Average Medicaid Office Visit Payments in Advance, NC: $61.50
Avg. Paid
$61.50
Range
$17.65 – $74.92
Total Claims
26,339
Providers
15
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 Advance, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Chelsey Pait Beasley
114 Kinderton Blvd |
$55.24 | 3,896 | 3,381 |
|
Casey Kenyon Mahle
114 Kinderton Blvd |
$57.50 | 3,588 | 3,163 |
|
Shalyn Ann Beck
121 Medical Dr |
$69.96 | 3,304 | 2,536 |
|
Kelly Jean Duffy
114 Kinderton Blvd |
$70.85 | 3,098 | 2,715 |
|
Kendra Roten
132 Ashley Furniture Way |
$74.92 | 2,368 | 2,043 |
|
Margaret Mcrae Bovender
121 Medical Dr |
$62.49 | 2,295 | 1,868 |
|
Franklin Lee Tolbert
147 Peachtree Ln |
$54.08 | 2,254 | 1,918 |
|
Gemekia Coleman Futrell
147 Peachtree Ln |
$55.67 | 2,044 | 1,820 |
|
Ryan Carpenter Vann
147 Peachtree Lane |
$50.90 | 1,808 | 1,589 |
|
Takashi Hirata
121 Medical Dr |
$63.10 | 1,492 | 1,161 |
|
Paul S Anderson
128 Peachtree Ln Ste B |
$20.92 | 83 | 71 |
|
Aurleigh Stimmel
108 Dornach Way |
$17.65 | 45 | 41 |
|
Lindsay Tatum Hartman
121 Medical Dr |
$42.44 | 36 | 29 |
|
Chase Gregory Bennett
152 E Kinderton Way Ste 101 |
$31.25 | 16 | 16 |
|
William O Bell
152 E Kinderton Way Ste 101 |
$34.67 | 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 Advance, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Advance, NC is $61.50 per claim, based on 26,339 claims from 15 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 Advance, NC?
There are 15 Medicaid providers offering Office Visit related services in Advance, NC according to public payment data.
What is the price range for Office Visit in Advance, NC?
Medicaid reimbursement for Office Visit in Advance, NC ranges from $17.65 to $74.92 per claim, with an average of $61.50. 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 Advance, NC
Dental Cleaning & Exam
Avg $28.67
33,696 claims
Physical Therapy
Avg $56.51
5,298 claims
Emergency Room Visit
Avg $170.10
4,344 claims
Anesthesia Services
Avg $39.75
3,617 claims
Dental Filling
Avg $93.25
3,363 claims
Vaccines & Immunizations
Avg $14.87
3,183 claims
Blood Work & Lab Tests
Avg $7.35
2,522 claims
Tooth Extraction
Avg $60.53
1,011 claims