Average Medicaid Office Visit Payments in Benson, NC: $34.90
Avg. Paid
$34.90
Range
$0.00 – $59.60
Total Claims
95,851
Providers
29
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 Benson, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Advanced Spine And Pain Center, P.A.
1 Medical Dr |
$0.00 | 51 | 29 |
|
Carrie Batchelor
13440 Nc 210 Hwy |
$19.03 | 104 | 83 |
|
James Ross Huggins
113 W Main St |
$26.42 | 104 | 97 |
|
Ashley Y Luckett
3333 Nc Hwy 242 North |
$59.60 | 159 | 146 |
|
Tobias Marcell King
13440 Nc 210 Hwy |
$0.00 | 164 | 156 |
|
Mary Elizabeth Raynor Massengill
113 W Main St |
$26.38 | 197 | 166 |
|
Roy Max Raynor
113 W Main St |
$36.64 | 241 | 212 |
|
Tauscha Alyse Gerald
13440 Nc Highway 210 |
$34.84 | 299 | 199 |
|
Katie Thomas Hodges
1 Medical Dr |
$38.53 | 405 | 367 |
|
Salematou Diallo
13440 Nc 210 Highway |
$10.29 | 534 | 355 |
|
Jennica K Ng
3333 Nc Highway 242 N |
$42.04 | 539 | 520 |
|
Robert Charles Matthews
3333 Nc Highway 242 N |
$30.44 | 879 | 734 |
|
Eugene H Maynard
3333 Nc Highway 242 N |
$27.00 | 975 | 858 |
|
Michelle Sutton Bellissimo
13440 Nc 210 Highway |
$10.33 | 1,161 | 791 |
|
Christopher John Mackinnon
3333 Nc Highway 242 N |
$31.48 | 1,181 | 787 |
|
Susan G Edwards
3333 Nc Highway 242 N |
$45.65 | 1,248 | 729 |
|
Theresa M Micke
3333 Nc Highway 242 N |
$27.11 | 1,595 | 1,451 |
|
Laraine Reibson Bowen
One Medical Drive |
$43.94 | 2,179 | 1,903 |
|
Felista Njoroge
13440 Nc Highway 210 |
$8.72 | 2,804 | 1,947 |
|
Vicky Mooring
3333 Nc Highway 242 N |
$51.34 | 2,951 | 2,603 |
|
Patrick Edward Malone
1 Medical Dr |
$38.41 | 5,716 | 5,066 |
|
Kyle D Flowers
1 Medical Dr |
$42.19 | 6,082 | 4,261 |
|
Rachid Idrissi
1 Medical Dr |
$20.02 | 7,908 | 5,414 |
|
Josh A. Balsly
1 Medical Dr |
$38.11 | 8,199 | 5,808 |
|
Grayson Massey Gravely
1 Medical Dr |
$37.27 | 8,816 | 6,270 |
|
Jon Russell Clayton
1 Medical Dr |
$55.08 | 8,997 | 7,068 |
|
Pankaj Kirtikant Vyas
1 Medical Dr |
$23.15 | 9,409 | 6,467 |
|
Grover C Berryhill
1 Medical Drive |
$43.31 | 11,411 | 8,251 |
|
Viswanatha Kurukundha Reddy
1 Medical Dr |
$26.47 | 11,543 | 8,356 |
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 Benson, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Benson, NC is $34.90 per claim, based on 95,851 claims from 29 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 Benson, NC?
There are 29 Medicaid providers offering Office Visit related services in Benson, NC according to public payment data.
What is the price range for Office Visit in Benson, NC?
Medicaid reimbursement for Office Visit in Benson, NC ranges from $0.00 to $59.60 per claim, with an average of $34.90. 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 Benson, NC
Blood Work & Lab Tests
Avg $13.31
74,201 claims
Dental Cleaning & Exam
Avg $31.11
19,511 claims
Nursing Facility Care
Avg $19.55
8,289 claims
Speech Therapy
Avg $65.09
5,832 claims
Urinalysis & Urine Tests
Avg $2.10
3,079 claims
Behavioral & Mental Health Therapy
Avg $62.08
2,558 claims
Vaccines & Immunizations
Avg $9.05
2,484 claims
Dental Filling
Avg $101.19
1,735 claims