Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Sheffield, AL: $53.81

Avg. Paid

$53.81

Range

$0.00 – $214.08

Total Claims

142,244

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 Sheffield, AL

Provider	Avg. Paid	Claims	Patients
Casey Blair Stephenson 707 E 2Nd St Ste A	$42.63	12	12
Wendy Lanessa Orr 1100 S Jackson Hwy Ste 259	$32.77	13	12
Jonathan Frederick 398 Ashe Blvd	$22.09	24	13
Joshua Vacik 1120 S Jackson Hwy	$0.00	29	13
Jack Marvin Mclendon 1120 S Jackson Hwy	$0.00	34	26
Christy Reid 1120 S Jackson Hwy	$29.63	35	29
Michael Robert Yordy 1015 S Jackson Hwy	$16.77	36	27
Larry C Stutts 1120 S Jackson Hwy	$0.00	44	40
Stacey Weeks Butler 1300 S Montgomery Ave	$35.00	55	50
Kenneth F Lemaster 323 N Montgomery Ave	$23.65	62	57
Mark Walker Smith 1015 S Jackson Hwy	$11.20	73	47
Pamela R Britnell 1120 S Jackson Hwy Ste 300	$0.00	94	53
Amber Beasley Shell 1120 S Jackson Hwy Ste 201	$30.87	152	106
Christian Engle 1300 S Montgomery Ave	$58.33	171	158
Steven B Snyder 1120 Jackson Highway	$3.74	179	164
Madison Taylor Chastain 1120 S Jackson Hwy Ste 205	$48.31	210	165
Jonathan Scogin 342 Cox Blvd	$20.06	219	180
Abbey Oliver 342 Cox Blvd	$48.97	229	203
Heidi Leeanne Slappey 1120 S Jackson Hwy	$21.11	239	225
Shoals Primary Care, Llc 342 Cox Blvd	$43.15	300	269
Sidney Katherine Berryman 340 Cox Blvd	$37.63	320	246
Connie Sherril White 342 Cox Blvd	$48.89	347	277
Sara Elizabeth Mclendon Jumper 1120 S Jackson Hwy Ste 300	$49.64	350	342
Kevin Michael Walls 1015 S Jackson Hwy	$15.59	375	237
Caitlin Hunter 1100 S Jackson Hwy Ste 250	$53.35	385	335
Albert Lynn Ridgeway 342 Cox Blvd	$14.82	389	213
Amanda L Murner 1120 S Jackson Hwy	$51.48	441	400
Alan L Billsby 342 Cox Blvd	$44.78	484	355
Randall Eugene Little 1120 S Jackson Hwy	$12.07	521	482
Lisa M Christian 1100 South Montgomery Ave	$11.94	558	474
Lori L Pace 1100 S Jackson Hwy	$29.70	575	494
Amy Lea Barnett 342 Cox Blvd	$31.47	576	412
Filomeno C. Gapultos 1100 S Jackson Hwy Ste 200	$4.27	628	515
Cameron Don Bonds 1120 S Jackson Hwy Ste 300	$47.40	714	635
Pamela D Mcgarrah 1100 S Jackson Hwy Ste 250	$52.87	732	598
Jodilyn Jelsema 500 N Montgomery Ave	$50.31	854	622
Charles Jeremy Thompson 1120 S Jackson Hwy	$1.66	994	690
Kelli Roberson 342 Cox Blvd	$39.62	1,057	874
Monica Page Irons 342 Cox Blvd	$30.46	1,057	812
Darin Kim Bowling 342 Cox Blvd	$29.30	1,064	651
Ryann Elaine Henley 1100 S Jackson Hwy Ste 259	$20.33	1,146	759
Phillip Jordan Dean 1100 S Jackson Hwy	$17.10	1,553	1,236
Anna Morgan Stout 1100 S Jackson Hwy Ste 250	$46.66	1,601	1,415
Jerry Brent Williams 1120 S Jackson Hwy	$13.41	1,618	1,438
Candace Paige Hollis 1120 S Jackson Hwy Ste 300	$33.78	1,672	1,205
Hannah Willis Hale 342 Cox Blvd	$37.04	2,080	1,624
Matthew Alexander Montgomery 342 Cox Blvd	$34.15	2,586	2,263
Alyssa Garner 342 Cox Blvd	$41.29	2,598	2,132
Francis Allen Long 421 Cox Blvd	$76.67	2,772	2,242
Pamela Nancy Barber 1300 S Montgomery Ave	$0.00	2,780	2,087

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 Sheffield, AL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sheffield, AL is $53.81 per claim, based on 142,244 claims from 64 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 Sheffield, AL?

There are 64 Medicaid providers offering Office Visit related services in Sheffield, AL according to public payment data.

What is the price range for Office Visit in Sheffield, AL?

Medicaid reimbursement for Office Visit in Sheffield, AL ranges from $0.00 to $214.08 per claim, with an average of $53.81. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Sheffield, AL: $53.81

Providers Offering Office Visit in Sheffield, AL

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Sheffield, AL

Ambulance Transport

X-Ray

Emergency Room Visit

Blood Work & Lab Tests

Substance Abuse Treatment

Vaccines & Immunizations

Urinalysis & Urine Tests

Case Management Services