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 |
|---|---|---|---|
|
Carlos Acil David
1350 Raleigh Rd |
$66.01 | 12 | 12 |
|
Kumba Hinds
950 Manning Dr |
$20.29 | 12 | 12 |
|
Cassiopeia Anne Cutchis Frank
N Carolina Cancer Hospital Unc |
$46.99 | 12 | 12 |
|
Benjamin Jacob Kaplan
590 Manning Dr |
$47.08 | 12 | 12 |
|
Anahit Cheluskin Mehrabyan
101 Manning Dr |
$43.49 | 12 | 12 |
|
Timothy M Farrell
101 Manning Dr |
$47.13 | 12 | 12 |
|
Kathy K Yu
55 Vilcom Ctr |
$80.28 | 12 | 12 |
|
Kristalyn K Gallagher
170 Manning Dr |
$69.37 | 12 | 12 |
|
Amy Weller Lamm
101 Manning Dr |
$34.64 | 12 | 12 |
|
Jonathan James Hansen
101 Manning Dr |
$55.97 | 12 | 12 |
|
Lindsay H Chase
231 Macnider Hall Cb #7225 333 Columbia St |
$136.32 | 12 | 12 |
|
Mark A Farber
101 Manning Dr |
$22.12 | 12 | 12 |
|
Matthew Christopher Mauck
Department Of Anesthesiology |
$39.89 | 12 | 12 |
|
Nina Browner
170 Manning Dr |
$32.54 | 12 | 12 |
|
Martha Elisabeth Leong
101 Manning Drive |
$87.99 | 13 | 13 |
|
Yolanda V Scarlett
101 Manning Dr |
$36.43 | 13 | 12 |
|
Mariah Prete Velazquez
930 Martin Luther King Jr Blvd |
$49.09 | 13 | 12 |
|
Shannon Lisa Murphy
Acc Clinic Building Cb 7705 |
$27.82 | 13 | 12 |
|
Jason Ryan Crowner
101 Manning Dr |
$9.13 | 13 | 12 |
|
Daniel S Reuland
101 Manning Dr |
$47.40 | 13 | 12 |
|
Alfred Sidney Barritt
101 Manning Dr |
$35.20 | 13 | 13 |
|
Alexandria Nicole Wagstaff
2238 Nelson Hwy Ste 100 |
$0.00 | 13 | 13 |
|
Jonathan Kenton Tackett
6330 Quadrangle Dr Ste 500 |
$64.66 | 13 | 13 |
|
Eric Kenyon Zwemer
Hospital Medicine Program |
$148.48 | 13 | 13 |
|
Hendrik W Vandeventer
101 Manning Dr |
$21.37 | 13 | 12 |
|
Suzann Elizabeth Riddle
Unc - Department Of Cardiology |
$14.18 | 13 | 12 |
|
David Joseph Berkoff
143 W Franklin St |
$45.07 | 13 | 12 |
|
Christopher Dittus
170 Manning Drive 3Rd Floor Campus Box 7305 |
$69.11 | 13 | 13 |
|
Amanda Catherine Tow
77 Vilcom Center Dr Ste 300 |
$95.69 | 13 | 13 |
|
Yangmei Deng
201 Sage Rd Ste 300 |
$79.12 | 13 | 12 |
|
David W Overby
1001 Manning Dr |
$89.69 | 13 | 13 |
|
Daniel Alberto Roque
2128 Physicians Office Building |
$26.07 | 14 | 12 |
|
John B Buse
101 Manning Dr |
$33.48 | 14 | 13 |
|
Sarah Roxanne Stanley
Department Of Urology 2113 Physicians Office |
$28.48 | 14 | 12 |
|
Jodi Lynn O'Connor
101 Manning Dr |
$92.83 | 14 | 12 |
|
Anne Maria Berry
590 Manning Drive |
$52.58 | 14 | 13 |
|
Joseph A Whitfield
3617 Sweeten Creek Rd |
$171.37 | 14 | 12 |
|
Michael Rene Contarino
118 Knox Way |
$138.09 | 14 | 14 |
|
Paula Ann Sherman
101 Manning Dr |
$119.45 | 14 | 14 |
|
Erica June Brenner
101 Manning Dr |
$109.21 | 14 | 12 |
|
Klara Klein
Ambulatory Care Ctr |
$39.82 | 14 | 12 |
|
Jessica Leigh Guidici
Unc Division Of Hospital Medicine |
$60.19 | 14 | 13 |
|
Surya Manivannan
102 Mason Farm Rd |
$69.64 | 14 | 13 |
|
Ashley Nicole Cobb Allen
101 Manning Dr |
$61.59 | 14 | 12 |
|
Chandni Bhupendra Patel
1350 Raleigh Rd |
$74.53 | 14 | 14 |
|
Jennifer Batel Gates
101 Manning Dr |
$99.20 | 14 | 14 |
|
Mary Leigh Anne Daniels
300 Meadowmont Village Cir Ste 203 |
$51.71 | 14 | 14 |
|
Abby Lauren Schultz
101 Manning Dr |
$88.08 | 14 | 13 |
|
Lisa Rahangdale
101 Manning Dr |
$22.72 | 14 | 12 |
|
Adam O Goldstein
101 Manning Dr |
$11.68 | 14 | 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 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.
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 Chapel Hill, NC
Emergency Room Visit
Avg $120.58
452,177 claims
Blood Work & Lab Tests
Avg $10.03
341,728 claims
Dental Cleaning & Exam
Avg $29.55
284,852 claims
X-Ray
Avg $8.03
280,621 claims
EKG / ECG (Electrocardiogram)
Avg $9.10
186,909 claims
Vaccines & Immunizations
Avg $14.01
140,896 claims
Speech Therapy
Avg $61.03
99,678 claims
CT Scan (Computed Tomography)
Avg $42.49
98,740 claims