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
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
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Brevard, NC
Emergency Room Visit
Avg $127.85
51,151 claims
Blood Work & Lab Tests
Avg $7.34
38,902 claims
Speech Therapy
Avg $40.00
22,159 claims
Physical Therapy
Avg $62.63
19,921 claims
Dental Cleaning & Exam
Avg $27.81
16,417 claims
Vaccines & Immunizations
Avg $14.04
13,726 claims
Psychiatric Evaluation
Avg $63.03
12,646 claims
Urinalysis & Urine Tests
Avg $3.53
8,155 claims