Average Medicaid Office Visit Payments in Toccoa, GA: $40.19
Avg. Paid
$40.19
Range
$2.83 – $78.63
Total Claims
11,791
Providers
18
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 Toccoa, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kalpesh Mistry
115 Rock Quarry Rd |
$55.82 | 3,454 | 3,072 |
|
Jim R Wade
58 Big A Road |
$24.78 | 1,787 | 1,476 |
|
Siobhan Brennan
58 Big A Rd |
$2.83 | 1,663 | 1,011 |
|
Christopher Mark Vaughn
58 Big A Rd |
$23.85 | 1,571 | 1,340 |
|
Georgia Mountains Community Services
5700 Fernside Dr |
$78.63 | 1,333 | 1,238 |
|
Robert E Quick
218 Falls Rd |
$28.60 | 418 | 354 |
|
Joshua F Gastley
154 W Tugalo St |
$38.16 | 319 | 295 |
|
Sydney Elise Caudell
115 Rock Quarry Rd |
$56.69 | 230 | 204 |
|
Myrna Hammond
274 Big A Rd |
$56.68 | 219 | 207 |
|
Valerie Rebecca Defoor
58 Big A Rd |
$77.66 | 168 | 142 |
|
Larry Fritchman
115 Rock Quarry Rd |
$42.58 | 145 | 135 |
|
Michael L Maley
58 Big A Road |
$62.28 | 124 | 124 |
|
Shannon G Shuler
58 Big A Road |
$16.90 | 110 | 66 |
|
Wanda Cape
79 Doyle St |
$50.11 | 100 | 90 |
|
David L Quinn
58 Big A Rd |
$20.06 | 69 | 47 |
|
Crystal Kersey Cotrell
58 Big A Rd |
$72.35 | 50 | 48 |
|
Elizabeth Williams Pinkerton
27 Rock Quarry Rd |
$65.68 | 18 | 17 |
|
Cecil Elsmond Brown
163 Hospital Dr |
$22.06 | 13 | 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 Toccoa, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Toccoa, GA is $40.19 per claim, based on 11,791 claims from 18 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 Toccoa, GA?
There are 18 Medicaid providers offering Office Visit related services in Toccoa, GA according to public payment data.
What is the price range for Office Visit in Toccoa, GA?
Medicaid reimbursement for Office Visit in Toccoa, GA ranges from $2.83 to $78.63 per claim, with an average of $40.19. 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 Toccoa, GA
Home Health Visit
Avg $65.21
121,013 claims
Psychiatric Evaluation
Avg $71.15
8,298 claims
Emergency Room Visit
Avg $73.45
5,291 claims
Blood Work & Lab Tests
Avg $0.62
2,441 claims
Wound Care
Avg $18.10
827 claims
Behavioral & Mental Health Therapy
Avg $87.66
407 claims
Nursing Facility Care
Avg $3.96
354 claims
Case Management Services
Avg $84.95
226 claims