Average Medicaid Office Visit Payments in Thomaston, GA: $76.74
Avg. Paid
$76.74
Range
$0.00 – $106.01
Total Claims
44,702
Providers
7
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 Thomaston, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stephanie H Kong
210 Hannahs Mill Rd |
$56.53 | 24,243 | 18,706 |
|
Careconnect Health, Inc.
101 Deluxe Circle |
$106.01 | 18,964 | 17,038 |
|
Babatunde Tenitayo Fariyike
612 W Gordon St Ste A |
$37.99 | 970 | 915 |
|
Danny Joe Bramlett
500 W Main St |
$28.38 | 299 | 252 |
|
Cassie L Bishop
523 W Main St |
$27.64 | 141 | 129 |
|
Yvette Murray-Thomas
801 W Gordon St |
$0.00 | 71 | 67 |
|
Benjamin Durham
522 N Center St |
$41.86 | 14 | 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 Thomaston, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Thomaston, GA is $76.74 per claim, based on 44,702 claims from 7 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 Thomaston, GA?
There are 7 Medicaid providers offering Office Visit related services in Thomaston, GA according to public payment data.
What is the price range for Office Visit in Thomaston, GA?
Medicaid reimbursement for Office Visit in Thomaston, GA ranges from $0.00 to $106.01 per claim, with an average of $76.74. 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 Thomaston, GA
Emergency Room Visit
Avg $67.98
9,813 claims
Vaccines & Immunizations
Avg $10.20
5,334 claims
Hearing Test (Audiometry)
Avg $3.13
3,518 claims
Urinalysis & Urine Tests
Avg $1.69
3,140 claims
Dialysis
Avg $30.45
2,467 claims
Substance Abuse Treatment
Avg $0.00
1,892 claims
Blood Work & Lab Tests
Avg $2.32
1,090 claims
Nursing Facility Care
Avg $8.77
980 claims