Average Medicaid Office Visit Payments in Black Mountain, NC: $55.19
Avg. Paid
$55.19
Range
$19.43 – $73.06
Total Claims
9,831
Providers
16
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 Black Mountain, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brittany Strawn
932 Old Us 70 W |
$47.02 | 15 | 14 |
|
Ryan Radwin Clark
181 Lake Eden Rd |
$26.37 | 50 | 44 |
|
James Jerome Marnock
15 Jane Jacobs Rd Ste 101 |
$21.28 | 78 | 63 |
|
Michael Wesley Hite
101 West St |
$19.43 | 100 | 65 |
|
Renee Patrice Shaffer
3164 Us Highway 70 |
$59.30 | 119 | 88 |
|
Elisabeth Scott Murphy
3164 Us 70 Hwy |
$53.06 | 177 | 161 |
|
Cassidy Sean Ford
15 Jane Jacobs Rd |
$29.62 | 179 | 141 |
|
Morgan Durham Burks
3164 Us Highway 70 |
$40.59 | 182 | 148 |
|
Evan G Jones
15 Jane Jacobs Rd Ste 101 |
$60.08 | 193 | 155 |
|
Kelly German
201 Tabernacle Rd |
$73.06 | 217 | 204 |
|
Dustin Vinit Patil
201 Tabernacle Rd |
$68.35 | 240 | 146 |
|
Brenda Cheryl Fore
997 Old Us Hwy 70 W Ste A |
$47.85 | 293 | 229 |
|
Carolyn Sue Anderson
201 Tabernacle Rd |
$53.34 | 767 | 700 |
|
Drew David Schnyder
3164 Us Highway 70 |
$25.06 | 1,332 | 1,082 |
|
William Brown
201 Nc Highway 9 |
$59.76 | 2,327 | 1,818 |
|
Kathryn Mae Mcgowan
201 Nc Highway 9 |
$66.41 | 3,562 | 2,665 |
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 Black Mountain, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Black Mountain, NC is $55.19 per claim, based on 9,831 claims from 16 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 Black Mountain, NC?
There are 16 Medicaid providers offering Office Visit related services in Black Mountain, NC according to public payment data.
What is the price range for Office Visit in Black Mountain, NC?
Medicaid reimbursement for Office Visit in Black Mountain, NC ranges from $19.43 to $73.06 per claim, with an average of $55.19. 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
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Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Black Mountain, NC
Physical Therapy
Avg $84.38
9,079 claims
Psychiatric Evaluation
Avg $41.91
6,671 claims
Dental Cleaning & Exam
Avg $30.44
4,747 claims
Emergency Room Visit
Avg $101.33
3,378 claims
Speech Therapy
Avg $63.28
2,426 claims
Dental Filling
Avg $99.12
2,131 claims
Blood Work & Lab Tests
Avg $3.99
1,766 claims
EKG / ECG (Electrocardiogram)
Avg $8.46
611 claims