Average Medicaid Office Visit Payments in Prattville, AL: $44.12
Avg. Paid
$44.12
Range
$0.00 – $231.21
Total Claims
61,370
Providers
38
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 Prattville, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Aaron T. Shinkle
660 Mcqueen Smith Rd N Ste E |
$31.46 | 16,922 | 13,426 |
|
Cory Allen Luckie
645 Mcqueen Smith Rd N Ste 309 |
$5.61 | 4,736 | 3,548 |
|
Jer'Donna Downesha Wilson
1965 Cobbs Ford Rd |
$42.28 | 4,073 | 3,481 |
|
Melissa Johnson
645 Mcqueen Smith Rd N |
$44.86 | 4,000 | 3,435 |
|
Naresh Bellam
645 Mcqueen Smith Road |
$21.18 | 3,982 | 3,506 |
|
Sabrina Mcdaniel Colburn
668 Mcqueen Smith Rd N |
$57.60 | 3,208 | 2,767 |
|
Autauga County Health Dept Fp Clinic
219 N Court St |
$231.21 | 3,140 | 2,880 |
|
Marilyn Joy Hepperle
645 Mcqueen Smith Rd N |
$18.33 | 2,504 | 1,587 |
|
Robert Allen Avery
645 Mcqueen Smith Rd N Ste 207 |
$34.26 | 1,405 | 1,174 |
|
Giorgia Grace Lamberth
204 Medical Center Dr |
$49.73 | 1,282 | 838 |
|
Kescharnae Drakeford
124 S Memorial Dr |
$74.76 | 1,258 | 1,151 |
|
Carrie Tubbs
645 Mcqueen Smith Rd N Ste 301 |
$38.61 | 1,175 | 956 |
|
Jeana Ann Murphy
1595 E Main St |
$34.29 | 1,163 | 943 |
|
Leslie Boone Harvey
1805 Station Dr |
$40.78 | 983 | 755 |
|
Kathleen Santiago
645 Mcqueen Smith Rd N Ste 207 |
$36.21 | 948 | 835 |
|
Loren James
2709 Legends Pkwy |
$26.66 | 912 | 573 |
|
Ashley I Hall
1595 E Main St |
$26.22 | 891 | 648 |
|
William Ricardo Montiel
554 Mcqueen Smith Rd N |
$22.47 | 887 | 754 |
|
Debra A Phipps
1595 E Main St |
$24.85 | 871 | 677 |
|
James Carson Byrd
1807 Station Dr Ste C |
$39.46 | 788 | 518 |
|
Angela Suzanne Bowman
1595 E Main St |
$61.53 | 733 | 699 |
|
Rachel M Chance
1595 E Main St |
$53.81 | 689 | 556 |
|
Jamaal Upshaw
1595 E Main St |
$45.73 | 659 | 572 |
|
Daniel Edward Banach
204 Medical Center Ct |
$53.05 | 631 | 476 |
|
Vanosia S. Faison
102 Medical Center Dr Ste F |
$15.83 | 543 | 382 |
|
Erfan Karim
1840 E Main St |
$33.32 | 543 | 422 |
|
Susmitha Nimmagadda
645 Mcqueen Smith Road |
$38.37 | 520 | 456 |
|
Rebecca Alexander
204 Medical Center Dr |
$55.92 | 479 | 450 |
|
Wybenga Family Healthcare, Inc.
564 N Memorial Dr |
$43.43 | 436 | 374 |
|
Meloni N Carter
645 Mcqueen Smith Rd N Ste 309 |
$39.56 | 421 | 362 |
|
Medical Care Associates Prattville
102 Medical Center Dr Ste A |
$13.01 | 174 | 163 |
|
Holli Hinote Johnson
660 Mcqueen Smith Rd N |
$12.92 | 154 | 73 |
|
Andrea Brush
645 Mcqueen Smith Rd N Ste 309 |
$52.65 | 104 | 95 |
|
Jackson Hospital And Clinic, Inc.
1840 E Main St |
$33.80 | 48 | 43 |
|
Kimberly Hunt Taylor
210 Medical Center Dr |
$42.23 | 43 | 43 |
|
James Daniel Cartwright
808 Durden Rd |
$0.00 | 33 | 17 |
|
Tiffany Celeste Jones
744 E Main St |
$61.15 | 17 | 12 |
|
Prattville Medical Clinic, Pc
1739 E Main St |
$76.07 | 15 | 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 Prattville, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Prattville, AL is $44.12 per claim, based on 61,370 claims from 38 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 Prattville, AL?
There are 38 Medicaid providers offering Office Visit related services in Prattville, AL according to public payment data.
What is the price range for Office Visit in Prattville, AL?
Medicaid reimbursement for Office Visit in Prattville, AL ranges from $0.00 to $231.21 per claim, with an average of $44.12. 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 Prattville, AL
Blood Work & Lab Tests
Avg $8.68
57,769 claims
Speech Therapy
Avg $51.05
39,840 claims
Emergency Room Visit
Avg $71.68
38,595 claims
Physical Therapy
Avg $24.68
37,988 claims
Urinalysis & Urine Tests
Avg $3.79
18,953 claims
Eye Exam
Avg $31.41
16,014 claims
Prescription Medications
Avg $3.29
12,534 claims
Dental Cleaning & Exam
Avg $23.46
11,785 claims