Average Medicaid Office Visit Payments in Valley, AL: $59.86
Avg. Paid
$59.86
Range
$0.00 – $215.29
Total Claims
50,629
Providers
21
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 Valley, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tonya A Lyles
4900 20Th Ave |
$58.79 | 11,821 | 9,977 |
|
Mitchel Lewis Galishoff
21 Medical Park |
$63.85 | 6,763 | 6,001 |
|
Allison Strickland
3306 20Th Ave |
$59.32 | 5,872 | 4,884 |
|
Chambers County Health Dept-Valley Fp Clinic
5 North Medical Park Dr. |
$215.29 | 5,072 | 4,769 |
|
Charles A Casarona
4900 20Th Ave |
$0.00 | 5,022 | 4,006 |
|
David G Fagan
11 Medical Park |
$48.53 | 2,264 | 2,056 |
|
Access Medical Clinic Llc
4900 20Th Ave |
$6.38 | 2,158 | 1,390 |
|
Patrick L Martin
10 Medical Park |
$25.09 | 1,938 | 1,394 |
|
Venkatapuram Gopikrishna Reddy
1701 48Th St |
$11.38 | 1,650 | 936 |
|
Leah Knight
3306 20Th Ave |
$21.62 | 1,645 | 722 |
|
Robert Hammond
267 Fob James Dr |
$51.82 | 1,105 | 1,010 |
|
Carla A Etherton-Moore
11 Medical Park |
$48.97 | 1,038 | 924 |
|
Rao R Meka
14 Medical Park |
$34.32 | 693 | 461 |
|
Mona Bakshi
267 Fob James Dr |
$9.33 | 635 | 529 |
|
Charles A. Casarona, Md
4900 20Th Ave |
$62.16 | 581 | 516 |
|
Lauren Sarah Dusek
267 Fob James Dr |
$59.23 | 568 | 507 |
|
Arvind Pandurang Kamath
1 Medical Park |
$8.23 | 514 | 416 |
|
Genetrice James-Kyle
4900 20Th Ave |
$17.68 | 467 | 440 |
|
Leanne Knowles
1 Medical Park |
$25.16 | 419 | 372 |
|
Tamara S. Klepper
1701 48Th St |
$14.77 | 392 | 301 |
|
Michael Grossman
4505 20Th Ave |
$47.41 | 12 | 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 Valley, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Valley, AL is $59.86 per claim, based on 50,629 claims from 21 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 Valley, AL?
There are 21 Medicaid providers offering Office Visit related services in Valley, AL according to public payment data.
What is the price range for Office Visit in Valley, AL?
Medicaid reimbursement for Office Visit in Valley, AL ranges from $0.00 to $215.29 per claim, with an average of $59.86. 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 Valley, AL
Emergency Room Visit
Avg $67.30
16,102 claims
Vaccines & Immunizations
Avg $9.99
8,055 claims
Physical Therapy
Avg $1.91
6,589 claims
Blood Work & Lab Tests
Avg $10.54
6,486 claims
Nursing Facility Care
Avg $3.98
5,908 claims
Case Management Services
Avg $41.94
5,400 claims
Ambulance Transport
Avg $74.92
4,198 claims
Eye Exam
Avg $35.24
3,990 claims