Average Medicaid Office Visit Payments in Asheville, NC: $57.01
Avg. Paid
$57.01
Range
$0.00 – $761.46
Total Claims
1,148,926
Providers
840
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 Asheville, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mh Mission Hospital, Lllp
509 Biltmore Ave |
$25.39 | 41,014 | 34,948 |
|
Colby Leigh Grant
7 Vanderbilt Park Dr |
$76.30 | 27,207 | 23,555 |
|
Javid Mu'Az Baksh
9 Walden Ridge Dr Ste 10 |
$31.31 | 19,739 | 15,644 |
|
Terry C. Childers
500 Centre Park Dr |
$78.95 | 13,457 | 11,268 |
|
Ole A Raustol
11 Vanderbilt Park Dr |
$41.25 | 12,888 | 10,247 |
|
Peter Daniel Leimena
2 Medical Park Dr |
$74.04 | 12,336 | 10,396 |
|
Calvin Tomkins
2 Medical Park Dr |
$80.58 | 11,935 | 9,533 |
|
Brigette Diane Fogleman
7 Vanderbilt Park Dr |
$79.39 | 11,820 | 10,415 |
|
Samuel Maurice Kohn
7 Vanderbilt Park Dr |
$78.70 | 11,711 | 10,263 |
|
Harald Heinz Kowa
5 Walden Ridge Dr |
$81.71 | 11,549 | 8,907 |
|
Bruce Kenneth Bacot
11 Vanderbilt Park Dr |
$84.60 | 11,368 | 8,408 |
|
Karen J Walter
500 Centrepark Drive |
$77.37 | 11,246 | 9,355 |
|
Leigh Masten Dodson
2 Medical Park Dr |
$73.54 | 11,122 | 9,520 |
|
Jennifer Sobol
90 Southside Ave |
$31.54 | 11,061 | 9,862 |
|
Mark T Jackson
500 Centre Park Dr |
$75.74 | 10,997 | 9,433 |
|
Walter Douglas Accles
123 Hendersonville Rd |
$32.11 | 10,087 | 7,719 |
|
Margaret Elizabeth Goodwin
500 Centrepark Dr |
$73.18 | 9,990 | 8,482 |
|
Tadeusz F Poplawski
11 Vanderbilt Park Dr |
$76.48 | 9,712 | 8,548 |
|
Donna Ann Page
2 Medical Park Drive |
$78.13 | 9,451 | 8,056 |
|
Margaret Anne Bevilacqua
7 Vanderbilt Park Dr |
$77.69 | 9,244 | 8,078 |
|
Susan R Cohen
77 Mcdowell St |
$74.17 | 9,050 | 7,777 |
|
Brian P O'Donnell
500 Centre Park Dr |
$75.94 | 8,980 | 7,464 |
|
Heather Anne Miracle
119 Hendersonville Rd |
$36.39 | 8,116 | 5,062 |
|
Robert Earl Wiggins
8 Medical Park Dr |
$48.73 | 7,917 | 5,986 |
|
Robert F Armstrong
731 Dogwood Road |
$28.89 | 7,714 | 5,899 |
|
Martha Kate Mckemie Lillethun
119 Hendersonville Rd |
$42.81 | 7,704 | 4,875 |
|
Rebecca Thomson Putnam
123 Hendersonville Rd |
$40.20 | 7,575 | 5,504 |
|
Brad Alan Friedman
5 Vanderbilt Park Dr |
$133.87 | 7,515 | 6,322 |
|
Kelly Anne Fagan
90 Asheland Ave |
$89.95 | 7,291 | 6,114 |
|
Holly Melissa Mason
40 N Merrimon Ave |
$78.82 | 7,122 | 6,267 |
|
Jennifer Hooker
11 Vanderbilt Park Dr |
$39.19 | 6,961 | 5,608 |
|
Stephanie Leigh Pope Brooks
277 Biltmore Ave |
$53.20 | 6,935 | 824 |
|
David A. Humphrey
1 Hospital Dr Ste 4100 |
$21.84 | 6,800 | 4,325 |
|
Stephanie Albracht Layne
5 Walden Ridge Dr |
$65.62 | 6,726 | 5,846 |
|
Jason M Roberts
1065 Hendersonville Rd |
$56.84 | 6,698 | 5,353 |
|
Rachel W Boone
1100 Tunnel Rd |
$26.49 | 6,518 | 4,575 |
|
Karen Lynn Cabaniss
1100 Tunnel Rd |
$58.64 | 6,501 | 5,465 |
|
Scott W. Governo
11 Vanderbilt Park Dr |
$47.02 | 6,288 | 5,185 |
|
John Templeton
40 N Merrimon Ave Ste 117 |
$84.33 | 6,215 | 4,923 |
|
Chelsea Frances Moore
119 Tunnel Rd |
$26.49 | 6,195 | 4,564 |
|
Aaron Frank Pulver
5 Vanderbilt Park Dr |
$133.72 | 6,122 | 5,062 |
|
Margaret Cheney Coleman
11 Vanderbilt Park Dr |
$51.64 | 6,119 | 4,691 |
|
Kenneth Wayne Barrow
9 Walden Ridge Dr Ste 10 |
$22.36 | 5,938 | 4,889 |
|
Jessica Ann Knapp
123 Hendersonville Rd |
$38.62 | 5,874 | 4,453 |
|
Judson Payne Garbarino
129 Mcdowell St |
$33.41 | 5,677 | 3,056 |
|
Lori Finch Wagner
11 Vanderbilt Park Dr |
$61.83 | 5,664 | 4,960 |
|
Melissa Maxine Hicks
123 Hendersonville Rd |
$41.29 | 5,594 | 4,225 |
|
Nicole Schell Evans
123 Hendersonville Rd |
$41.49 | 5,570 | 4,436 |
|
Cheryl Kailyn Harrington
119 Hendersonville Rd |
$42.84 | 5,491 | 3,595 |
|
Lauren Snyder Livingston
260 Merrimon Ave |
$54.99 | 5,266 | 3,908 |
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 Asheville, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Asheville, NC is $57.01 per claim, based on 1,148,926 claims from 840 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 Asheville, NC?
There are 840 Medicaid providers offering Office Visit related services in Asheville, NC according to public payment data.
What is the price range for Office Visit in Asheville, NC?
Medicaid reimbursement for Office Visit in Asheville, NC ranges from $0.00 to $761.46 per claim, with an average of $57.01. 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 Asheville, NC
Blood Work & Lab Tests
Avg $7.26
611,251 claims
Dental Cleaning & Exam
Avg $30.49
569,809 claims
Nursing Facility Care
Avg $12.55
568,782 claims
Substance Abuse Treatment
Avg $51.15
512,413 claims
X-Ray
Avg $7.86
404,498 claims
Psychiatric Evaluation
Avg $51.60
327,532 claims
Speech Therapy
Avg $48.89
282,751 claims
Emergency Room Visit
Avg $114.56
281,558 claims