Average Medicaid Office Visit Payments in Wetumpka, AL: $26.83
Avg. Paid
$26.83
Range
$0.00 – $490.50
Total Claims
91,546
Providers
26
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 Wetumpka, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ivy Creek Of Elmore Llc
815 Jackson Trace Rd |
$1.87 | 37,739 | 30,368 |
|
Carrie K Christian
815 Jackson Trace Rd |
$47.53 | 12,153 | 11,050 |
|
James M. Carlile
78 Cambridge Ct |
$0.77 | 7,910 | 6,359 |
|
Anne S Young
815 Jackson Trace Rd |
$0.04 | 6,609 | 6,012 |
|
Bruce Lamar Kent
41 Cambridge Ct |
$9.08 | 4,980 | 3,505 |
|
Magnolia Commons Pediatrics Llc
78 Cambridge Ct |
$71.84 | 4,972 | 4,091 |
|
Elmore County Health Dept Fp Clinic
6501 Us Highway 231 |
$231.04 | 4,696 | 4,303 |
|
Martin Anthony Lyons
41 Cambridge Ct |
$3.80 | 1,766 | 1,297 |
|
Kailey Davis
525 Hospital Dr |
$25.53 | 1,529 | 833 |
|
Ivycreek Of Elmore Llc
41 Cambridge Ct |
$0.40 | 1,437 | 912 |
|
Callie Edge Best
815 Jackson Trace Rd |
$59.95 | 1,383 | 1,215 |
|
Brandy E Laurenzi
41 Cambridge Ct |
$36.17 | 1,357 | 1,069 |
|
Megan Renee Brown
515 Hospital Dr Ste A |
$12.73 | 931 | 567 |
|
Darcy Ann Blankenship
277 Huntress St Ste 100 |
$41.24 | 894 | 668 |
|
Lee Aldrich
11 Cambridge Dr |
$60.20 | 662 | 549 |
|
Wetumpka Urgent Care Llc
11 Cambridge Drive |
$61.99 | 596 | 561 |
|
Cassie Williams Luke
11 Cambridge Ct |
$0.21 | 535 | 263 |
|
Kasey Leigh Emmons
815 Jackson Trace Rd |
$0.00 | 410 | 268 |
|
River Region Family Medicine, Llc
277 Huntress Street |
$1.82 | 242 | 185 |
|
Maria Kathleen Calhoun
815 Jackson Trace Rd |
$0.00 | 222 | 170 |
|
Melinda K Harden
815 Jackson Trace Rd |
$0.00 | 215 | 197 |
|
Heather K Hyde
815 Jackson Trace Rd |
$0.00 | 192 | 120 |
|
Ivy Creek Of Elmore, Llc
525 Hospital Dr |
$22.77 | 48 | 40 |
|
Ivy Creek Medical Associates
73996 Tallassee Hwy |
$24.90 | 35 | 15 |
|
Haley Brooke Pemberton
277 Huntress St |
$20.78 | 17 | 15 |
|
Steven Mark Hayden
76297 Tallassee Hwy |
$490.50 | 16 | 13 |
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 Wetumpka, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wetumpka, AL is $26.83 per claim, based on 91,546 claims from 26 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 Wetumpka, AL?
There are 26 Medicaid providers offering Office Visit related services in Wetumpka, AL according to public payment data.
What is the price range for Office Visit in Wetumpka, AL?
Medicaid reimbursement for Office Visit in Wetumpka, AL ranges from $0.00 to $490.50 per claim, with an average of $26.83. 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 Wetumpka, AL
Vaccines & Immunizations
Avg $8.23
49,301 claims
Ambulance Transport
Avg $106.44
30,412 claims
Emergency Room Visit
Avg $42.76
29,884 claims
Blood Work & Lab Tests
Avg $5.90
20,018 claims
Psychiatric Evaluation
Avg $82.30
14,406 claims
Hearing Test (Audiometry)
Avg $1.29
13,832 claims
Physical Therapy
Avg $24.76
13,274 claims
Urinalysis & Urine Tests
Avg $2.23
7,568 claims