Average Medicaid Office Visit Payments in Tupelo, MS: $50.43
Avg. Paid
$50.43
Range
$0.00 – $342.24
Total Claims
816,557
Providers
430
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 Tupelo, MS
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Northeast Mental Health/Mental Retardation Commission
2434 S Eason Blvd |
$57.03 | 56,547 | 48,783 |
|
North Mississippi Medical Clinics Inc
808 Varsity Dr |
$56.80 | 47,695 | 40,055 |
|
North Mississippi Medical Center, Inc.
830 S Gloster St |
$22.47 | 38,749 | 29,369 |
|
Specialty Orthopedic Group Of Mississippi Pllc
1211 S Gloster St Ste A |
$10.34 | 17,598 | 12,407 |
|
David Phillip Mackey
845 S Madison St |
$65.82 | 15,539 | 14,406 |
|
Rodney Rodgers
1424 E Main St |
$40.05 | 14,159 | 8,964 |
|
Robert Foster
845 S Madison St |
$113.61 | 14,074 | 11,859 |
|
Sylvia Blanchard
109 Park Gate Ext |
$93.18 | 14,072 | 12,654 |
|
Karen Ashmore Maltby
811 Garfield St |
$86.85 | 12,732 | 11,484 |
|
Cara L Harris
589 Garfield St |
$61.46 | 12,611 | 11,627 |
|
Milan Edward Ivancic
499 Gloster Creek Vlg |
$63.05 | 10,478 | 9,274 |
|
Matthew Lee Oswalt
811 Garfield St |
$78.40 | 10,461 | 9,449 |
|
Kenneth Robert Cook
410 Council Cir |
$50.67 | 9,740 | 8,774 |
|
Jeffrey Ballard
844 S Madison St |
$55.41 | 8,863 | 8,317 |
|
Kenneth Wolfe
844 S Madison St |
$65.33 | 8,524 | 7,864 |
|
Jennifer L Taylor
830 S Gloster St |
$37.17 | 8,385 | 7,154 |
|
Charles King
845 S Madison St |
$34.27 | 8,255 | 7,739 |
|
Timothy Allen Albers
844 S Madison St |
$56.75 | 7,967 | 7,371 |
|
Bobbie G Vanslyke
4749 S Eason Blvd |
$61.37 | 7,355 | 6,748 |
|
Alexa Nicole Currey
499 Gloster Creek Vlg |
$64.66 | 7,167 | 6,275 |
|
Maria Veronica Masilungan Valdez
1573 Medical Park Cir |
$88.06 | 5,947 | 5,193 |
|
Luke Jameson Campbell
1665 S Green St |
$50.82 | 5,743 | 5,151 |
|
Treny K Emison
499 Gloster Creek Vlg Ste H3 |
$58.92 | 5,640 | 4,904 |
|
Robert Henry Yarber
618 Pegram Dr |
$64.49 | 5,593 | 4,972 |
|
Justin C Duke
1665 S Green St |
$66.66 | 5,515 | 4,867 |
|
Frankie Edward Stanley
302 S Spring St |
$58.39 | 5,431 | 4,977 |
|
Anna Danielle Woodruff
499 Gloster Creek Vlg Ste H3 |
$55.17 | 5,363 | 4,777 |
|
Charles Abavaredo
1665 S Green St |
$78.83 | 5,327 | 4,605 |
|
William T Jennings
826 Clayton Ave |
$80.07 | 5,264 | 4,610 |
|
Ryan Curtis Simmons
618 Pegram Dr |
$67.01 | 5,144 | 4,663 |
|
Stephanie K Cagle
218 S Thomas St Ste 120-121 |
$26.15 | 5,093 | 4,336 |
|
Medplus Urgent Clinic Llc
874 Barnes Crossing Rd |
$13.87 | 4,974 | 3,170 |
|
Lisa H Hodge
4381 S Eason Blvd |
$31.61 | 4,936 | 4,502 |
|
Jessica Lilley
330 W Jefferson St |
$85.78 | 4,935 | 4,429 |
|
Jessica Nicole Wallace Shelton
910 Mary Vance Dr |
$13.14 | 4,871 | 4,075 |
|
Matthew Scott Stevens
618 Pegram Dr. |
$65.54 | 4,782 | 4,298 |
|
Eric Street
1573 Medical Park Cir |
$85.96 | 4,718 | 4,073 |
|
Tina King
1573 Medical Park Cir |
$82.66 | 4,695 | 4,010 |
|
Holly Corbin Poland
2089 Southridge Dr |
$6.52 | 4,560 | 3,324 |
|
Brandy M Mccain
1542 Medical Park Cir |
$37.43 | 4,488 | 3,536 |
|
Orthopaedic Institute Of North Mississippi, Llc
499 Gloster Creek Vlg Ste G1 |
$20.86 | 4,473 | 3,523 |
|
Michael J Gipson
903 Mississippi Dr |
$56.56 | 4,385 | 3,936 |
|
Van D Stone
1573 Medical Park Cir |
$86.23 | 4,367 | 3,871 |
|
Katherine Mcduffie
499 Gloster Creek Vlg |
$30.02 | 4,312 | 4,026 |
|
Kurt Lindsley Nelson
618 Pegram Dr |
$69.33 | 4,244 | 3,818 |
|
Dana Grant
874 Barnes Crossing Rd |
$74.73 | 3,977 | 3,590 |
|
Norris Vincent Crump
898 Lynden Blvd |
$48.94 | 3,969 | 3,137 |
|
Christopher M. Bell
499 Gloster Creek Vlg Ste A2 |
$24.30 | 3,937 | 3,602 |
|
North Mississippi Medical Center Inc.
199 Grandstand Place |
$79.44 | 3,850 | 3,088 |
|
Ortho Express Holding Company, Llc
3952 N Gloster St Ste C |
$31.30 | 3,845 | 2,591 |
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 Tupelo, MS?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Tupelo, MS is $50.43 per claim, based on 816,557 claims from 430 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 Tupelo, MS?
There are 430 Medicaid providers offering Office Visit related services in Tupelo, MS according to public payment data.
What is the price range for Office Visit in Tupelo, MS?
Medicaid reimbursement for Office Visit in Tupelo, MS ranges from $0.00 to $342.24 per claim, with an average of $50.43. 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 Tupelo, MS
Blood Work & Lab Tests
Avg $4.50
758,175 claims
Physical Therapy
Avg $21.25
567,158 claims
Psychiatric Evaluation
Avg $96.65
432,422 claims
Emergency Room Visit
Avg $129.96
316,420 claims
X-Ray
Avg $15.06
306,787 claims
Dental Cleaning & Exam
Avg $27.56
299,522 claims
Case Management Services
Avg $26.25
174,682 claims
Ambulance Transport
Avg $83.88
165,671 claims