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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

38

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
Allan Dale Nash

1664 Probart Street

$21.80 28 12
James Earl Bryant

377 Gallimore Rd

$14.24 29 24
Jamie Lauren Ramsey

11 Park Pl W

$61.71 34 27
Kerry Noel Fincher

316 Chestnut St Uppr Level

$45.06 37 27
Bonnie Graham Green

147 E Main St

$59.92 76 70
John Albert Kulits

188 Medical Park Drive

$70.65 82 76
Gregory Edward Carter

87 Medical Park Dr Ste A

$21.65 206 137
Joseph Hooper Williams

188 Medical Park Dr Ste C

$44.34 221 166
Ernesto Esteban De La Torre

377 Gallimore Rd

$35.91 237 197
Marshall Shane Foster

377 Gallimore Rd

$30.66 270 224
Harrell Clark Royer

1409 Asheville Hwy

$50.46 285 241
Transylvania Community Hospital, Inc.

89 Hospital Drive

$6.00 295 180
W. Mcfarland Bridges

89 Hospital Dr

$45.84 299 281
Anthony L Fisher

150 S Caldwell St

$39.54 319 203
Nancy Booth-Long

380 E Main St

$38.74 343 292
Kristina Wing Spivey

260 Hospital Dr

$42.56 363 310
Kaitlin Marie Owens

29 W French Broad St Ste 202

$1.56 373 334
Angus Woodward Graham

44 Elks Club Rd

$30.70 442 371
James Stephen Kelling

187 Medical Park Dr

$18.94 451 401
Carol Isaac Mackusick

89 Hospital Dr Ste B

$39.59 487 288
Sven T. Jonsson

123 E Main St Ste 102

$34.01 726 454
Mark Steven Lemel

316 Chestnut St Ste 2

$22.81 810 567
Marian Taylor

316 Chestnut St Ste 2

$35.65 957 686
David Stephen Laughlin

260 Hospital Dr

$83.70 1,197 1,053
James Robert Shaw

377 Gallimore Rd

$25.11 1,212 946
Anne E. Traywick

69 N Broad St

$80.76 1,286 1,149
Timothy John Shea

1409 Asheville Hwy

$33.86 1,356 1,147
Leanne M Kline

1409 Asheville Hwy

$44.54 1,931 1,739
Christy Rene Mccall

159 Medical Park Dr

$45.57 2,606 1,932
Gerald R Martin

317 Chestnut St

$75.72 2,683 2,048
Steven Ross Saldutti

187 Medical Park Dr

$28.75 2,928 2,433
Brian Patrick Barrow

87 Medical Park Dr Ste B

$61.56 3,060 2,036
Southeastern Medical Group, Pc

260 Hospital Dr

$43.06 3,434 2,692
Christopher Michael Trotter

29 W French Broad St

$52.44 3,544 3,366
Leila Danielle Van Gemert

1409 Asheville Hwy

$65.23 3,764 3,027
Mh Transylvania Regional Hospital, Lllp

260 Hospital Dr

$2.39 3,810 3,320
Thomas Fowler Lindsay

1664 Probart St

$60.37 4,175 3,239
Lauretta Ginex Stombaugh

157 Medical Park Dr

$79.30 13,865 11,856

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.

Office Visit in Other Cities

Other Procedures in Brevard, NC