Average Medicaid Office Visit Payments in Ponchatoula, LA: $34.06
Avg. Paid
$34.06
Range
$0.00 – $50.98
Total Claims
65,502
Providers
21
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 Ponchatoula, LA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kimberly Paternostro Bordelon
180 N 5Th St |
$44.18 | 15,046 | 13,623 |
|
Susan Barringer Smith
180 North 5Th Street |
$38.47 | 13,757 | 12,061 |
|
Erika A Oliver
530 W Pine St Ste 1 |
$37.01 | 5,496 | 4,941 |
|
Wendy Binder Hallmark
1054 Sw Railroad Ave |
$4.20 | 5,335 | 4,013 |
|
Gregory John Allen
105 E Oak St |
$22.79 | 4,573 | 3,802 |
|
Tara Kempton-Jerez
585 E Cypress St |
$50.98 | 3,861 | 3,385 |
|
Mariah Benson Butcher
180 N 5Th St |
$47.71 | 3,683 | 3,368 |
|
Malaina Pickering Sibley
1054 Sw Railroad Ave |
$0.00 | 2,605 | 1,573 |
|
Sandra C Thornhill
180 N 5Th St |
$42.33 | 2,362 | 2,055 |
|
Robert W Benson
180 N 5Th St |
$45.50 | 2,339 | 2,066 |
|
Crystal Gayle Gueldner
139 W Oak St |
$12.21 | 1,818 | 1,663 |
|
Steve Lawrence Gaudin
105 E Oak St |
$16.16 | 1,733 | 1,441 |
|
Falon Victoria Brown
180 N 5Th St |
$28.02 | 1,073 | 768 |
|
David Presley Allen
165 W Oak St |
$38.58 | 706 | 605 |
|
Whitney Curry
27455 Highway 22 Ste B |
$0.00 | 416 | 298 |
|
Chelsea Marie Rodi
310 E Pine St |
$24.13 | 319 | 195 |
|
Larrion Nicole Weatherspoon
1668 Highway 51 |
$38.20 | 199 | 148 |
|
Judy Yaple
530 W Pine St |
$28.29 | 119 | 112 |
|
Catherine Norman Horn
13429 Rosewood Dr |
$22.45 | 32 | 29 |
|
Christy Beth Hutchinson
156 W Pine St |
$42.04 | 17 | 13 |
|
Miriam Steward
14317 Hickory Dr |
$10.20 | 13 | 12 |
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 Ponchatoula, LA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ponchatoula, LA is $34.06 per claim, based on 65,502 claims from 21 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 Ponchatoula, LA?
There are 21 Medicaid providers offering Office Visit related services in Ponchatoula, LA according to public payment data.
What is the price range for Office Visit in Ponchatoula, LA?
Medicaid reimbursement for Office Visit in Ponchatoula, LA ranges from $0.00 to $50.98 per claim, with an average of $34.06. 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 Ponchatoula, LA
Personal Care Services
Avg $113.14
78,651 claims
Home Health Visit
Avg $57.78
55,211 claims
Non-Emergency Medical Transportation
Avg $44.03
26,590 claims
Psychiatric Evaluation
Avg $11.88
10,703 claims
Behavioral & Mental Health Therapy
Avg $100.47
6,983 claims
Nursing Facility Care
Avg $8.11
6,535 claims
Dental Cleaning & Exam
Avg $34.13
5,098 claims
Eye Exam
Avg $36.85
3,630 claims