Average Medicaid Office Visit Payments in Sylacauga, AL: $34.14
Avg. Paid
$34.14
Range
$0.00 – $228.72
Total Claims
195,542
Providers
49
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 Sylacauga, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rekha Chadalawada
115 W Clay St |
$11.91 | 50,508 | 42,789 |
|
Pathway Pediatrics, Inc.
209 W Spring St |
$22.75 | 24,238 | 20,798 |
|
David Hardy
115 W Clay St |
$23.73 | 16,299 | 14,668 |
|
Sylacauga Pediatric Clinic, Llc
115 W Clay St |
$2.59 | 13,206 | 12,080 |
|
Wael Hamo
1263 Talladega Hwy |
$40.33 | 10,568 | 9,956 |
|
Sylacauga Pediatric Clinic, Llc
115 W Clay St |
$73.66 | 9,707 | 8,334 |
|
Leslie Robinson Sawyer
209 W Spring St |
$41.63 | 7,752 | 6,393 |
|
Ghayas Ali Habach
291 James Payton Blvd |
$58.33 | 5,851 | 4,901 |
|
Kristen Lawhorn
209 W Spring St |
$58.07 | 5,085 | 4,487 |
|
Davona Sheyvon Laurin
40900 Us Highway 280 |
$54.11 | 4,539 | 3,615 |
|
Alice Mansell Hardy
209 W Spring St |
$76.51 | 4,259 | 3,645 |
|
Talladega County Health Dept-Sylacauga Fp Clinic
311 N Elm Ave |
$228.72 | 4,052 | 3,827 |
|
Abdalla Mohamed Elkhier
400 W Fort Williams St |
$38.35 | 3,699 | 3,119 |
|
Mohamed Ammar Aldaher
209 W Spring St |
$42.74 | 3,325 | 2,804 |
|
Karie Bowers
1023 W Fort Williams St |
$17.43 | 3,098 | 1,102 |
|
Jonathan Francis Rehberg
315 W Fort Williams St Ste 100 |
$30.13 | 2,904 | 2,424 |
|
Kyndra P Wright
315 W Fort Williams St Ste 100 |
$41.32 | 2,677 | 2,115 |
|
Imad Khdair
209 W Spring St |
$44.93 | 2,669 | 2,361 |
|
Bashar Hakim
126 S Anniston Ave |
$30.85 | 2,582 | 2,315 |
|
Megan J Moore
209 W Spring St |
$48.21 | 2,542 | 2,282 |
|
Clifton Garris
1023 West Fort Williams St |
$54.27 | 1,976 | 1,691 |
|
Laura G Deichmann
209 W Spring St |
$79.07 | 1,970 | 1,759 |
|
Walter P Pinson
209 W Spring St |
$34.60 | 1,814 | 1,550 |
|
Fast Pace Medical Clinic Pllc
41357 Us Highway 280 |
$0.00 | 1,783 | 1,363 |
|
Emily Kahler Rehberg
315 W Fort Williams St Ste 200 |
$32.53 | 1,073 | 962 |
|
Julie Evelyn Boycott
115 W Clay St |
$51.12 | 1,051 | 906 |
|
James David Miller
315 W Hickory St |
$32.04 | 838 | 684 |
|
Anthony Jerome Nix
209 W Spring St |
$49.89 | 729 | 647 |
|
Clayton H. Davis
209 W Spring St |
$43.58 | 701 | 552 |
|
Stacy Leeann Cantley
493 W 3Rd St |
$36.12 | 642 | 562 |
|
Stephen R Bowen
209 W Spring St |
$44.85 | 595 | 493 |
|
Renee S Davis
209 W Spring St |
$48.33 | 487 | 427 |
|
Tasia Bates Bradford
209 W Spring St Ste 102 |
$24.11 | 477 | 394 |
|
Traci Morrow
1661 Old Birmingham Hwy |
$5.65 | 384 | 326 |
|
James Waid Blackstone
209 W Spring St Ste 302 |
$30.07 | 274 | 208 |
|
Jennie S Wheeler
315 W Hickory St |
$22.01 | 236 | 219 |
|
Jennifer Mizzell Sylestine
208 W Fort Williams St |
$35.69 | 209 | 146 |
|
David Marotta
110 S Anniston Ave |
$20.17 | 161 | 98 |
|
Darlene Mathis
115 W Clay St |
$55.66 | 146 | 129 |
|
Anthony Andrew Cibulski
315 W Hickory St |
$42.81 | 104 | 93 |
|
Jennifer Lacey
315 W Hickory St |
$34.85 | 72 | 70 |
|
Sylacauga Family Health Center L.L.C
208 W Fort Williams St |
$58.88 | 59 | 52 |
|
Deborah Holderfield
291 James Payton Blvd |
$43.58 | 56 | 54 |
|
Peter Dsa
126 S Anniston Ave |
$5.99 | 51 | 51 |
|
Marble City Family Care And Obstetrics, Pc
11 N Norton Ave |
$63.92 | 31 | 27 |
|
Mamoun R Pacha
16 S Douglas Ave |
$16.61 | 20 | 13 |
|
Nazia Mohamed
209 W Spring St Ste 200 |
$63.13 | 16 | 14 |
|
Matthew Ryan Dimon
110 S Anniston Ave |
$61.90 | 15 | 13 |
|
Ashley Nicole Zeigler
115 W Clay St |
$84.41 | 12 | 12 |
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 Sylacauga, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sylacauga, AL is $34.14 per claim, based on 195,542 claims from 49 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 Sylacauga, AL?
There are 49 Medicaid providers offering Office Visit related services in Sylacauga, AL according to public payment data.
What is the price range for Office Visit in Sylacauga, AL?
Medicaid reimbursement for Office Visit in Sylacauga, AL ranges from $0.00 to $228.72 per claim, with an average of $34.14. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Sylacauga, AL
Ambulance Transport
Avg $1,140
233,975 claims
Vaccines & Immunizations
Avg $16.53
40,134 claims
Blood Work & Lab Tests
Avg $4.61
36,317 claims
Dental Cleaning & Exam
Avg $22.27
27,052 claims
Eye Exam
Avg $39.97
22,321 claims
Urinalysis & Urine Tests
Avg $2.99
22,053 claims
Case Management Services
Avg $74.49
17,571 claims
Physical Therapy
Avg $17.19
17,295 claims