Average Medicaid Office Visit Payments in Trussville, AL: $78.58
Avg. Paid
$78.58
Range
$24.64 – $101.62
Total Claims
88,711
Providers
16
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 Trussville, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
The Children'S Hospital Of Alabama
520 Simmons Dr |
$101.62 | 23,350 | 21,026 |
|
Peily Soong
520 Simmons Dr |
$68.76 | 17,564 | 15,805 |
|
Rebecca B Webster
520 Simmons Dr |
$69.06 | 10,969 | 9,958 |
|
Angela Helms Redmond
520 Simmons Dr |
$74.77 | 8,892 | 8,244 |
|
Ann-Katrin Wilson
520 Simmons Dr |
$75.49 | 8,126 | 7,574 |
|
Katherine Ann Rochelle
520 Simmons Dr |
$75.83 | 7,947 | 7,305 |
|
Diane Fiddler Kutny
520 Simmons Dr |
$76.07 | 7,645 | 7,154 |
|
Darlene Santamour
1110 N Chalkville Rd |
$24.64 | 2,244 | 1,058 |
|
Alexis Hardrick
245 Lake Ridge Dr |
$57.13 | 736 | 596 |
|
Kaleigh Teems
117 N Chalkville Rd |
$52.18 | 351 | 312 |
|
Janaki Ram Earla
4735 Norrell Drive |
$66.94 | 315 | 254 |
|
Shannon Elizabeth Marwitz
520 Simmons Dr |
$74.37 | 263 | 258 |
|
Scott C Boyken
7201 Happy Hollow Road |
$37.04 | 106 | 101 |
|
Celeste Renee Richardson
7201 Happy Hollow Rd Ste 101 |
$34.98 | 92 | 65 |
|
Michael Falola
289 Glen Cross Dr |
$68.42 | 86 | 81 |
|
Sheila Marie Mcgill
7608 Azalea Cir |
$55.30 | 25 | 21 |
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 Trussville, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Trussville, AL is $78.58 per claim, based on 88,711 claims from 16 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 Trussville, AL?
There are 16 Medicaid providers offering Office Visit related services in Trussville, AL according to public payment data.
What is the price range for Office Visit in Trussville, AL?
Medicaid reimbursement for Office Visit in Trussville, AL ranges from $24.64 to $101.62 per claim, with an average of $78.58. 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 Trussville, AL
Blood Work & Lab Tests
Avg $4.21
42,826 claims
Vaccines & Immunizations
Avg $49.26
41,610 claims
Emergency Room Visit
Avg $64.33
23,143 claims
Dental Cleaning & Exam
Avg $27.02
20,930 claims
Eye Exam
Avg $35.08
9,083 claims
Physical Therapy
Avg $17.31
5,246 claims
Nursing Facility Care
Avg $7.28
4,815 claims
Culture & Microbiology Tests
Avg $10.36
4,395 claims