Average Medicaid Office Visit Payments in Riverdale, GA: $67.80
Avg. Paid
$67.80
Range
$12.41 – $135.26
Total Claims
22,699
Providers
29
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 Riverdale, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Southside Medical Center, Inc.
116 Upper Riverdale Rd Sw |
$86.13 | 12,103 | 10,278 |
|
William A J Alexander Jackson Ross Jr
33 Upper Riverdale Rd Sw Ste 112 |
$29.48 | 3,318 | 2,882 |
|
Joana Isabel Benayoun
808 Commerce Blvd |
$42.64 | 1,462 | 1,408 |
|
Nakisha Maria Christian
11 Upper Riverdale Rd |
$135.26 | 948 | 763 |
|
Kendra L Mclester
155 Medical Way |
$67.84 | 751 | 681 |
|
Devendra R Koganti
6507 Professional Pl |
$42.13 | 559 | 529 |
|
Sanjay Raj Jain
34 Upper Riverdale Rd Se |
$36.39 | 512 | 420 |
|
Abiodun G Olatidoye
6507 Professional Pl |
$35.72 | 503 | 469 |
|
Erika Parks
81 Upper Riverdale Rd Sw Ste 210 |
$32.20 | 401 | 307 |
|
Kandathil M. Mathew
6507 Professional Pl |
$27.99 | 368 | 348 |
|
Timothy Bonitto Brown
83 Upper Riverdale Road |
$39.95 | 305 | 287 |
|
Barry R Dix
6507 Professional Pl |
$41.95 | 281 | 257 |
|
Bhat Krishna Mohan
6507 Professional Pl |
$47.70 | 239 | 226 |
|
Education System Management, Inc
125 Highway 138 |
$43.38 | 124 | 98 |
|
Bola Falegan
7028 Highway 85 |
$58.26 | 122 | 95 |
|
Vikram Reddy Mandadi
6507 Professional Pl |
$35.33 | 101 | 98 |
|
Robert Anthony Nelson
107 Upper Riverdale Rd Sw Ste A |
$38.18 | 97 | 88 |
|
Siva B Mohan
6507 Professional Pl |
$41.33 | 82 | 77 |
|
Barry M Zisholtz
33 Upper Riverdale Rd Sw |
$12.41 | 75 | 70 |
|
Anita Basil Varkey
7028 Highway 85 |
$36.26 | 74 | 53 |
|
Eniola Oladokun-Meroyi
223 Medical Center Dr |
$15.91 | 54 | 51 |
|
Tannisa D Bailey
1324 Highway 138 Sw |
$45.02 | 53 | 51 |
|
Minnette Williams
6507 Professional Pl |
$33.24 | 43 | 43 |
|
Lotus Family Wellness Clinic, Llc
1240 Highway 138 Sw |
$62.71 | 36 | 30 |
|
Constance Francis-Agalaba
223 Medical Center Dr |
$74.69 | 27 | 25 |
|
Angela Patrice Jackson
808 Commerce Blvd |
$70.05 | 20 | 20 |
|
James Oliviere
1324 Highway 138 Sw |
$28.20 | 15 | 15 |
|
Dawn A. Paul
238 Professional Ct Ste A |
$37.77 | 14 | 12 |
|
Akeem Flemister
11 Upper Riverdale Rd Sw |
$39.89 | 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 Riverdale, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Riverdale, GA is $67.80 per claim, based on 22,699 claims from 29 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 Riverdale, GA?
There are 29 Medicaid providers offering Office Visit related services in Riverdale, GA according to public payment data.
What is the price range for Office Visit in Riverdale, GA?
Medicaid reimbursement for Office Visit in Riverdale, GA ranges from $12.41 to $135.26 per claim, with an average of $67.80. 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 Riverdale, GA
Blood Work & Lab Tests
Avg $5.54
197,715 claims
Emergency Room Visit
Avg $145.52
100,767 claims
Urinalysis & Urine Tests
Avg $3.05
50,834 claims
X-Ray
Avg $23.99
49,281 claims
Prescription Medications
Avg $0.82
29,475 claims
EKG / ECG (Electrocardiogram)
Avg $23.53
18,925 claims
CT Scan (Computed Tomography)
Avg $173.05
18,386 claims
Ultrasound
Avg $67.83
18,222 claims