Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Boone, NC: $56.58

Avg. Paid

$56.58

Range

$0.44 – $101.63

Total Claims

116,526

Providers

101

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 Boone, NC

Provider	Avg. Paid	Claims	Patients
Wesley Scott St Clair 579 Greenway Rd	$73.43	10,008	8,452
John Robert Lonas 579 Greenway Rd	$76.77	9,483	8,311
Celeste Halcomb 579 Greenway Rd Ste 200	$75.53	8,479	7,437
Clinton Ballard Zimmerman 579 Greenway Rd	$72.31	8,471	7,040
Jane Gilbert Eastman 579 Greenway Rd	$64.75	6,902	5,925
Melissa G Collier 935 State Farm Rd	$51.95	5,524	3,917
Michelle Hutt Lubkemann 345 Deerfield Rd	$58.82	4,832	4,223
Gregory Lynn Adams 579 Greenway Rd	$68.75	4,417	3,919
Theresa Tuckmantel Gibbs 935 State Farm Rd	$52.42	3,737	3,360
Matthew Charles Howard 950 State Farm Rd Ste 200	$48.93	3,131	2,289
Katherine Pearson 336 Deerfield Rd	$68.52	3,082	2,408
Virginia Little Dailey 1879 Old Highway 421 S	$62.46	3,020	2,446
Jessica Nicole Null 240 Highway 105 Ext Ste 100	$44.24	2,767	1,504
Leesa A. Sampson 132 Poplar Grove Connector # B	$72.72	2,557	2,230
Andrew Thomas Voglewede 870 State Farm Rd	$46.87	2,297	1,803
Gregory A. Collier 169 Birch St	$53.39	2,247	1,872
Tracie L Henson-Combs 240 Highway 105 Ext Ste 100	$24.57	2,070	1,555
Khurram Bilal Tariq 338 Deerfield Road	$39.42	1,869	1,027
Charles W Ford 870 State Farm Rd	$43.36	1,858	1,336
Ashlee Capponi 336 Deerfield Rd	$14.77	1,614	1,227
Suzanne Elaine Mcadams 895 State Farm Rd	$34.02	1,604	1,244
Stephen G. Fleming 194 Doctors Dr	$43.09	1,535	1,365
James W Logan 148 Highway 105 Ext	$43.63	1,441	1,192
Erin G Howard 169 Birch St	$59.92	1,301	946
Andrea Bessey Brubaker 141 Health Center Dr Ste B	$0.79	1,259	608
Todd Svitzer 126 Poplar Grove Connector	$47.30	1,155	843
Burton Lee Kennedy 400 Shadowline Dr	$35.08	1,119	921
David Hale Johnson 169 Doctors Drive	$57.59	980	921
Antionette Esposito Hemp 178 Highway 105 Ext	$38.49	809	558
Holly Watson Cullop 579 Greenway Rd Ste 200	$65.87	773	747
Donald Dean Graham 148 Highway 105 Ext	$35.88	752	536
Alycia Brown 1760 Nc Hwy 105	$53.04	734	490
Charles Daniel Harris 935 State Farm Rd	$0.44	717	587
Natalie Elizabeth Bovino 888 Raven Rock Dr	$31.23	617	538
April Johnson Greene 336 Deerfield Rd	$9.18	596	461
Lynda Gioia-Flynt 381 Deerfield Rd	$8.92	586	450
John Isenhour Shoaf 965 State Farm Rd	$53.93	567	484
Donna Patricia Denier 175 Mary St	$22.33	562	535
Jeffrey Paul Crittenden 400 Shadowline Dr	$24.23	562	423
Karen F Criminger 240 Highway 105 Ext Ste 100	$47.47	534	464
Melinda Peterson Lada 400 Shadowline Dr	$49.70	528	472
Samantha J Price 2211 Nc Hwy 105	$29.51	496	438
Courtney Damian 381 Deerfield Rd	$11.37	439	320
Tabitha Akuoko 148 Highway 105 Ext Ste 104	$72.11	404	340
Joseph Walter Helak 175 Mary St	$23.24	383	344
Shelly Cooper Smith 240 Highway 105 Ext Ste 100	$30.84	369	260
Paul P Zimmerman 610 State Farm Rd	$21.33	364	212
Cordelia R Stearns 935 State Farm Rd	$53.97	355	328
Francisco Luis Ancaya 169 Doctors Dr	$55.91	352	251
Stephen Ross Cherry 336 Deerfield Rd	$27.29	350	302

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 Boone, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Boone, NC is $56.58 per claim, based on 116,526 claims from 101 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 Boone, NC?

There are 101 Medicaid providers offering Office Visit related services in Boone, NC according to public payment data.

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

Medicaid reimbursement for Office Visit in Boone, NC ranges from $0.44 to $101.63 per claim, with an average of $56.58. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Boone, NC: $56.58

Providers Offering Office Visit in Boone, NC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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