Average Medicaid Office Visit Payments in Winfield, AL: $32.80
Avg. Paid
$32.80
Range
$0.00 – $73.11
Total Claims
62,124
Providers
23
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 Winfield, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Whitney Nicole Lorene Coffey
171 Carraway Dr |
$57.96 | 15 | 12 |
|
Winfield Family & Occupational Med Pc
191 Carraway Dr Ste A |
$48.24 | 38 | 33 |
|
James R Moss
644 Tahoe Rd |
$2.31 | 46 | 25 |
|
Jordan Frederick
125 Bob Lawrence Dr |
$23.34 | 56 | 41 |
|
Alissa Anne Hood
644 Tahoe Rd |
$3.08 | 131 | 126 |
|
Christy Romano
125 Bob Lawrence Drive |
$0.29 | 380 | 244 |
|
Bfm Enterprises, Llc
2775 Hwy 43 |
$73.11 | 417 | 361 |
|
Northwest Medical Center Inc.
200 Carraway Dr |
$0.00 | 442 | 380 |
|
Gary Douglas Thomas
644 Tahoe Rd |
$9.77 | 459 | 417 |
|
Nwmc Winfield Physicians Llc
200 Carraway Dr Ste B2 |
$39.61 | 533 | 449 |
|
Farouk A. Raquib, M.D., P.C.
125 Bob Lawrence Drive |
$48.65 | 844 | 777 |
|
Baptist Health Centers, Llc
644 Tahoe Rd |
$55.01 | 1,103 | 1,005 |
|
Maury P Minton
2775 Us Highway 43 |
$15.26 | 1,181 | 914 |
|
Jarred L Sartain
200 Carraway Dr Ste B2 |
$37.92 | 1,296 | 896 |
|
Douglas M Martin
1530 Us Highway 43 |
$0.00 | 1,326 | 580 |
|
Kerry S Clark
200 Carraway Dr Ste B1 |
$0.00 | 1,576 | 1,246 |
|
Muhammad Zahid Husain
255 Medical Dr Ste 3 |
$41.41 | 1,659 | 1,232 |
|
Gary Matthew Fowler
191 Caraway Dr |
$42.28 | 2,254 | 1,979 |
|
Ted Russell Cox
191 Caraway Dr |
$30.87 | 3,777 | 3,258 |
|
Brent G Ballard
2775 Us Highway 43 |
$23.20 | 3,834 | 2,902 |
|
Kristan Blake May
125 Henry Ln |
$32.36 | 6,343 | 5,208 |
|
Sarah Mann
2548 Us Highway 43 |
$18.10 | 8,076 | 3,708 |
|
Farouk Anwarul Raquib
125 Bob Lawrence Drive |
$41.29 | 26,338 | 19,880 |
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 Winfield, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Winfield, AL is $32.80 per claim, based on 62,124 claims from 23 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 Winfield, AL?
There are 23 Medicaid providers offering Office Visit related services in Winfield, AL according to public payment data.
What is the price range for Office Visit in Winfield, AL?
Medicaid reimbursement for Office Visit in Winfield, AL ranges from $0.00 to $73.11 per claim, with an average of $32.80. 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 Winfield, AL
Emergency Room Visit
Avg $49.45
48,028 claims
Blood Work & Lab Tests
Avg $5.59
42,452 claims
Physical Therapy
Avg $17.09
26,200 claims
Dental Cleaning & Exam
Avg $23.94
14,458 claims
Prescription Medications
Avg $0.54
13,901 claims
X-Ray
Avg $4.88
12,767 claims
Ambulance Transport
Avg $59.72
12,096 claims
Urinalysis & Urine Tests
Avg $3.67
11,271 claims