Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Prattville, AL: $44.12

Avg. Paid

$44.12

Range

$0.00 – $231.21

Total Claims

61,370

Providers

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
Prattville Medical Clinic, Pc 1739 E Main St	$76.07	15	12
Tiffany Celeste Jones 744 E Main St	$61.15	17	12
James Daniel Cartwright 808 Durden Rd	$0.00	33	17
Kimberly Hunt Taylor 210 Medical Center Dr	$42.23	43	43
Jackson Hospital And Clinic, Inc. 1840 E Main St	$33.80	48	43
Andrea Brush 645 Mcqueen Smith Rd N Ste 309	$52.65	104	95
Holli Hinote Johnson 660 Mcqueen Smith Rd N	$12.92	154	73
Medical Care Associates Prattville 102 Medical Center Dr Ste A	$13.01	174	163
Meloni N Carter 645 Mcqueen Smith Rd N Ste 309	$39.56	421	362
Wybenga Family Healthcare, Inc. 564 N Memorial Dr	$43.43	436	374
Rebecca Alexander 204 Medical Center Dr	$55.92	479	450
Susmitha Nimmagadda 645 Mcqueen Smith Road	$38.37	520	456
Erfan Karim 1840 E Main St	$33.32	543	422
Vanosia S. Faison 102 Medical Center Dr Ste F	$15.83	543	382
Daniel Edward Banach 204 Medical Center Ct	$53.05	631	476
Jamaal Upshaw 1595 E Main St	$45.73	659	572
Rachel M Chance 1595 E Main St	$53.81	689	556
Angela Suzanne Bowman 1595 E Main St	$61.53	733	699
James Carson Byrd 1807 Station Dr Ste C	$39.46	788	518
Debra A Phipps 1595 E Main St	$24.85	871	677
William Ricardo Montiel 554 Mcqueen Smith Rd N	$22.47	887	754
Ashley I Hall 1595 E Main St	$26.22	891	648
Loren James 2709 Legends Pkwy	$26.66	912	573
Kathleen Santiago 645 Mcqueen Smith Rd N Ste 207	$36.21	948	835
Leslie Boone Harvey 1805 Station Dr	$40.78	983	755
Jeana Ann Murphy 1595 E Main St	$34.29	1,163	943
Carrie Tubbs 645 Mcqueen Smith Rd N Ste 301	$38.61	1,175	956
Kescharnae Drakeford 124 S Memorial Dr	$74.76	1,258	1,151
Giorgia Grace Lamberth 204 Medical Center Dr	$49.73	1,282	838
Robert Allen Avery 645 Mcqueen Smith Rd N Ste 207	$34.26	1,405	1,174
Marilyn Joy Hepperle 645 Mcqueen Smith Rd N	$18.33	2,504	1,587
Autauga County Health Dept Fp Clinic 219 N Court St	$231.21	3,140	2,880
Sabrina Mcdaniel Colburn 668 Mcqueen Smith Rd N	$57.60	3,208	2,767
Naresh Bellam 645 Mcqueen Smith Road	$21.18	3,982	3,506
Melissa Johnson 645 Mcqueen Smith Rd N	$44.86	4,000	3,435
Jer'Donna Downesha Wilson 1965 Cobbs Ford Rd	$42.28	4,073	3,481
Cory Allen Luckie 645 Mcqueen Smith Rd N Ste 309	$5.61	4,736	3,548
Aaron T. Shinkle 660 Mcqueen Smith Rd N Ste E	$31.46	16,922	13,426

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.

Average Medicaid Office Visit Payments in Prattville, AL: $44.12

Providers Offering Office Visit in Prattville, AL

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Prattville, AL

Blood Work & Lab Tests

Speech Therapy

Emergency Room Visit

Physical Therapy

Urinalysis & Urine Tests

Eye Exam

Prescription Medications

Dental Cleaning & Exam