Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Brevard, NC: $53.89

Avg. Paid

$53.89

Range

$1.56 – $83.70

Total Claims

58,221

Providers

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 Brevard, NC

Provider	Avg. Paid	Claims	Patients
Lauretta Ginex Stombaugh 157 Medical Park Dr	$79.30	13,865	11,856
Thomas Fowler Lindsay 1664 Probart St	$60.37	4,175	3,239
Mh Transylvania Regional Hospital, Lllp 260 Hospital Dr	$2.39	3,810	3,320
Leila Danielle Van Gemert 1409 Asheville Hwy	$65.23	3,764	3,027
Christopher Michael Trotter 29 W French Broad St	$52.44	3,544	3,366
Southeastern Medical Group, Pc 260 Hospital Dr	$43.06	3,434	2,692
Brian Patrick Barrow 87 Medical Park Dr Ste B	$61.56	3,060	2,036
Steven Ross Saldutti 187 Medical Park Dr	$28.75	2,928	2,433
Gerald R Martin 317 Chestnut St	$75.72	2,683	2,048
Christy Rene Mccall 159 Medical Park Dr	$45.57	2,606	1,932
Leanne M Kline 1409 Asheville Hwy	$44.54	1,931	1,739
Timothy John Shea 1409 Asheville Hwy	$33.86	1,356	1,147
Anne E. Traywick 69 N Broad St	$80.76	1,286	1,149
James Robert Shaw 377 Gallimore Rd	$25.11	1,212	946
David Stephen Laughlin 260 Hospital Dr	$83.70	1,197	1,053
Marian Taylor 316 Chestnut St Ste 2	$35.65	957	686
Mark Steven Lemel 316 Chestnut St Ste 2	$22.81	810	567
Sven T. Jonsson 123 E Main St Ste 102	$34.01	726	454
Carol Isaac Mackusick 89 Hospital Dr Ste B	$39.59	487	288
James Stephen Kelling 187 Medical Park Dr	$18.94	451	401
Angus Woodward Graham 44 Elks Club Rd	$30.70	442	371
Kaitlin Marie Owens 29 W French Broad St Ste 202	$1.56	373	334
Kristina Wing Spivey 260 Hospital Dr	$42.56	363	310
Nancy Booth-Long 380 E Main St	$38.74	343	292
Anthony L Fisher 150 S Caldwell St	$39.54	319	203
W. Mcfarland Bridges 89 Hospital Dr	$45.84	299	281
Transylvania Community Hospital, Inc. 89 Hospital Drive	$6.00	295	180
Harrell Clark Royer 1409 Asheville Hwy	$50.46	285	241
Marshall Shane Foster 377 Gallimore Rd	$30.66	270	224
Ernesto Esteban De La Torre 377 Gallimore Rd	$35.91	237	197
Joseph Hooper Williams 188 Medical Park Dr Ste C	$44.34	221	166
Gregory Edward Carter 87 Medical Park Dr Ste A	$21.65	206	137
John Albert Kulits 188 Medical Park Drive	$70.65	82	76
Bonnie Graham Green 147 E Main St	$59.92	76	70
Kerry Noel Fincher 316 Chestnut St Uppr Level	$45.06	37	27
Jamie Lauren Ramsey 11 Park Pl W	$61.71	34	27
James Earl Bryant 377 Gallimore Rd	$14.24	29	24
Allan Dale Nash 1664 Probart Street	$21.80	28	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 Brevard, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Brevard, NC is $53.89 per claim, based on 58,221 claims from 38 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 Brevard, NC?

There are 38 Medicaid providers offering Office Visit related services in Brevard, NC according to public payment data.

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

Medicaid reimbursement for Office Visit in Brevard, NC ranges from $1.56 to $83.70 per claim, with an average of $53.89. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Brevard, NC: $53.89

Providers Offering Office Visit in Brevard, NC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Brevard, NC

Emergency Room Visit

Blood Work & Lab Tests

Speech Therapy

Physical Therapy

Dental Cleaning & Exam

Vaccines & Immunizations

Psychiatric Evaluation

Urinalysis & Urine Tests