Average Medicaid Office Visit Payments in Winder, GA: $101.74
Avg. Paid
$101.74
Range
$7.53 – $853.05
Total Claims
47,938
Providers
16
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 Winder, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Medlink Georgia Inc
133 W Athens St |
$88.61 | 27,147 | 23,552 |
|
Jeralyn S Smith
133 W Athens St |
$117.39 | 3,758 | 3,581 |
|
Hatem Abed Asad
30 Satellite Dr Ste 200 |
$20.45 | 3,735 | 2,448 |
|
Kathryn Lea Mccusker
133 W Athens St |
$116.87 | 3,631 | 3,333 |
|
Nirdesh Kumar Sharma
133 W Athens St |
$116.32 | 3,573 | 3,361 |
|
Medlink Georgia, Inc
137 W Athens St |
$92.11 | 2,458 | 2,167 |
|
Mushtaq Ahmed
133 W Athens St |
$109.04 | 1,126 | 1,036 |
|
Charles Fink Peebles
314 N Broad St Ste 330 |
$30.38 | 885 | 587 |
|
Poppy M Tansey
316 N Broad St |
$853.05 | 763 | 700 |
|
Joan Theresa James
137 W Athens St Ste 103 |
$109.83 | 606 | 546 |
|
Medlink Georgia, Inc
125 W Athens St |
$108.26 | 116 | 67 |
|
Olga Kukharchuk
682 Massey St |
$50.76 | 61 | 57 |
|
Waheed Ahmad Bhatti
133 W Athens St |
$107.15 | 30 | 25 |
|
Doy O Gay
314 N Broad St |
$7.53 | 25 | 25 |
|
Jason Terrance Wells
316 N Broad St |
$59.79 | 12 | 12 |
|
Deanna R Essig
133 W Athens St |
$82.12 | 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 Winder, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Winder, GA is $101.74 per claim, based on 47,938 claims from 16 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 Winder, GA?
There are 16 Medicaid providers offering Office Visit related services in Winder, GA according to public payment data.
What is the price range for Office Visit in Winder, GA?
Medicaid reimbursement for Office Visit in Winder, GA ranges from $7.53 to $853.05 per claim, with an average of $101.74. 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 Winder, GA
Blood Work & Lab Tests
Avg $7.12
83,220 claims
Vaccines & Immunizations
Avg $8.95
26,407 claims
Speech Therapy
Avg $59.24
25,532 claims
Physical Therapy
Avg $100.29
14,032 claims
Urinalysis & Urine Tests
Avg $4.42
11,552 claims
Emergency Room Visit
Avg $79.04
10,136 claims
Hearing Test (Audiometry)
Avg $2.00
6,262 claims
Culture & Microbiology Tests
Avg $9.58
3,969 claims