Average Medicaid Office Visit Payments in Vestavia Hills, AL: $43.47
Avg. Paid
$43.47
Range
$3.35 – $89.01
Total Claims
6,895
Providers
14
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 Hills, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
D Wade Joiner
1009 Montgomery Hwy |
$34.99 | 1,333 | 715 |
|
Carly Brooke Garvey
200 Montgomery Hwy Ste 200 |
$19.60 | 1,270 | 936 |
|
Riley Baker Livingston
4916 Provence Cir |
$89.01 | 1,031 | 933 |
|
Helena Maurine Batson
1480 Mcguire Rd |
$33.49 | 764 | 641 |
|
Jamonica Montrese Watson
1480 Mcguire Rd |
$21.95 | 764 | 561 |
|
Your Kids Urgent Care Alabama
790 Montgomery Hwy Ste 112 |
$66.79 | 712 | 620 |
|
Lakeeshia Vashawn Westry
1770 Independence Ct |
$54.68 | 340 | 285 |
|
Mary Lise Babin
1457 Willoughby Cir |
$58.14 | 180 | 159 |
|
Rodney Dale Huffstutler
1021 Montgomery Hwy Ste 201 |
$27.77 | 149 | 94 |
|
Lori Davis Burns
708 Montgomery Hwy |
$61.88 | 147 | 134 |
|
Monica Gail Cotton Kline
1480 Mcguire Rd |
$17.90 | 87 | 34 |
|
Andrew Joseph Mays
2198 Columbiana Rd Ste 200 |
$21.05 | 77 | 39 |
|
Payton Patel
1360 Montgomery Hwy Ste 114 |
$40.65 | 25 | 14 |
|
Simone Durand
1776 Independence Ct |
$3.35 | 16 | 16 |
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 Hills, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Vestavia Hills, AL is $43.47 per claim, based on 6,895 claims from 14 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 Hills, AL?
There are 14 Medicaid providers offering Office Visit related services in Vestavia Hills, AL according to public payment data.
What is the price range for Office Visit in Vestavia Hills, AL?
Medicaid reimbursement for Office Visit in Vestavia Hills, AL ranges from $3.35 to $89.01 per claim, with an average of $43.47. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Vestavia Hills, AL
Dental Cleaning & Exam
Avg $23.88
7,162 claims
Psychiatric Evaluation
Avg $68.35
4,511 claims
Pathology & Lab Services
Avg $29.37
3,570 claims
Speech Therapy
Avg $55.36
2,056 claims
Eye Exam
Avg $39.25
2,038 claims
Physical Therapy
Avg $42.82
1,646 claims
Blood Work & Lab Tests
Avg $17.00
1,050 claims
Emergency Room Visit
Avg $32.55
972 claims