Average Medicaid Office Visit Payments in Sumrall, MS: $74.32
Avg. Paid
$74.32
Range
$23.28 – $124.84
Total Claims
39,898
Providers
19
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 Sumrall, MS
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amanda Mckenzie Cesare
4881 Highway 589 |
$66.91 | 9,703 | 8,577 |
|
Ginger N Pace-Herndon
1016 Highway 42 |
$124.84 | 6,195 | 5,407 |
|
Brandon L Coleman
1016 Highway 42 |
$121.71 | 3,285 | 2,857 |
|
Brandon Coby Smith
4 E Sycamore |
$114.86 | 3,047 | 2,642 |
|
Sumrall Family Health Center
1016 Highway 42 |
$23.28 | 3,020 | 2,726 |
|
Leslie Rollins
4881 Highway 589 |
$56.28 | 2,476 | 2,263 |
|
Lauren M Walters
1238 Highway 42 |
$42.99 | 1,836 | 1,562 |
|
Aimmee Rochelle Chestang
33 Chastain Ln |
$46.22 | 1,706 | 1,451 |
|
Charles Allen Bruce
1238 Highway 42 |
$45.07 | 1,399 | 1,234 |
|
Susan L Dubose
1238 Highway 42 |
$58.26 | 1,266 | 1,093 |
|
Covington County Hospital
1039 Highway 42 Ste C |
$37.40 | 1,242 | 565 |
|
Jamie Elaine Thornton
1238 Highway 42 |
$66.28 | 1,230 | 1,108 |
|
Kids Bright Clinic Llc
4881 Highway 589 |
$41.36 | 1,166 | 674 |
|
John David Bullock
1238 Highway 42 |
$39.13 | 947 | 886 |
|
Rikki Suzanne Broom
4881 Hwy 589 |
$84.21 | 491 | 438 |
|
Mary Agnes Bennett
35 Magnolia Crossing Rd |
$49.89 | 382 | 352 |
|
Rebecca Jameson
4891 Highway 589 |
$25.38 | 248 | 188 |
|
William Walker
Merit Health Medical Group-Sumrall |
$29.82 | 242 | 196 |
|
Catherine Elizabeth Brock
4881 Hwy 589 |
$88.69 | 17 | 14 |
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 Sumrall, MS?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sumrall, MS is $74.32 per claim, based on 39,898 claims from 19 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 Sumrall, MS?
There are 19 Medicaid providers offering Office Visit related services in Sumrall, MS according to public payment data.
What is the price range for Office Visit in Sumrall, MS?
Medicaid reimbursement for Office Visit in Sumrall, MS ranges from $23.28 to $124.84 per claim, with an average of $74.32. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Sumrall, MS
Dental Cleaning & Exam
Avg $29.58
13,933 claims
Vaccines & Immunizations
Avg $14.25
12,690 claims
Speech Therapy
Avg $45.46
6,554 claims
Blood Work & Lab Tests
Avg $1.29
5,936 claims
Dental Filling
Avg $84.14
5,301 claims
Tooth Extraction
Avg $89.56
1,990 claims
Physical Therapy
Avg $28.05
1,679 claims
Hearing Test (Audiometry)
Avg $5.62
1,106 claims