Average Medicaid Office Visit Payments in Burlington, NC: $61.14
Avg. Paid
$61.14
Range
$0.00 – $162.38
Total Claims
459,965
Providers
253
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 Burlington, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Margarita Maria Goldar
113 Trail One |
$74.41 | 63,734 | 50,091 |
|
Rosemary F Stein
2105 Maple Ave |
$81.37 | 57,693 | 45,576 |
|
Jessica Bauer
1713 S Church St |
$51.38 | 12,087 | 9,828 |
|
Matthew Andrew Halloran
2501 S Mebane St |
$66.20 | 11,212 | 9,335 |
|
Stephen Trevor Downs
530 W Webb Ave |
$63.33 | 10,719 | 9,332 |
|
Caroline Degroat
2501 S Mebane St |
$67.16 | 8,673 | 6,683 |
|
Justine Mae Parmele
2505 S Mebane St |
$71.39 | 8,491 | 6,847 |
|
Ariam Scarlet Diaz- Mathusek
2501 S Mebane St |
$83.59 | 8,057 | 6,118 |
|
David K Mertz
530 W Webb Ave |
$71.72 | 7,818 | 7,152 |
|
Beverly Miles Hockenberger
530 West Webb Ave |
$60.83 | 7,213 | 6,341 |
|
Cheryl Paulette Lindley
3128 Commerce Pl |
$37.70 | 6,860 | 5,931 |
|
Neelam Salahuddin Khan
2905 Crouse Ln |
$45.05 | 6,202 | 4,960 |
|
Julie Randolph Johnson
236 N Mebane St Ste 123 |
$78.96 | 6,178 | 2,791 |
|
Kristen Rogers Page
530 W Webb Ave |
$71.29 | 6,056 | 5,442 |
|
Yun Lee Boylston
530 W Webb Ave |
$72.28 | 5,984 | 5,238 |
|
Laura Fox Landon
530 W Webb Ave |
$59.21 | 5,782 | 4,974 |
|
Karin Reed Minter
530 W Webb Ave |
$67.33 | 5,629 | 5,084 |
|
Julie Mcclure
1638 Memorial Dr |
$67.30 | 4,929 | 3,643 |
|
Kelly H Tate
199 E.B. Tate Road |
$61.42 | 4,671 | 3,843 |
|
Shaukat Ali Khan
2905 Crouse Ln |
$39.47 | 4,301 | 3,261 |
|
Fozia Muhstaqe Khan
2991 Crouse Ln |
$42.49 | 4,048 | 3,324 |
|
Jimmie Blake Shuler
2501 S Mebane St |
$74.40 | 3,879 | 3,341 |
|
Stacy Marie Luna
1248 Huffman Mill Rd Ste 101 |
$37.75 | 3,874 | 3,585 |
|
Hoyt Eday Stone
1225 Huffman Mill Rd |
$16.74 | 3,828 | 1,874 |
|
Hillary N. Carroll
530 W Webb Ave |
$69.19 | 3,739 | 3,357 |
|
Catherine Nichols Mueller
3804 S Church St |
$59.63 | 3,620 | 3,127 |
|
Latasha Nicole Williams
104 Huffman Mill Rd |
$47.70 | 3,562 | 2,180 |
|
Seema Kamlesh Patel
1236 Huffman Mill Rd Ste 2000 |
$49.34 | 3,472 | 2,780 |
|
Zachary Potter
1234 Huffman Mill Rd |
$40.35 | 3,304 | 2,939 |
|
Herbon E Fleming
1234 Huffman Mill Road |
$30.42 | 3,288 | 2,853 |
|
Howard Edward Miller
1236 Huffman Mill Rd |
$35.05 | 3,286 | 2,460 |
|
Jacob Edward Darr
1111 Huffman Mill Rd |
$50.04 | 3,130 | 2,297 |
|
David Tomczyk
104 Huffman Mill Rd |
$65.23 | 3,031 | 2,519 |
|
Creighton Charles Vaught
4030 Oaks Professional Pkwy Ste 201 |
$82.43 | 3,021 | 2,582 |
|
Govinda Brahmanday
1236 Huffman Mill Rd |
$28.48 | 3,021 | 1,811 |
|
Jennifer Wynn
1713 S Church St |
$57.24 | 2,961 | 2,616 |
|
Sarah Elizabeth Stephens
1214 Vaughn Rd |
$73.24 | 2,885 | 2,328 |
|
Kelsey Marie Quaile
3804 S Church St |
$54.78 | 2,821 | 2,297 |
|
Kimberly Elizabeth Wells
530 W Webb Ave |
$66.09 | 2,783 | 2,391 |
|
Alexander Wayne Meloy
1111 Huffman Mill Rd |
$55.33 | 2,748 | 2,163 |
|
Bobby Lee White
1111 Huffman Mill Rd |
$54.95 | 2,710 | 1,992 |
|
Rabina Kochar Walsh
1734 Westbook Ave |
$82.45 | 2,646 | 2,516 |
|
Sheikh Ahmed Tejan-Sie
2905 Crouse Ln |
$35.72 | 2,554 | 2,159 |
|
Hiren Umrania
1225 Huffman Mill Rd Ste 205 |
$85.06 | 2,543 | 2,023 |
|
Warren Kent Bonney
3804 S Church St |
$69.55 | 2,465 | 2,179 |
|
Jessica Joann Stocks
1713 S Church St |
$52.28 | 2,464 | 2,020 |
|
Jennifer Beck Rogers
3128 Commerce Pl |
$38.90 | 2,444 | 2,049 |
|
Crystal M King
2929 Crouse Ln Ste E |
$35.53 | 2,334 | 1,735 |
|
Lindsay Rae Bartram
1248 Huffman Mill Rd Ste 101 |
$90.96 | 2,322 | 1,616 |
|
Kori Bridget Flower
221 N Graham Hopedale Rd |
$76.04 | 2,315 | 2,053 |
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 Burlington, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Burlington, NC is $61.14 per claim, based on 459,965 claims from 253 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 Burlington, NC?
There are 253 Medicaid providers offering Office Visit related services in Burlington, NC according to public payment data.
What is the price range for Office Visit in Burlington, NC?
Medicaid reimbursement for Office Visit in Burlington, NC ranges from $0.00 to $162.38 per claim, with an average of $61.14. 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 Burlington, NC
Blood Work & Lab Tests
Avg $6.63
39,605,443 claims
Urinalysis & Urine Tests
Avg $3.38
5,269,483 claims
Culture & Microbiology Tests
Avg $5.81
3,404,924 claims
Pathology & Lab Services
Avg $22.04
1,401,627 claims
Vaccines & Immunizations
Avg $13.77
210,494 claims
Dental Cleaning & Exam
Avg $29.36
203,658 claims
Speech Therapy
Avg $51.56
199,843 claims
Emergency Room Visit
Avg $123.48
185,726 claims