Average Medicaid Office Visit Payments in Pontotoc, MS: $64.06
Avg. Paid
$64.06
Range
$3.71 – $149.50
Total Claims
134,671
Providers
32
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 Pontotoc, MS
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Melanie Suzanne Hall
109 Highway 15 S |
$83.23 | 14 | 14 |
|
Timothy R Watson
Acute Care And Family Clininc 351 Peoples Dr |
$106.11 | 18 | 12 |
|
Jessica Maffett
12 Brookes Xing |
$3.71 | 21 | 20 |
|
Access Family Health Services, Inc.
135 E Oxford St |
$78.69 | 46 | 39 |
|
Flavia H West
183 S Main St |
$44.60 | 56 | 51 |
|
Stephen Montgomery
345 Highway 15 N |
$53.50 | 67 | 63 |
|
John C Adams
353 Highway 15 N |
$85.58 | 245 | 196 |
|
Arcare
353 Highway 15 N |
$13.92 | 246 | 176 |
|
Jessica Anne Lauderdale
11 E Jefferson St |
$129.05 | 308 | 282 |
|
Andrea J Warren
345 Highway 15 N |
$121.67 | 452 | 423 |
|
Lindsay Clinic Pa
109 Highway 15 S |
$21.12 | 471 | 334 |
|
Austin Reed Knight
11 E Jefferson St |
$40.19 | 524 | 508 |
|
Rehabilitation Centers, Llc
1814 Hwy 15 North |
$24.90 | 554 | 517 |
|
Emily L Mccormac
2352C Highway 15 N |
$49.34 | 656 | 620 |
|
Boa Vida Hospital Of Aberdeen, Ms Llc
351 Peoples Dr |
$29.49 | 724 | 561 |
|
Chris Park Do Pc
47 S Main St |
$11.31 | 766 | 677 |
|
Millcreek Schools, Llc
1814 Hwy 15 North |
$14.58 | 766 | 602 |
|
Deborah Traylor Wilmoth
353 Highway 15 N |
$76.57 | 982 | 827 |
|
Jamie Michelle Holloway
1374 Cooke Road |
$63.34 | 1,126 | 1,057 |
|
Jennifer Dawn Lowery
345 Highway 15 N |
$111.83 | 1,217 | 1,076 |
|
Britny Bramlett Owens
135 E Oxford St |
$109.46 | 1,279 | 1,104 |
|
Breanna Renee Bray
12 Brooks Xing |
$72.04 | 1,437 | 1,335 |
|
Marlana Huffstatler
109 Highway 15 S |
$55.43 | 1,980 | 1,694 |
|
Erin Danielle Grady
12 Brookes Xing |
$63.45 | 4,072 | 3,370 |
|
Denise Hefner Sojourner
359 Old Oak Cir |
$62.46 | 4,657 | 3,913 |
|
Jana Markita Call
12 Brookes Xing |
$60.72 | 5,476 | 4,881 |
|
Holly Wood
345 Highway 15 N |
$149.50 | 5,889 | 4,881 |
|
Austin Pitman
12 Brookes Xing |
$43.86 | 6,246 | 5,379 |
|
Christopher Lane Park
11 E Jefferson St |
$50.51 | 7,426 | 6,751 |
|
Pontotoc Health Services, Inc.
345 Highway 15 N |
$32.23 | 8,298 | 7,296 |
|
Cynthia Nicole Tindall
109 Highway 15 S |
$65.95 | 8,715 | 7,928 |
|
Redmed, Llc
12 Brooks Xing |
$64.17 | 69,937 | 55,564 |
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 Pontotoc, MS?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pontotoc, MS is $64.06 per claim, based on 134,671 claims from 32 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 Pontotoc, MS?
There are 32 Medicaid providers offering Office Visit related services in Pontotoc, MS according to public payment data.
What is the price range for Office Visit in Pontotoc, MS?
Medicaid reimbursement for Office Visit in Pontotoc, MS ranges from $3.71 to $149.50 per claim, with an average of $64.06. 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 Pontotoc, MS
Case Management Services
Avg $194.07
125,626 claims
Blood Work & Lab Tests
Avg $5.03
70,943 claims
Emergency Room Visit
Avg $146.48
44,281 claims
Nursing Facility Care
Avg $11.75
31,398 claims
Physical Therapy
Avg $15.39
30,433 claims
Urinalysis & Urine Tests
Avg $2.67
15,520 claims
Eye Exam
Avg $35.54
11,928 claims
Psychiatric Evaluation
Avg $131.58
11,488 claims