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
Robert John Felix 336 Deerfield Rd	$31.43	12	12
John E Palmer 136 Furman Rd	$4.27	12	12
Nicholas Joseph Placentra 240 Highway 105 Ext Ste 100	$24.46	13	12
Morgan Hemphill Brinkman 870 State Farm Rd Ste 102	$93.57	13	12
Douglas Michael Trate 870 State Farm Rd	$45.51	14	12
Anne Dixon 222 Longvue Dr	$33.66	14	14
Ronald J Stanley 169 Birch St	$16.80	16	12
Ginger Parrish Warren 935 State Farm Rd	$1.60	18	16
Thomas J Boeve 870 State Farm Rd	$73.01	26	25
Marc L. Clark 870 State Farm Rd	$32.14	27	26
Courtney Collier 222 Longvue Dr	$34.43	29	29
Brittain Hammill Tulbert 169 Birch St	$26.78	34	27
Chelsea Lynee Compitello 194 Doctors Dr	$30.09	46	36
Richard Rey Stark 148 Highway 105 Ext	$36.26	50	47
Heather Landis 614 Howard St	$44.74	54	45
Daniel Cirino 2146 Blowing Rock Rd	$88.69	55	49
Carrington Doolittle Pertalion 126 Poplar Grove Connector	$21.05	57	41
Miranda Joy Ramsey 935 State Farm Rd	$52.96	58	47
Blair B Holden 610 State Farm Rd Ste A	$11.86	65	61
Giovanni Llibre 935 State Farm Rd	$36.21	72	62
Susan Lee Hopkins 870 State Farm Rd	$101.63	74	67
Andrew Charles Gray 2146 Blowing Rock Rd	$75.58	87	86
Peter Thomas Ashline 175 Mary St	$15.00	94	83
Marshall Cary Murrey 950 State Farm Rd	$37.83	95	62
Sonya Carlton Golini 237 Longvue Dr	$46.88	98	57
Lindsey Henley 870 State Farm Rd Ste 10	$58.04	99	84
Jennifer Vinez Slagle 579 Greenway Rd.	$42.41	103	73
Olivia Williams Wilkins 870 State Farm Rd Ste 102	$58.66	104	98
Jared N Keith 400 Shadowline Dr Ste 203	$24.73	106	91
Leverne Smith Fox 178 Highway 105 Ext Ste 102	$14.80	110	66
Anthony Ward Raynor 336 Deerfield Rd	$15.88	115	99
Valerie Doggett Purcell 166 Doctors Dr	$13.98	123	100
Benjamin Raymond Parker 194 Doctors Dr	$53.04	132	123
Steven J Hagen 224 Samaritan Lane	$26.50	136	131
Carol Conley Marks 169 Birch St	$32.80	145	105
Martina Ziegenbein 148 Hwy 105 Ext	$49.00	146	135
Hudson Mcginnis 148 Nc 105 Ext	$44.34	146	110
Lynn Styers Gilbert 950 State Farm Rd Ste 200	$25.04	166	103
Giorgie Leigh Vining 381 Deerfield Rd	$7.42	173	127
Anthony Michael Schlake 935 State Farm Road	$29.24	177	161
Christopher Mccracken 400 Shadowline Dr	$45.08	187	171
Angela Margaret Gonder 336 Deerfield Rd	$64.54	187	156
Ian Frank Marc Verhaeghe 331 Deerfield Estates Rd	$43.13	197	161
Jerica Suzanne Smith 400 Shadowline Dr	$49.78	208	187
Charles Miller 935 State Farm Rd	$12.01	234	206
Amanda Michelle Stevens 375 Highway 105 Ext Ste 1	$9.93	239	208
Marian Jean Peters 132 Poplar Grove Connector	$58.05	244	198
Kari Cordell Morris 194 Doctors Dr	$37.18	292	239
Heather Elizabeth Portaro 870 State Farm Rd Ste 101	$51.04	319	276
Beverly Fortner Womack 381 Deerfield Rd	$7.69	348	248

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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