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 |
|---|---|---|---|
|
Angela S Lima
1236 Huffman Mill Rd |
$112.40 | 12 | 12 |
|
Gregory H Crisp, Md, Pa
1236 Huffman Mill Rd |
$72.20 | 12 | 12 |
|
David Clark Ward
319 N Graham Hopedale Rd Fl A |
$67.50 | 12 | 12 |
|
Kimberly Ann Mills
1234 Huffman Mill Rd |
$28.98 | 12 | 12 |
|
Jon R. Wolfe
1234 Huffman Mill Rd |
$22.88 | 13 | 12 |
|
Trevor Packer
2905 Crouse Ln |
$27.03 | 13 | 12 |
|
Sarah Christina Kitts
1734 Westbrook Ave |
$96.98 | 13 | 13 |
|
Samantha Pandick Vaillancourt
1236 Huffman Mill Rd Ste 100 |
$24.28 | 14 | 12 |
|
Brian Sninsky
1236 Huffman Mill Rd Ste 1300 |
$44.55 | 14 | 13 |
|
Glenn S Chrystal
1236 Huffman Mill Rd |
$13.55 | 15 | 12 |
|
Nathan Mark Allen
1234 Huffman Mill Rd |
$14.45 | 16 | 12 |
|
Debbie M Blitch
1234 Huffman Mill Road |
$43.81 | 17 | 17 |
|
Margaret Anne Marsden Fryer
1091 Kirkpatrick Rd |
$33.64 | 17 | 12 |
|
Martin A Defrancesco
1041 Kirkpatrick Rd |
$34.71 | 18 | 13 |
|
Claudia Danielle Beneville
1111 Huffman Mill Rd |
$46.78 | 18 | 12 |
|
Benjamin Charles Chasnis
1234 Huffman Mill Rd |
$22.54 | 18 | 13 |
|
Steven Andrew Dingeldein
1016 Kirkpatrick Road |
$45.92 | 19 | 17 |
|
Martha Swanson
1914 W Webb Ave |
$40.33 | 19 | 13 |
|
John Jeffrey Poggi
1234 Huffman Mill Road |
$21.81 | 19 | 12 |
|
David Dasher
480 W Webb Ave |
$68.85 | 23 | 18 |
|
Chelsea Moore
2344 S Church St |
$29.17 | 25 | 15 |
|
Central Carolina Kidney Associates Pa
2903 Professional Park Rd |
$0.00 | 26 | 24 |
|
Bonnie J. Melville
1234 Huffman Mill Rd |
$36.03 | 26 | 25 |
|
Jayashree Ravishankar
1236 Huffman Mill Rd |
$51.65 | 27 | 27 |
|
Jacquelyn Diane Visser
1236 Huffman Mill Rd Ste 130 |
$0.00 | 27 | 14 |
|
Glenn Wolfe
1234 Huffman Mill Rd |
$36.30 | 31 | 26 |
|
Shamil J. Morayati
2921 Crouse Ln |
$79.10 | 32 | 26 |
|
Pallavi Dundumalla Reddy
1236 Huffman Mill Rd Ste 1600 |
$71.24 | 33 | 26 |
|
Annamarie Streilein
319 N Graham Hopedale Rd Fl B |
$78.66 | 34 | 26 |
|
Caron W Jones
1234 Huffman Mill Rd |
$31.42 | 35 | 26 |
|
Michelle Jeanine Lacayo
1234 Huffman Mill Rd |
$22.75 | 36 | 36 |
|
Chelsea Crist Ward
1234 Huffman Mill Road |
$69.55 | 37 | 24 |
|
Christiane Hartman London
1234 Huffman Mill Rd |
$26.74 | 38 | 36 |
|
Blake Maxwell Hampton
1016 Kirkpatrick Rd |
$16.47 | 38 | 26 |
|
Jeffrey O Sparks
1234 Huffman Mill Road |
$15.53 | 41 | 39 |
|
Felicia Lucy, Lorena Dickerson
1234 Huffman Mill Rd |
$49.34 | 43 | 38 |
|
Christopher Ronald Berge
1236 Huffman Mill Rd Ste 130 |
$37.03 | 43 | 39 |
|
Joshua Ryan Borders
1236 Huffman Mill Rd |
$15.85 | 46 | 28 |
|
Andrew Thomas Irons
1111 Huffman Mill Rd |
$53.61 | 53 | 40 |
|
Kanhka Linthavong
1234 Huffman Mill Rd |
$35.19 | 54 | 51 |
|
Stephen Daniel Jackson
1234 Huffman Mill Road |
$50.04 | 55 | 48 |
|
Janice Bridges Woodard
1234 Huffman Mill Rd |
$43.25 | 56 | 51 |
|
Jenna Lynn Roney
2603 Holly Hill St |
$48.61 | 62 | 37 |
|
Rohini Reddy Vanga
1248 Huffman Mill Rd Ste 201 |
$51.91 | 63 | 55 |
|
William P Roemer
1240 Huffman Mill Rd |
$57.06 | 68 | 59 |
|
Jennifer Elizabeth Burns
1236 Huffman Mill Rd |
$12.47 | 71 | 56 |
|
Deitra Letrice Williams-Toone
1111 Huffman Mill Rd |
$31.00 | 71 | 64 |
|
Anna Michelle Mackie
1234 Huffman Mill Rd |
$43.42 | 74 | 63 |
|
Donald E Fisher
1041 Kirkpatrick Rd |
$43.32 | 75 | 67 |
|
Kristin Cunningham
2905 Crouse Ln |
$28.59 | 75 | 53 |
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