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 |
|---|---|---|---|
|
William Tracy Durham
10 Mcdowell St |
$31.33 | 12 | 12 |
|
Kathryn Tulley Decker
1201 Patton Ave |
$55.03 | 12 | 12 |
|
Adriane Thorpe Barlow
16 Medical Park Dr |
$0.00 | 12 | 12 |
|
Lola Gifford
900 Hendersonville Rd Ste 107 |
$56.35 | 12 | 12 |
|
Willow Hubbard
39 Dillingham Cir |
$0.00 | 12 | 12 |
|
Steven Lee Silas
1100 Tunnel Rd |
$23.17 | 12 | 12 |
|
Gregg J Stashenko
30 Choctaw St |
$48.90 | 13 | 12 |
|
Richard A Lytle
7 Vanderbilt Park Dr |
$32.24 | 13 | 12 |
|
Evelyn Elizabeth Murray
123 Hendersonville Rd |
$1.38 | 13 | 13 |
|
Sean Hanson
7 Vanderbilt Park Dr |
$28.76 | 13 | 12 |
|
Oscar R Jenkins
5 Vanderbilt Park Dr |
$49.67 | 13 | 12 |
|
Brianne Leslie Hamilton
1100 Tunnel Rd |
$75.28 | 14 | 14 |
|
Anne Greeley
428 Biltmore Ave |
$59.71 | 14 | 14 |
|
Michelle Barishnikov
534 Biltmore Ave |
$8.30 | 14 | 12 |
|
Charles Willard Shrode
291 Sweeten Creek Road |
$85.44 | 14 | 12 |
|
Mohan Chand Thakuri
551 Brevard Rd |
$57.16 | 14 | 12 |
|
Daniel David Leep
7 Vanderbilt Park Dr |
$40.24 | 14 | 13 |
|
Brad A Wilson
551 Brevard Rd |
$14.36 | 14 | 13 |
|
Stephanie Ann Call
123 Hendersonville Rd |
$57.39 | 14 | 12 |
|
Timothy S Parrish
21 Turtle Creek Dr |
$42.23 | 14 | 12 |
|
Robert Allen Moore
1100 Tunnel Rd |
$25.09 | 14 | 12 |
|
Robert Tait Piercy
1 Hospital Dr Ste 4100 |
$9.19 | 14 | 12 |
|
Peter Richard Steenland
7 Vanderbilt Park Dr |
$28.69 | 14 | 12 |
|
Susan Pott Schriefer
90 Southside Ave |
$50.11 | 14 | 12 |
|
Adrena Elaine Johnson
551 Brevard Rd |
$30.39 | 15 | 12 |
|
Scott Sherlock Emerson
1100 Tunnel Rd |
$71.29 | 15 | 13 |
|
Weldon Kent Williamson
222 Asheland Ave |
$17.66 | 15 | 12 |
|
Matthew Hamilton Meyers
291 Sweeten Creek Road |
$149.45 | 15 | 14 |
|
Allen William Elster
30 Choctaw St |
$30.78 | 15 | 12 |
|
John Taylor Mansfield
86 Braddock Way |
$52.54 | 15 | 13 |
|
Joseph Michael Cresenzo
136 Charlotte Hwy |
$58.30 | 15 | 13 |
|
Rachel Wexler
21 Hospital Dr |
$40.44 | 15 | 12 |
|
Julie V Levengood
4 Vanderbilt Park Dr |
$31.80 | 15 | 12 |
|
Kelley Mai Greene
5 Vanderbilt Park Dr |
$36.68 | 15 | 12 |
|
Jennifer Ann Maybee
4 Vanderbilt Park Dr Ste 100 |
$31.95 | 15 | 12 |
|
Damon A Deleon
428 Biltmore Ave |
$50.59 | 16 | 14 |
|
Leah Zambouros
509 Biltmore Ave |
$19.86 | 16 | 13 |
|
Rachel Ellen Picher
390 S French Broad Ave Ste 2 |
$33.00 | 16 | 12 |
|
Adam Mccall Kaufman
1 Hospital Dr |
$18.71 | 16 | 12 |
|
Krysten James Shepherd
890 Hendersonville Rd |
$29.40 | 16 | 16 |
|
Alison Lyke
281 Mcdowell St |
$24.50 | 17 | 16 |
|
Matthew C Hull
509 Biltmore Ave |
$15.29 | 17 | 12 |
|
Erin Kathleen Morrison
21 Turtle Creek Dr Ste 100 |
$65.30 | 17 | 12 |
|
Ruth Loretta Leake
1100 Tunnel Rd |
$45.45 | 17 | 13 |
|
Robert Alston Barker
333 Gashes Creek Rd |
$23.10 | 17 | 12 |
|
Hubert Lee Gooch
7 Vanderbilt Park Dr |
$40.18 | 17 | 15 |
|
Jeffrey J Kelenske
111 Victoria Rd |
$20.65 | 17 | 12 |
|
Rocky Evan Bacelieri
281 Mcdowell St |
$6.21 | 17 | 12 |
|
Eric Ho
1100 Tunnel Rd |
$15.97 | 17 | 12 |
|
Johnathan Boyce Davidson
5 Vanderbilt Park Dr |
$27.25 | 18 | 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 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