526 |
|
Donald Grant Guild
1056 Holland Ave |
$51.07 | 2,092 | 1,556 |
|
Shelley Darby
1120 E Main St |
$74.71 | 2,053 | 1,232 |
|
Hannah Johnson
1056 Holland Ave |
$158.25 | 1,834 | 1,509 |
|
Noel Palmer
16270 Highway 21 S |
$17.77 | 1,541 | 1,493 |
|
Hailey Elizabeth Thompson
213 Hospital Rd E |
$84.18 | 1,528 | 1,021 |
|
Jason Brian Copeland
1017 W Beacon St |
$92.07 | 1,423 | 1,308 |
|
East Central Mississippi Health Care, Inc.
10330 Road 375 |
$19.51 | 1,381 | 1,008 |
|
Christopher N Webb
1056 Holland Ave |
$118.73 | 1,236 | 1,111 |
|
Erika Lytice Newsome
1120 E Main St Ste 24 |
$37.95 | 974 | 598 |
|
Betsy L Mann
1106 Central Dr |
$130.39 | 967 | 884 |
|
Sallie Evans Dalton
1012 E Main St |
$57.78 | 850 | 753 |
|
Sunil Kumar
921 W Beacon St |
$85.87 | 833 | 688 |
|
Adriana Lyn Jenkins
1012 E Main St |
$74.15 | 746 | 695 |
|
Julie Holley Coleman
1001 Holland Ave |
$82.74 | 740 | 713 |
|
Intouch Health
532 Main St Ste A |
$11.86 | 717 | 524 |
|
Anna Catherine Lewis
1017 W Beacon St |
$106.21 | 709 | 674 |
|
Aishia Leigh Keady
1120 E Main St |
$79.73 | 661 | 572 |
|
Sammy Elizabeth Kratzer
1003 Holland Ave Ste 103 |
$31.10 | 652 | 602 |
|
Patrick Eakes
921 West Beacon Street |
$86.34 | 611 | 574 |
|
Skye Carlisle
1120 E Main St Ste 24 |
$17.97 | 607 | 522 |
|
Jeffrey Todd Willis
1003 Holland Ave Ste 104 |
$30.59 | 572 | 440 |
|
Sierra Cain
562 Line St S Ste 1 |
$106.63 | 474 | 448 |
|
Amber S Riley
10330 Road 375 |
$70.04 | 439 | 378 |
|
Paula Clearman
213 Hospital Rd E |
$87.05 | 424 | 401 |
|
Angela K Skinner
921 W Beacon St |
$122.18 | 384 | 306 |
|
Michael B. Shrock
1056 Holland Ave |
$147.33 | 348 | 290 |
|
Dwight S Keady, Jr
213 East Hospital Rd |
$51.00 | 284 | 153 |
|
Tina Salter Boyles
1001 Holland Avenue |
$56.57 | 254 | 205 |
|
Lakeeia Lashoundra Myles
1120 E Main St Ste 24 |
$27.54 | 216 | 155 |
|
A Good Mind Too
1012 E Main St |
$34.60 | 185 | 127 |
|
Stephanie Edwards
1120 E Main St Ste 24 |
$54.48 | 141 | 111 |
|
Meghan Johnson Webb
1056 Holland Ave |
$171.18 | 114 | 99 |
|
Surgery Clinic Of Philadelphia
1003 Holland Ave |
$9.51 | 111 | 89 |
|
Andrew Pace Dabbs
1003 Holland Ave Ste 101 |
$51.26 | 82 | 75 |
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 Philadelphia, MS?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Philadelphia, MS is $62.21 per claim, based on 129,942 claims from 59 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 Philadelphia, MS?
There are 59 Medicaid providers offering Office Visit related services in Philadelphia, MS according to public payment data.
What is the price range for Office Visit in Philadelphia, MS?
Medicaid reimbursement for Office Visit in Philadelphia, MS ranges from $8.83 to $171.18 per claim, with an average of $62.21. 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 Philadelphia, MS
Blood Work & Lab Tests
Avg $5.72
145,347 claims
Emergency Room Visit
Avg $109.14
108,860 claims
Physical Therapy
Avg $21.42
92,116 claims
Home Health Visit
Avg $51.86
68,581 claims
X-Ray
Avg $39.90
30,707 claims
Vaccines & Immunizations
Avg $2.80
28,455 claims
Urinalysis & Urine Tests
Avg $3.52
27,856 claims
Nursing Facility Care
Avg $22.05
27,613 claims