Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Apex, NC: $56.37

Avg. Paid

$56.37

Range

$9.21 – $133.66

Total Claims

52,380

Providers

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 Apex, NC

Provider	Avg. Paid	Claims	Patients
Vinay Paran Saranga 1600 Olive Chapel Rd Ste 108A	$84.52	13	12
Teneisha Cecelia Davis 1480 Kelly Rd	$91.23	13	12
Melissa Emily Cyr 860 Perry Rd	$33.79	15	12
Vandy Lyn Cannon Casey 1001 W Williams St Ste 103	$29.96	25	13
Amanda Jean Watkins 212 S Salem St	$51.74	60	57
Megan Marie Hirstine 1059 Beaver Creek Commons Dr Unit 230	$32.52	84	69
Anne Dunbar Johnson 310 Milky Way Dr	$38.29	181	134
Theresa Cambre Amerson 120 Healthplex Way	$32.78	197	175
Amanda Barfield 2046 Creekside Landing Dr	$78.41	238	202
Haley Gandsey 307 S Salem St Ste 100	$62.62	238	185
Jennifer Turnbull 1525 Apex Peakway Ste 200	$62.25	253	222
Kareem Boles 1101 Marco Dr Ste 200	$107.03	289	270
Kimberly Welty Mcdonald 2034 Creekside Landing Dr	$27.03	441	387
Cameron James Reaves 2080 Energy Dr	$60.69	461	363
Patsy W Park 1545 Orchard Villas Ave Ste 110	$127.73	480	380
Jill A Schaeffer 1480 Kelly Rd	$44.03	482	438
Scot Eric Reeg 1565 Orchard Villas Ave	$52.50	498	448
Michelle Lee Stroup 9764 Holly Springs Rd	$27.72	507	359
Hien Ngoc Nguyen 2172 N Salem St Ste 105	$56.34	520	493
Courtney Humphrey 2046 Creekside Landing Dr	$77.09	543	512
William Sidney Payne 1565 Orchard Villas Ave	$38.05	545	453
Gaurav Luther 120 Healthplex Way	$42.80	699	620
Marie Tomczyk 1801 Olive Chapel Rd Ste 107	$34.04	755	314
Alexandria Marie Ponkratz 1021 W Williams St Ste 105	$63.40	871	739
John Arthur Gantt 2046 Creekside Landing Dr	$33.74	950	723
Kate M Murphy 1801 Olive Chapel Rd Ste 107	$36.69	964	550
Lara Sophia Schoenebeck 1801 Olive Chapel Rd Ste 107	$70.59	968	718
Shalom Cherian 1201 Beaver Creek Commons Dr	$50.36	1,222	846
Alexandra Gillespy Lorentsen Apex Pediatric Center	$67.92	1,247	1,017
Chelsea Nicole Ashford 1480 Kelly Rd	$133.66	1,264	1,124
Stefanie Nikoloas Xenakis 2080 Energy Dr	$54.36	1,519	1,169
Alexandra Elios 1001 W Williams St Ste 103	$38.44	1,639	1,362
Anirudh Shray Gajjala 120 Healthplex Way	$77.12	1,883	1,805
Aaron Pankiewicz 1021 W Williams St Ste 105	$69.63	2,045	1,704
Chinyere Bassey Chima 212 S Salem St	$83.35	2,065	1,517
Catherine A Duncan 1031 W Williams St	$37.80	2,142	1,705
Sarah Heminger 1525 Apex Peakway	$9.21	3,072	2,173
Ayesha Sultana 1001 W Williams St	$73.38	3,855	3,054
Magally Prosper 1480 Kelly Rd	$68.00	3,910	3,514
Thusitha Ruwan Dissanayake 1001 Pemberton Hill Rd Ste 202	$39.14	4,458	3,742
Kimberly G Ramsdell 1031 Pemberton Hill Rd	$96.82	4,666	4,158
Syed Asif Raza Rizvi 1001 W Williams St	$23.54	6,103	3,412

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 Apex, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Apex, NC is $56.37 per claim, based on 52,380 claims from 42 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 Apex, NC?

There are 42 Medicaid providers offering Office Visit related services in Apex, NC according to public payment data.

What is the price range for Office Visit in Apex, NC?

Medicaid reimbursement for Office Visit in Apex, NC ranges from $9.21 to $133.66 per claim, with an average of $56.37. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Apex, NC: $56.37

Providers Offering Office Visit in Apex, NC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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