Average Medicaid Office Visit Payments in Burnsville, NC: $44.56
Avg. Paid
$44.56
Range
$0.00 – $82.31
Total Claims
17,625
Providers
25
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 Burnsville, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Samuel Louis Patterson
856 Georges Fork Rd |
$48.62 | 5,276 | 3,225 |
|
David Franklin Craig
838 Jr Pate Rd |
$47.14 | 4,500 | 3,485 |
|
Sara Greer
116 Seven Mile Ridge Rd |
$72.93 | 2,438 | 2,071 |
|
Edward Britt Warren
800 Medical Campus Dr |
$14.56 | 777 | 506 |
|
Misty Lynn Dotts
14 Academy Street |
$53.10 | 639 | 492 |
|
Dorothy Deguzman
116 Seven Mile Ridge Rd |
$28.15 | 621 | 587 |
|
Linda Louise Myers-Reed
116 Seven Mile Ridge Rd |
$12.15 | 517 | 367 |
|
Timothy James Seneker
800 Medical Campus Dr |
$38.77 | 373 | 323 |
|
Jennifer Mauney Smith
419 E Main St |
$34.85 | 327 | 266 |
|
Shehla G Khan
800 Medical Campus Dr |
$6.61 | 263 | 227 |
|
Karen Gail Mclaughlin
285 Georges Fork Rd |
$55.78 | 261 | 207 |
|
Stephen Kimmel
71 Blue Ridge Ln |
$10.72 | 258 | 239 |
|
Kendra Lee Rumback
71 Blue Ridge Ln |
$14.75 | 236 | 199 |
|
Myranda Nycole Edwards
856 Georges Fork Rd |
$39.16 | 219 | 108 |
|
Kristen Elizabeth Cross
116 Seven Mile Ridge Rd |
$0.00 | 207 | 187 |
|
Emily Alexandra Chappelear
116 Seven Mile Ridge Rd |
$19.76 | 199 | 162 |
|
Tiffany Woody
71 Blue Ridge Ln |
$0.00 | 99 | 89 |
|
Elizabeth Morris Peverall
116 Seven Mile Ridge Rd |
$0.00 | 93 | 87 |
|
Doan Thuc Minh Moore
419 E Main St |
$31.88 | 81 | 52 |
|
Tabitha Silvers Fox
202 Medical Campus Dr |
$26.78 | 67 | 60 |
|
Victoria Danielle Robinson
202 Medical Campus Dr |
$34.02 | 62 | 46 |
|
Patricia Lynn Feeney Hall
116 Seven Mile Ridge Rd |
$0.00 | 47 | 40 |
|
Charles Harold Aldridge
419 E Main St |
$27.30 | 30 | 26 |
|
Yancey Co Health Department
202 Medical Campus Dr |
$26.58 | 22 | 13 |
|
Stephynia Limongello
116 Seven Mile Ridge Rd |
$82.31 | 13 | 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 Burnsville, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Burnsville, NC is $44.56 per claim, based on 17,625 claims from 25 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 Burnsville, NC?
There are 25 Medicaid providers offering Office Visit related services in Burnsville, NC according to public payment data.
What is the price range for Office Visit in Burnsville, NC?
Medicaid reimbursement for Office Visit in Burnsville, NC ranges from $0.00 to $82.31 per claim, with an average of $44.56. 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 Burnsville, NC
Personal Care Services
Avg $61.02
108,430 claims
Vaccines & Immunizations
Avg $12.63
11,980 claims
Case Management Services
Avg $121.23
10,167 claims
Psychiatric Evaluation
Avg $52.84
9,052 claims
Speech Therapy
Avg $41.20
7,189 claims
Blood Work & Lab Tests
Avg $8.36
7,165 claims
Durable Medical Equipment (DME)
Avg $24.12
6,180 claims
Ambulance Transport
Avg $88.64
4,083 claims