Average Medicaid Office Visit Payments in Spanish Fort, AL: $52.45
Avg. Paid
$52.45
Range
$0.00 – $107.81
Total Claims
9,320
Providers
9
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 Spanish Fort, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eastern Shore Children'S Clinic, P.C.
9603 Stagecoach Commercial Park Circle |
$66.07 | 14 | 12 |
|
Jolanda Monique Amey
10558 Eastern Shore Blvd Apt 522 |
$0.00 | 55 | 42 |
|
Sharon Bourdon Ganey
30762 State Highway 181 |
$4.74 | 257 | 202 |
|
Taylor Sanders Scruggs
30762 State Highway 181 |
$60.77 | 316 | 280 |
|
Julie Seals
7420 Spanish Fort Blvd Ste B |
$63.10 | 487 | 404 |
|
Magdi Tageldin
7626 Spanish Fort Blvd |
$0.00 | 976 | 961 |
|
Perrin Fant Windham
30500 Highway 181 36527 |
$107.81 | 1,369 | 1,224 |
|
Jennifer Kathleen Griffin
32128 Broken Branch Cir |
$51.55 | 2,386 | 1,861 |
|
Ashley Lauren Penn
9797 Timber Cir Ste A |
$48.02 | 3,460 | 2,881 |
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 Spanish Fort, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Spanish Fort, AL is $52.45 per claim, based on 9,320 claims from 9 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 Spanish Fort, AL?
There are 9 Medicaid providers offering Office Visit related services in Spanish Fort, AL according to public payment data.
What is the price range for Office Visit in Spanish Fort, AL?
Medicaid reimbursement for Office Visit in Spanish Fort, AL ranges from $0.00 to $107.81 per claim, with an average of $52.45. 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 Spanish Fort, AL
Physical Therapy
Avg $2.45
37,158 claims
Nursing Facility Care
Avg $3.58
21,249 claims
Dental Cleaning & Exam
Avg $21.47
19,233 claims
Psychiatric Evaluation
Avg $57.58
8,452 claims
Speech Therapy
Avg $37.59
7,346 claims
Blood Work & Lab Tests
Avg $1.41
6,016 claims
Dental Filling
Avg $61.06
2,024 claims
Urinalysis & Urine Tests
Avg $2.20
1,913 claims