Average Medicaid Office Visit Payments in Albemarle, NC: $59.41
Avg. Paid
$59.41
Range
$0.00 – $85.04
Total Claims
273,423
Providers
81
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 Albemarle, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David William Schmidt
923 N 2Nd St |
$59.20 | 12 | 12 |
|
Justin Canter
923 N 2Nd St |
$43.14 | 14 | 13 |
|
Scott Anderson Sherrill
105 Yadkin St |
$33.60 | 14 | 13 |
|
Gloria Kubuanu
1000 N 5Th St |
$0.00 | 21 | 12 |
|
Gabrielle Stewart Carden
1000 N 5Th St |
$0.00 | 27 | 25 |
|
Philip Veatch
1908 Hilco St, Suite B |
$23.67 | 39 | 25 |
|
Patti Joyner Shoe
923 N 2Nd St |
$33.04 | 52 | 46 |
|
Matthew Allen Shaver
105 Yadkin St |
$81.32 | 76 | 69 |
|
Tina Page Martin
945 N 5Th St |
$23.09 | 78 | 70 |
|
Claudia Ferro Wilson
307 Yadkin St |
$35.41 | 82 | 71 |
|
Lillian Christina Veatch
317 N 1St St Ste A |
$50.61 | 87 | 68 |
|
Annmarie Fusco Bankston
105 Yadkin St Ste 301 |
$0.00 | 114 | 97 |
|
Alaina Gobush
1000 N 1St St Ste 3 |
$75.51 | 115 | 94 |
|
Ahmer Mohammad Ansari
945 N 5Th St |
$46.91 | 174 | 152 |
|
Rajiv Bartaula
307 Yadkin St |
$51.54 | 193 | 174 |
|
Larry Nmi Roediger
301 Yadkin St |
$34.13 | 199 | 197 |
|
Valerie M Vang
923 N 2Nd St |
$49.59 | 220 | 202 |
|
Douglas Haney
703 Leonard Ave |
$28.92 | 232 | 117 |
|
Brianna O'Neil Mangum
105 Yadkin St |
$42.01 | 277 | 236 |
|
James William John
301 Yadkin St |
$28.44 | 299 | 263 |
|
David Andrew Cotoni
307 Yadkin St |
$42.56 | 312 | 284 |
|
Edward A Kepp
232 Concord Rd |
$25.96 | 317 | 229 |
|
Garry H Schwartz
945 N 5Th St |
$44.87 | 446 | 379 |
|
Danford E Raynor
757 Nc Hwy 24/27 Bypass East |
$62.77 | 455 | 331 |
|
Thu Dinh
1426 E Main St |
$43.22 | 481 | 417 |
|
Andrew Trent Billingsley
923 N 2Nd St Ste 201 |
$67.73 | 507 | 382 |
|
John Godino
923 N 2Nd St |
$32.15 | 576 | 512 |
|
Harold Sudhir Samuel
606 N 1St St |
$48.46 | 639 | 457 |
|
Patricia Montgomery Lewis
1000 N 1St St |
$35.49 | 640 | 515 |
|
Satheesh Suddala
105 Yadkin St |
$66.06 | 650 | 608 |
|
Crystal Parker Mckenzie
301 Yadkin St |
$53.99 | 666 | 608 |
|
Kenneth Douglas Shank
815 N 3Rd St |
$37.65 | 950 | 771 |
|
Jonathan Carrington Nagy
350 Pee Dee Ave Ste A |
$82.86 | 980 | 806 |
|
Tiffany Nicole Lowder
929 N 2Nd St |
$46.49 | 1,016 | 842 |
|
Ann R Brewer
325 Yadkin St |
$34.36 | 1,027 | 795 |
|
Brittany Mcduffie Chavis
929 N 2Nd St |
$40.30 | 1,033 | 858 |
|
Philip Jones
105 Yadkin St |
$48.75 | 1,120 | 909 |
|
Jack Frank Rocco
105 Yadkin St |
$38.56 | 1,260 | 1,021 |
|
David Brent Joye
1000 N 1St St Ste 1 |
$85.04 | 1,263 | 1,234 |
|
Ruth L Silsby
105 Yadkin St |
$43.12 | 1,367 | 1,200 |
|
Kacie B Stancil
1007 N 6Th St |
$44.63 | 1,592 | 1,210 |
|
Amy Fortune Lowe
2804 Noritake Trl |
$55.11 | 1,709 | 1,351 |
|
Raghava Reddy Induru
945 N 5Th St |
$36.84 | 1,896 | 1,659 |
|
Hebah Sadek Pranckun
105 Yadkin St |
$70.49 | 1,911 | 1,656 |
|
Michael D Brandner
105 Yadkin St |
$74.24 | 2,115 | 1,720 |
|
Timothy Chester Gajewski
105 Yadkin St |
$45.89 | 2,118 | 1,753 |
|
Thomas Joseph Mcdonald
105 Yadkin St |
$67.39 | 2,155 | 1,584 |
|
Patricia Nicole Bryan
1426 E Main St |
$28.21 | 2,296 | 1,869 |
|
Natalie W. Little
105 Yadkin St |
$56.56 | 2,349 | 1,916 |
|
Charles Lynn Walker
703 Leonard Ave |
$58.35 | 2,501 | 1,950 |
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 Albemarle, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Albemarle, NC is $59.41 per claim, based on 273,423 claims from 81 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 Albemarle, NC?
There are 81 Medicaid providers offering Office Visit related services in Albemarle, NC according to public payment data.
What is the price range for Office Visit in Albemarle, NC?
Medicaid reimbursement for Office Visit in Albemarle, NC ranges from $0.00 to $85.04 per claim, with an average of $59.41. 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 Albemarle, NC
Vaccines & Immunizations
Avg $17.42
103,298 claims
Personal Care Services
Avg $114.90
96,972 claims
Blood Work & Lab Tests
Avg $4.80
62,426 claims
Emergency Room Visit
Avg $113.26
53,866 claims
Case Management Services
Avg $160.27
42,852 claims
Durable Medical Equipment (DME)
Avg $29.63
40,670 claims
Physical Therapy
Avg $72.62
40,494 claims
Psychiatric Evaluation
Avg $66.77
39,059 claims