Average Medicaid Office Visit Payments in Rainsville, AL: $40.25
Avg. Paid
$40.25
Range
$4.57 – $77.73
Total Claims
29,563
Providers
22
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 Rainsville, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ashley Wigley Thomas
504 Mccurdy Ave S |
$35.05 | 6,054 | 4,311 |
|
Dedra L Capps
504 Mccurdy Ave South |
$58.42 | 4,470 | 4,015 |
|
Sebrina Estella Butts
504 Mccurdy Ave South |
$57.14 | 3,244 | 2,942 |
|
Savanna Joy Desantis
504 Mccurdy Ave S |
$35.45 | 2,814 | 2,080 |
|
Deann B Cobble
504 Mccurdy Ave S |
$7.08 | 1,648 | 1,074 |
|
Faith Medical Clinic Llc
64 Mccurdy Ave N |
$4.57 | 1,587 | 1,295 |
|
Natalie Faith Edmonson
157 Marshall Rd |
$46.95 | 1,287 | 1,062 |
|
Timothy B Decker
Po Box 1049 |
$18.01 | 1,248 | 997 |
|
Tyson Scott Rainer
124 Mccurdy Ave S Ste C |
$38.79 | 1,225 | 1,062 |
|
Rachael Rogers
504 Mccurdy Ave S Ste 6 |
$48.93 | 922 | 842 |
|
Timothy Jason Turner
504 Mccurdy Ave S |
$37.65 | 922 | 753 |
|
January Blalock
504 Mccurdy Ave S Ste 6 |
$15.70 | 807 | 696 |
|
Kimberly Kay Crow
504 Mccurdy Ave S |
$47.59 | 740 | 634 |
|
Kristine Lyn Penley
504 Mccurdy Ave S # 6 |
$69.52 | 618 | 558 |
|
Family First Medicine Llc
504 Mccurdy Ave South |
$77.73 | 582 | 505 |
|
Roxana Anabel Jimenez
157 Marshall Rd |
$50.24 | 382 | 327 |
|
Dekalb Urgent Care And Wellness Clinic, Llc
157 Marshall Road |
$49.19 | 378 | 339 |
|
Vonda Dawn Massie
504 Mccurdy Ave S # 6 |
$62.01 | 218 | 194 |
|
Autum Clark Coots
56 Hillcrest Dr |
$46.33 | 155 | 138 |
|
Ricky G Deerman
83 George Wallce Dr W |
$19.60 | 150 | 135 |
|
Katherine Mann
504 Mccurdy Avenue S. |
$38.85 | 100 | 69 |
|
Abby Gail Cronan
504 Mccurdy Ave S Ste 6 |
$75.28 | 12 | 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 Rainsville, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rainsville, AL is $40.25 per claim, based on 29,563 claims from 22 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 Rainsville, AL?
There are 22 Medicaid providers offering Office Visit related services in Rainsville, AL according to public payment data.
What is the price range for Office Visit in Rainsville, AL?
Medicaid reimbursement for Office Visit in Rainsville, AL ranges from $4.57 to $77.73 per claim, with an average of $40.25. 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 Rainsville, AL
Dental Cleaning & Exam
Avg $25.02
69,380 claims
Dental Filling
Avg $70.65
12,852 claims
Eye Exam
Avg $36.15
12,057 claims
Physical Therapy
Avg $9.95
7,976 claims
Prescription Medications
Avg $3.04
6,790 claims
Emergency Room Visit
Avg $32.77
6,587 claims
Nursing Facility Care
Avg $3.89
6,053 claims
Tooth Extraction
Avg $54.47
5,149 claims