Average Medicaid Office Visit Payments in Stone Mountain, GA: $72.14
Avg. Paid
$72.14
Range
$2.06 – $123.38
Total Claims
45,244
Providers
26
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 Stone Mountain, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Edward Marvin Gotlieb
5405 Memorial Dr |
$78.87 | 10,237 | 9,461 |
|
Tassew Tesfaye
4958 Memorial Dr |
$52.66 | 9,517 | 8,028 |
|
Medcura Health, Inc.
5582 Memorial Dr |
$123.38 | 7,544 | 7,113 |
|
Jaquelin Smith Gotlieb
5405 Memorial Dr |
$60.82 | 4,493 | 4,296 |
|
Lucinda Johnson Sellers
5405 Memorial Dr Ste D |
$58.85 | 4,484 | 4,314 |
|
Mary Wesleigh Lourie
5405 Memorial Dr |
$70.40 | 3,493 | 3,341 |
|
Justin Stewart Kitchens
5405 Memorial Dr Ste D |
$61.07 | 1,010 | 934 |
|
Essence Of Care Inc
5405 Memorial Dr |
$75.20 | 899 | 707 |
|
Vivian Gaines-Thompson
1825 Rockbridge Rd Ste 15B |
$2.06 | 666 | 537 |
|
Dawn Xin Chen
833 N Hairston Rd |
$41.04 | 650 | 594 |
|
Laura Renae Wilson
5405 Memorial Dr Ste D |
$50.73 | 647 | 632 |
|
Seyed Mansour Jazayeri
833 N Hairston Rd |
$41.57 | 384 | 348 |
|
Krum Georgiev
5440 Lilburn Stone Mountain Rd Ste A |
$9.31 | 268 | 251 |
|
Israel J Cabanas
5462 Memorial Dr |
$34.42 | 268 | 242 |
|
Taneisha Nacoya Benjamin
1192 Rockbridge Rd |
$46.37 | 264 | 243 |
|
Jessica Laine Malmad
5462 Memorial Dr Ste 202 |
$21.97 | 109 | 95 |
|
Virna Lisa Simmons
5582 Memorial Dr |
$29.24 | 60 | 51 |
|
Muhammad Shabbir Hashmi
1324 Rockbridge Rd |
$2.62 | 42 | 42 |
|
Jose M Donatien
1825 Rockbridge Rd Ste 15B |
$29.73 | 37 | 30 |
|
Tran B. Trivedi
5462 Memorial Dr |
$30.30 | 33 | 25 |
|
Alyssa Jill Style
1835 E Park Place Blvd Ste 110 |
$51.56 | 31 | 27 |
|
Dawn Ledford Parker
7207 Rockbridge Rd |
$13.35 | 29 | 29 |
|
Khurram A Khan
500 Springhouse Cir |
$8.56 | 26 | 25 |
|
Johana Andrea Perrine
5462 Memorial Dr Ste 202 |
$62.35 | 20 | 15 |
|
Anastasia M Thomas
5385 Five Forks Trickum Rd |
$24.19 | 18 | 16 |
|
Marianne Lissade
1825 Rockbridge Rd Ste 15B |
$80.27 | 15 | 13 |
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 Stone Mountain, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Stone Mountain, GA is $72.14 per claim, based on 45,244 claims from 26 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 Stone Mountain, GA?
There are 26 Medicaid providers offering Office Visit related services in Stone Mountain, GA according to public payment data.
What is the price range for Office Visit in Stone Mountain, GA?
Medicaid reimbursement for Office Visit in Stone Mountain, GA ranges from $2.06 to $123.38 per claim, with an average of $72.14. 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 Stone Mountain, GA
Home Health Visit
Avg $157.71
40,870 claims
Behavioral & Mental Health Therapy
Avg $79.05
32,310 claims
Vaccines & Immunizations
Avg $17.93
25,752 claims
Psychiatric Evaluation
Avg $86.05
23,332 claims
Dental Cleaning & Exam
Avg $24.20
16,995 claims
Case Management Services
Avg $101.54
15,294 claims
Blood Work & Lab Tests
Avg $2.91
8,474 claims
Urinalysis & Urine Tests
Avg $2.73
6,450 claims