Average Medicaid Office Visit Payments in Troy, AL: $47.79
Avg. Paid
$47.79
Range
$0.00 – $211.02
Total Claims
178,530
Providers
56
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 Troy, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maria Lourdes Bernardo
111 Scouting Cir |
$67.08 | 48,426 | 40,504 |
|
Phylecya Yvette Cheatham
101 Country Club Rd |
$53.18 | 12,252 | 10,342 |
|
Elizabeth N Dawson
1300 United States Highway 231 South |
$69.96 | 9,352 | 8,666 |
|
Griffith Guerry Walters
1412 Elba Hwy |
$0.00 | 8,354 | 7,163 |
|
Robert Alan Wade
1412 Elba Hwy |
$3.97 | 7,518 | 6,632 |
|
Yolanda A Patterson
1300 Highway 231 S |
$26.23 | 7,498 | 7,054 |
|
Pike County Health Dept Fp Clinic
900 S Franklin Dr |
$211.02 | 6,965 | 6,432 |
|
Jerry C Roy
1412 Elba Hwy |
$38.09 | 6,565 | 5,959 |
|
Jefferson Edgington
1412 Elba Hwy |
$0.00 | 5,759 | 5,002 |
|
David E Runyon
1412 Elba Hwy |
$0.00 | 5,433 | 4,575 |
|
Roger Wayne Kirk
1340 Highway 231 S Ste 1 |
$60.62 | 5,319 | 4,904 |
|
Robert L Liljeberg
1340 Highway 231 S |
$43.95 | 4,572 | 3,990 |
|
Brittany Nicole Owings
1300 Highway 231 S |
$61.45 | 4,412 | 3,989 |
|
Donette Louise Bish
1412 Elba Hwy |
$0.00 | 4,369 | 3,706 |
|
Cortne Benton
1320 Highway 231 S Ste 1 |
$35.91 | 3,373 | 2,631 |
|
Carrie Little Carroll
1412 Elba Hwy |
$0.00 | 3,211 | 2,594 |
|
Ben A Smith
1412 Elba Hwy |
$0.00 | 3,009 | 2,572 |
|
Sarah E Dowdy
1412 Elba Hwy |
$57.96 | 2,790 | 2,297 |
|
Thomas William Brown
1340 Highway 231 S Ste 6 |
$18.53 | 2,667 | 1,767 |
|
Brandi Bowden Dowling
1412 Elba Hwy |
$0.00 | 2,562 | 2,168 |
|
Kim S Hussey
989 Elba Hwy |
$38.96 | 2,488 | 2,340 |
|
Gwendolyn Calhoon
1300 Highway 231 S |
$53.34 | 2,338 | 2,136 |
|
Kerri Lyn Outlaw
1330 Highway 231 S |
$36.20 | 1,931 | 1,447 |
|
Southeast Alabama Rural Health Associates
1414 Elba Hwy |
$47.78 | 1,791 | 1,570 |
|
Charles Henderson Memorial Association
1300 Highway 231 S |
$81.58 | 1,694 | 1,529 |
|
Emedical Group Inc
111 Scouting Cir |
$64.94 | 1,632 | 1,441 |
|
Adolfo Robledo
1412 Elba Hwy |
$0.00 | 1,510 | 1,322 |
|
David P Dulaney
1340 Highway 231 S |
$34.47 | 1,443 | 1,299 |
|
Wilton David Mcrae
1320 Highway 231 S |
$52.17 | 1,175 | 1,099 |
|
Emedical Group Inc
111 Scouting Cir |
$0.00 | 1,013 | 228 |
|
Maggie Anderson Marvin
717 John H Witherington Dr |
$57.09 | 952 | 929 |
|
East Central Mental Health Mental Retardation, Inc.
200 Cherry St |
$5.79 | 926 | 401 |
|
Morgan Williams Bennett
1412 Elba Hwy |
$0.00 | 871 | 728 |
|
Stephanie Reese
200 Cherry St |
$0.00 | 756 | 751 |
|
Robert Lee Gilliam
1412 Elba Hwy |
$0.00 | 640 | 487 |
|
Hayley Rebecca Mcdaniel
1320 Highway 231 S Ste 2 |
$23.68 | 429 | 322 |
|
Shanna F May
97 Oak Park Dr |
$29.32 | 427 | 385 |
|
Abigail Oliver
657 Trojan Pkwy |
$30.95 | 387 | 301 |
|
David R Hamlin
606 S George Wallace Dr |
$13.82 | 293 | 258 |
|
Julie Bebawy
111 Scouting Cir |
$47.33 | 253 | 222 |
|
Meredith Missildine White
13285 Us Highway 231 |
$35.26 | 231 | 185 |
|
Deborah S. Rushing
101 Hunters Mountain Pkwy |
$63.85 | 194 | 172 |
|
Joyce Waters Purvis
1330 Highway 231 South |
$41.48 | 150 | 127 |
|
Lisa Marie Whittle Cotton
1412 Elba Hwy |
$0.00 | 142 | 130 |
|
Melody Floyd Byram
657 Trojan Pkwy |
$191.11 | 109 | 93 |
|
Aaron Blake Kelly
1330 Highway 231 S |
$15.72 | 55 | 41 |
|
Satinderjit S Gill
145 Scouting Cir |
$67.58 | 51 | 40 |
|
Kelli Kervin Cleveland
1300 Us Highway 231 S |
$45.00 | 44 | 39 |
|
Emily Denise Norris
111 Scouting Cir |
$75.20 | 42 | 42 |
|
Elizabeth Patten Hitchcock
1420 Highway 231 S |
$41.31 | 39 | 39 |
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 Troy, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Troy, AL is $47.79 per claim, based on 178,530 claims from 56 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 Troy, AL?
There are 56 Medicaid providers offering Office Visit related services in Troy, AL according to public payment data.
What is the price range for Office Visit in Troy, AL?
Medicaid reimbursement for Office Visit in Troy, AL ranges from $0.00 to $211.02 per claim, with an average of $47.79. 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 Troy, AL
Behavioral & Mental Health Therapy
Avg $48.91
79,618 claims
Psychiatric Evaluation
Avg $96.06
67,895 claims
Ambulance Transport
Avg $55.81
63,807 claims
Physical Therapy
Avg $4.15
54,134 claims
Case Management Services
Avg $63.82
45,613 claims
Emergency Room Visit
Avg $41.52
40,765 claims
Dental Cleaning & Exam
Avg $22.64
36,887 claims
Vaccines & Immunizations
Avg $14.38
31,197 claims