Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Chapel Hill, NC: $69.92

Avg. Paid

$69.92

Range

$0.00 – $288.53

Total Claims

632,260

Providers

813

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 Chapel Hill, NC

Provider	Avg. Paid	Claims	Patients
Patrick Carlsen Smith 590 Manning Dr	$184.93	36,612	31,961
Camillo Thomas Gualtieri 1829 E Franklin St	$89.84	17,302	13,177
Dean S Morrell 101 Manning Dr	$66.66	10,656	9,259
Vinay Kumar Narotam 101 Manning Dr	$60.01	10,522	8,833
Joseph Guthrie 1407 E Franklin St	$65.24	9,775	8,821
Elizabeth Lewis Nieman 410 Market St Ste 400	$77.11	8,446	7,111
Stacy Lee Scott Unc Family Medicine 590 Manning Dr Clb # 7595	$21.92	8,431	7,641
Jacqueline Nicole Smith 101 Manning Dr	$106.66	7,363	3,114
Wade Glazner Mcclain 431 Meadowmont Village Cir	$78.54	5,981	5,452
Rebecca B Tobin 1717 Legion Road	$65.36	5,977	5,087
Lynne Morgan 101 Manning Dr	$77.70	5,878	5,014
Amy Valerie Yu 6013 Farrington Rd Ste 101	$48.71	5,634	4,317
Omar Maurice Young 101 Manning Dr	$59.34	5,163	4,318
Steven N Lichtman 101 Manning Dr	$100.19	5,141	4,476
Antonio Francisco Williams 101 Manning Dr	$16.35	4,996	4,018
Richard W Sutherland 101 Manning Dr	$59.82	4,764	4,149
Jeremy Ryan 5915 Farrington Rd Ste 106	$54.42	4,647	3,856
Leron C Jackson 590 Manning Dr	$67.58	4,449	3,556
Michael Galletly Goley Department Of Pediatrics	$62.65	4,445	3,908
Joseph Daniel Stone 102 Mason Farm Rd # 7055	$67.63	4,384	3,892
Justin Miller 170 Manning Dr	$42.52	4,238	3,345
Caitlin Greskovich Haydek 410 Market St Ste 400A	$81.40	4,216	4,043
Ronald Ray Alligood 101 Manning Dr	$46.69	4,139	2,820
Katherine Hubert Chan 101 Manning Dr	$95.35	4,106	3,525
Stephanie Sussman 1181 Weaver Dairy Rd Ste 210	$75.04	3,987	3,517
Loren Thomas-Chew Macias 11314 Us 15 501 N	$57.87	3,825	3,650
Roman Gebremeskel Melvin Pediatric Residency Program	$64.28	3,764	2,923
Anna Dimitriovna Vergun 130 Mason Farm Rd	$54.93	3,682	3,156
Lindsey Boxxe Fiacco 201 Sage Rd Ste 300	$67.91	3,671	3,425
Lauren Kilpatrick Leeper 101 Manning Dr	$63.74	3,417	3,084
Devon James Zafuto 880 Martin Luther King Jr Blvd	$70.50	3,395	2,375
Theresa Marie Pitassi 590 Manning Dr	$85.49	3,290	2,882
Carolyn Zook Lewis 101 Manning Dr	$81.65	3,258	3,038
Katherine Oppedahl Whitfield 2226 Nelson Hwy Ste 200	$63.86	3,238	2,698
Emily H Freeman 101 Manning Dr	$39.27	3,145	2,976
Kama Lyons 107 Conner Dr	$77.13	3,140	2,961
Carlton Zdanski 101 Manning Dr	$75.24	3,083	2,754
Michael Nidel 101 Manning Dr	$213.09	3,054	2,796
Jennifer Rachel Law 3341 Mbrb Cb 7039	$78.25	2,987	2,683
Robert Scot Woodrum 205 Sage Rd	$72.03	2,961	2,588
Elizabeth Wolf Maclean 301 Kildaire Rd Ste 200	$73.19	2,956	2,698
David Anthony Belyea 2226 Nelson Hwy Ste 200	$40.26	2,943	2,664
Nathan Peter Sison Unc Family Medicine	$47.52	2,878	2,540
Maria E Diaz-Gonzalez Ferris 101 Manning Dr	$108.91	2,831	2,519
Amy Susan Bingham Fowler 301 Kildaire Rd	$81.37	2,823	2,348
Claire Kelleher 1181 Weaver Dairy Rd Ste 210	$72.55	2,791	2,346
Thomas Walker Robinson 205 Sage Rd	$67.18	2,778	2,416
Victoria Claire James 431 Meadowmont Village Cir	$90.08	2,773	2,681
Jose Pablo Bogantes-Montero 3000 Staffield Ln	$50.84	2,762	2,205
Mary Fox Braithwaite 205 Sage Rd	$69.92	2,740	2,343

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 Chapel Hill, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Chapel Hill, NC is $69.92 per claim, based on 632,260 claims from 813 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 Chapel Hill, NC?

There are 813 Medicaid providers offering Office Visit related services in Chapel Hill, NC according to public payment data.

What is the price range for Office Visit in Chapel Hill, NC?

Medicaid reimbursement for Office Visit in Chapel Hill, NC ranges from $0.00 to $288.53 per claim, with an average of $69.92. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Chapel Hill, NC: $69.92

Providers Offering Office Visit in Chapel Hill, NC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Chapel Hill, NC

Emergency Room Visit

Blood Work & Lab Tests

Dental Cleaning & Exam

X-Ray

EKG / ECG (Electrocardiogram)

Vaccines & Immunizations

Speech Therapy

CT Scan (Computed Tomography)