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 |
|---|---|---|---|
|
Savannah Smith Scoggins
15 Riverbend Dr Sw Ste 200 |
$38.61 | 12 | 12 |
|
Gregory Everett Harris
255 W 5Th St Sw |
$9.09 | 13 | 13 |
|
Shirley Teems Greenway
7 John Maddox Dr Nw |
$15.13 | 14 | 13 |
|
Kimberley Dawn Beasley Weatherford
2112 Shorter Ave Nw Ste 200 |
$39.69 | 15 | 14 |
|
Hannah Wikoff Williams
304 Shorter Avenue |
$52.59 | 16 | 15 |
|
James Michael Ware
7 John Maddox Dr Nw |
$8.39 | 16 | 14 |
|
Margret L. Brown
11 John Maddox Dr Nw |
$28.35 | 17 | 14 |
|
Harbin Clinic, Llc
1825 Martha Berry Blvd Nw |
$0.00 | 19 | 12 |
|
Wilson Larry Tucker
304 Shorter Ave Nw |
$22.71 | 20 | 14 |
|
Stephen Hunt Leatherwood
550 Redmond Rd Nw |
$69.83 | 25 | 25 |
|
George Hunter Myers
7 John Maddox Dr Nw |
$21.27 | 26 | 26 |
|
Katherine Michelle Mueller
15 John Maddox Dr Nw |
$66.74 | 27 | 26 |
|
Angela Winn Ewing
15 John Maddox Dr Nw |
$26.44 | 27 | 24 |
|
Kristopher Nelson
4256, 304 Shorter Ave Nw #201 |
$66.90 | 29 | 25 |
|
Seth Francis Einterz
304 Shorter Ave Nw Ste 201 |
$42.72 | 33 | 16 |
|
Dixon L Freeman
15 Riverbend Dr Sw |
$54.02 | 34 | 30 |
|
Jawaid Ahsan
304 Turner Mccall Blvd Sw |
$51.45 | 39 | 39 |
|
John O Pittman
715 E 2Nd Ave Sw |
$36.81 | 40 | 28 |
|
David Scott Hirsh
504 Redmond Rd Nw |
$22.91 | 42 | 38 |
|
Katlyn Will Zavala
2112 Shorter Ave Nw Ste 200 |
$32.03 | 52 | 39 |
|
Wilder Glover Little
304 Turner Mccall Blvd Sw |
$16.43 | 67 | 60 |
|
Karen Jean Roberts
7 John Maddox Dr Nw |
$29.90 | 69 | 54 |
|
Charles Frederick Jackson
7 John Maddox Dr Nw |
$26.78 | 81 | 66 |
|
Christina Douglass
2112 Shorter Ave Nw Ste 200 |
$36.45 | 88 | 69 |
|
Tricia Nicole Collins
103 John Maddox Dr Nw |
$26.94 | 89 | 81 |
|
Dawit Weldemichael
304 Shorter Ave Nw Ste 104 |
$48.39 | 91 | 80 |
|
Sarah Alyssa Brantley
330 Turner Mccall Blvd Sw |
$32.01 | 91 | 70 |
|
Shanna Yvonne Pressley
1314 Turner Mccall Blvd Sw |
$53.03 | 92 | 80 |
|
Bethany Wall Jackson
2112 Shorter Ave Nw Ste 240 |
$78.63 | 98 | 87 |
|
Tosha Michelle White
19 John Maddox Dr Nw Ste B |
$20.29 | 103 | 79 |
|
Floyd County Health Department
16 E 12Th St Sw |
$12.36 | 113 | 112 |
|
Garvin Lee Chandler
309 W 10Th St Ne |
$31.06 | 114 | 91 |
|
Rebecca Nicole Zuniga
7 John Maddox Dr Nw |
$24.38 | 122 | 98 |
|
Kipp Slicker
7 John Maddox Dr Nw |
$22.47 | 127 | 82 |
|
Lori Ann Brady
7 John Maddox Dr Nw |
$20.21 | 128 | 112 |
|
Marenda Celie Russell
7 John Maddox Dr Nw |
$16.19 | 149 | 120 |
|
Ricardo Postigo Alarcon
1825 Martha Berry Blvd Nw |
$20.14 | 151 | 119 |
|
Rachel Harris
19 John Maddox Dr Nw Ste B |
$26.03 | 152 | 144 |
|
Hollie Thacker Gillis
85 John Maddox Drive Connector Nw |
$82.03 | 152 | 151 |
|
William Keith Montgomery
15 Riverbend Dr Sw |
$43.22 | 174 | 164 |
|
Amanda Preteroti Harris
7 John Maddox Dr Nw |
$20.77 | 187 | 165 |
|
Megan Richards White
501 Redmond Rd Nw |
$34.89 | 188 | 133 |
|
Robert Peter Styperek
19 John Maddox Dr Nw Ste B |
$25.89 | 200 | 160 |
|
Lisa Blake
15 Riverbend Dr Sw |
$58.99 | 206 | 182 |
|
Tessa L Gibson
2112 Shorter Ave Nw Ste 200 |
$34.07 | 236 | 192 |
|
Suni Hamm Carroll
1105 N 5Th Ave Ne |
$50.77 | 238 | 224 |
|
Felicia Elizabeth Pressley
304 Turner Mccall Blvd Sw |
$79.03 | 290 | 289 |
|
Ronald Seth Van Dyke
19 Redmond Rd Nw |
$46.55 | 292 | 261 |
|
Himanshu Mukesh Patel
7 John Maddox Dr Nw |
$27.54 | 329 | 289 |
|
Taylor Ryan Smith
103 John Maddox Dr Nw |
$29.01 | 398 | 380 |
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