Average Medicaid Office Visit Payments in Vestavia, AL: $68.53
Avg. Paid
$68.53
Range
$0.96 – $143.34
Total Claims
32,957
Providers
29
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 Vestavia, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rebecca Allison Thompson
3735 Corporate Woods Dr Ste 105 |
$87.47 | 5,597 | 5,116 |
|
Manci M Balas Hoesley
3735 Corporate Woods Dr Ste 105 |
$61.06 | 4,198 | 3,237 |
|
Sheneka Annette Mcnichols
600 Vestavia Pkwy Ste 251 |
$70.05 | 3,762 | 3,218 |
|
John Edgar Alan Hammonds
2868 Acton Rd |
$63.01 | 3,269 | 3,062 |
|
Irena Bukelis
400 Vestavia Pkwy |
$143.34 | 1,934 | 1,791 |
|
Shannon Elizabeth Hendricks
7082 Lake Run Dr |
$76.72 | 1,851 | 1,703 |
|
Lindsey M. Beckham
575 Southland Dr |
$80.52 | 1,573 | 1,158 |
|
Elizabeth Mccurdy Crum
1936 Old Orchard Rd |
$72.47 | 1,567 | 1,413 |
|
Tiffany Dy Moore
2409 Acton Rd Ste 171 |
$80.93 | 1,559 | 1,334 |
|
Erin Dodd Morella
2868 Acton Rd |
$4.40 | 1,269 | 1,239 |
|
Lisa Frees
2409 Acton Rd Ste 171 |
$60.49 | 1,037 | 867 |
|
John Harrison Irons
2868 Acton Rd |
$0.96 | 1,031 | 1,007 |
|
Ellen Hamm Hamby
8000 Liberty Pkwy Ste 114 |
$44.07 | 807 | 667 |
|
Ellen Ruffing Patton
2322 Hunters Cv |
$17.59 | 633 | 425 |
|
Erica Brandi King
2868 Acton Rd |
$36.62 | 604 | 389 |
|
Kathleen Ingraham Castellanos
1480 Mcguire Rd |
$47.26 | 530 | 467 |
|
Rachel Roberts
2868 Acton Rd |
$41.41 | 344 | 328 |
|
Ashley Corinne Shafferman
3104 Blue Lake Dr Ste 101 |
$83.04 | 301 | 267 |
|
Telishay Rocquel Bailey
2090 Columbiana Rd |
$79.88 | 259 | 223 |
|
Katherine O'Neal Gilbert
4274 Cahaba Heights Ct Ste 130 |
$32.72 | 177 | 110 |
|
Molleen Kofman Desai
2200 Mountain View Dr |
$48.39 | 172 | 134 |
|
Lauren Snell Callander
2871 Acton Rd Ste 100 |
$32.51 | 171 | 147 |
|
Park Place Healthcare Llc
2868 Acton Rd |
$64.82 | 129 | 111 |
|
Calah N Ray
2531 Rocky Ridge Rd |
$31.54 | 67 | 65 |
|
Robert Gordon Sorrell
5018 Cahaba River Rd |
$22.00 | 37 | 27 |
|
Claire Dodson
200 Montgomery Hwy |
$59.14 | 27 | 27 |
|
Lawrence J Lemak
5018 Cahaba River Rd |
$17.86 | 20 | 12 |
|
Christopher Robin Bailey
700 Montgomery Hwy |
$38.84 | 17 | 17 |
|
Liberty Pediatrics, Llc
3735 Corporate Woods Dr Ste 105 |
$53.53 | 15 | 14 |
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 Vestavia, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Vestavia, AL is $68.53 per claim, based on 32,957 claims from 29 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 Vestavia, AL?
There are 29 Medicaid providers offering Office Visit related services in Vestavia, AL according to public payment data.
What is the price range for Office Visit in Vestavia, AL?
Medicaid reimbursement for Office Visit in Vestavia, AL ranges from $0.96 to $143.34 per claim, with an average of $68.53. 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 Vestavia, AL
X-Ray
Avg $4.54
45,425 claims
Speech Therapy
Avg $55.42
23,063 claims
Dental Cleaning & Exam
Avg $23.77
18,672 claims
Eye Exam
Avg $32.41
16,307 claims
Blood Work & Lab Tests
Avg $10.87
8,440 claims
Vaccines & Immunizations
Avg $18.56
7,615 claims
CT Scan (Computed Tomography)
Avg $46.02
7,068 claims
Ultrasound
Avg $61.35
6,665 claims