Average Medicaid Office Visit Payments in Rome, GA: $51.19
Avg. Paid
$51.19
Range
$0.00 – $132.91
Total Claims
149,147
Providers
94
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 Rome, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Floyd Healthcare Management Inc
304 Turner Mccall Blvd Sw |
$20.97 | 23,825 | 18,637 |
|
Amy Jones
140 Three Rivers Dr Ne |
$75.32 | 15,025 | 14,202 |
|
Raymond Howard
107 John Maddox Drive |
$64.58 | 10,886 | 10,080 |
|
Jennifer Tischler Naddy
140 Three Rivers Dr Ne |
$77.20 | 8,653 | 8,101 |
|
Highland Rivers Csb
6 Mathis Drive, Nw |
$43.21 | 8,256 | 6,431 |
|
Stephan J Lapointe
1100 Martha Berry Blvd Ne |
$25.59 | 7,772 | 6,361 |
|
Elizabeth Anne Smith
402 N 4Th Ave Sw |
$68.05 | 6,993 | 5,574 |
|
Mary L Dillard
107 John Maddox Dr Nw |
$51.40 | 6,451 | 5,986 |
|
Heidi Joy Trujillo
140 Three Rivers Dr Ne |
$74.57 | 4,706 | 4,446 |
|
Erica Omondi
140 Three Rivers Dr Ne |
$53.47 | 4,306 | 3,869 |
|
James T Douglas
15 Riverbend Dr Sw |
$49.38 | 3,915 | 3,553 |
|
Kerri Queen
36 Chateau Ct Se |
$45.41 | 3,576 | 3,315 |
|
Wajiha Farooq
140 Three Rivers Dr Ne |
$84.76 | 3,508 | 3,290 |
|
Farrah Gardner
420 E 2Nd Ave |
$29.28 | 3,116 | 2,050 |
|
Tammy Michelle Hairel
85 John Maddox Drive Connector Nw |
$35.68 | 2,900 | 2,605 |
|
Fred Usoh
18 Riverbend Dr Sw |
$26.54 | 2,879 | 2,656 |
|
Justin Smith
304 Shorter Ave Nw Ste 201 |
$132.91 | 2,182 | 1,928 |
|
Jennifer Maclayne Heller
15 Riverbend Dr Sw |
$64.31 | 2,075 | 1,985 |
|
Elizabeth Wright
140 Three Rivers Dr Ne |
$81.71 | 1,762 | 1,634 |
|
Jagdeep Singh
2112 Shorter Ave Nw Ste 200 |
$29.96 | 1,222 | 982 |
|
Floyd Healthcare Management Inc
304 Turner Mccall Blvd Sw |
$59.14 | 1,184 | 1,093 |
|
Tonya Bridges
15 Riverbend Dr Sw |
$52.10 | 1,146 | 1,037 |
|
Edward E Meier
2112 Shorter Ave Nw Ste 200 |
$20.75 | 1,115 | 936 |
|
Erica Monique Call
304 Shorter Ave Nw |
$56.11 | 1,094 | 1,034 |
|
Priyanka Patel
107 John Maddox Dr. Nw |
$66.25 | 1,081 | 991 |
|
Jason Cucchiara
304 Turner Mccall Blvd Sw |
$38.53 | 1,038 | 773 |
|
Kenneth Obi
11 John Maddox Dr Nw |
$37.30 | 987 | 837 |
|
James Henry Vick
304 Turner Mccall Blvd Sw |
$48.91 | 985 | 903 |
|
Veronica Miguel
140 Three Rivers Dr Ne |
$82.75 | 976 | 919 |
|
Roderick Remoroza
11 John Maddox Dr Nw |
$32.21 | 974 | 772 |
|
Michelle Renee Teems
304 Turner Mccall Blvd Sw |
$69.85 | 901 | 892 |
|
Ashim Mehta
306 Shorter Ave Nw |
$30.94 | 876 | 797 |
|
Kristen Higgins Leezer
15 Riverbend Dr Sw |
$51.95 | 857 | 794 |
|
Louis Lataif
11 John Maddox Dr Nw |
$32.31 | 772 | 627 |
|
Claire Price Rogers
103 John Maddox Dr Nw |
$36.86 | 769 | 716 |
|
Theron Wayne Thompson
1825 Martha Berry Blvd Nw |
$65.83 | 700 | 641 |
|
Chad Beck
330 Turner Mccall Blvd Sw Ste 2000 |
$18.47 | 628 | 576 |
|
William K Naguszewski
126 Three Rivers Dr Ne |
$11.02 | 598 | 503 |
|
Dusty Bright
304 Turner Mccall Blvd Sw |
$63.12 | 572 | 550 |
|
Douglas Lamar Page
1825 Martha Berry Blvd Nw |
$65.56 | 559 | 555 |
|
Henaro C Sabino
504 Redmond Rd Nw |
$95.69 | 539 | 479 |
|
Christopher J Pickens
15 Riverbend Dr Sw |
$60.65 | 510 | 484 |
|
Jill Marie Martin
330 Turner Mccall Blvd Sw Ste 2000 |
$25.94 | 493 | 461 |
|
Adedamola Lufadeju
11 John Maddox Dr Nw |
$37.00 | 454 | 389 |
|
Taylor Ryan Smith
103 John Maddox Dr Nw |
$29.01 | 398 | 380 |
|
Himanshu Mukesh Patel
7 John Maddox Dr Nw |
$27.54 | 329 | 289 |
|
Ronald Seth Van Dyke
19 Redmond Rd Nw |
$46.55 | 292 | 261 |
|
Felicia Elizabeth Pressley
304 Turner Mccall Blvd Sw |
$79.03 | 290 | 289 |
|
Suni Hamm Carroll
1105 N 5Th Ave Ne |
$50.77 | 238 | 224 |
|
Tessa L Gibson
2112 Shorter Ave Nw Ste 200 |
$34.07 | 236 | 192 |
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 Rome, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rome, GA is $51.19 per claim, based on 149,147 claims from 94 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 Rome, GA?
There are 94 Medicaid providers offering Office Visit related services in Rome, GA according to public payment data.
What is the price range for Office Visit in Rome, GA?
Medicaid reimbursement for Office Visit in Rome, GA ranges from $0.00 to $132.91 per claim, with an average of $51.19. 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 Rome, GA
Blood Work & Lab Tests
Avg $10.21
484,864 claims
Emergency Room Visit
Avg $152.91
310,576 claims
Physical Therapy
Avg $49.79
139,767 claims
Urinalysis & Urine Tests
Avg $7.83
106,328 claims
X-Ray
Avg $51.18
93,110 claims
Ambulance Transport
Avg $60.57
91,395 claims
EKG / ECG (Electrocardiogram)
Avg $18.06
73,452 claims
Culture & Microbiology Tests
Avg $9.57
61,020 claims