Average Medicaid Office Visit Payments in Cherokee, NC: $411.87
Avg. Paid
$411.87
Range
$48.21 – $654.00
Total Claims
75,473
Providers
52
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 Cherokee, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Coleman O Palmertree
1 Hospital Road |
$426.75 | 12 | 12 |
|
Freida N Saylor
1 Hospital Rd |
$402.36 | 15 | 14 |
|
Stephanie Bradley Hornbuckle
1 Hospital Rd |
$654.00 | 15 | 14 |
|
Deborah Susan Jacob-Brotherton
1 Hospital Road |
$239.50 | 18 | 13 |
|
Wesley Hd Mcknight
1 Hospital Rad |
$203.86 | 29 | 14 |
|
Kala Marie Deitz
1 Hospital Rd |
$311.84 | 49 | 44 |
|
Jenny M Massey - Mcmahan
502 Oconaluftee Job Corps Rd |
$61.08 | 98 | 74 |
|
Lisa A Denzer
1 Hospital Rd |
$68.38 | 119 | 85 |
|
Olivia M Reed
188 Cherokee Hospital Loop # C268 |
$242.67 | 120 | 69 |
|
Michelle Ann Frerich
Cherokee Indian Hospital Authority, 1 Hospital Rd. |
$222.26 | 133 | 59 |
|
Sandra Elm Chernich
1 Hospital Rd |
$370.91 | 134 | 123 |
|
Abraham Syversen Bombeck
1 Hospital Rd |
$608.97 | 150 | 148 |
|
Leslie M Duncan
375 Sequoyah Trl |
$78.34 | 151 | 78 |
|
Joel P Chisholm
375 Sequoyah Trl |
$337.90 | 157 | 110 |
|
Charles David Babin
1 Hospital Road |
$216.45 | 180 | 158 |
|
Trudy Ella Crowe
1 Hospital |
$652.58 | 267 | 185 |
|
Marisa Sneed Cabe
73 Kaiser Wilnoty Rd |
$77.41 | 279 | 197 |
|
Kylee Savage
1 Hospital Rd |
$645.24 | 283 | 173 |
|
Keyonah Lambert
1 Hospital Rd |
$541.12 | 313 | 247 |
|
Tishina Maxine Carroll
375 Sequoyah Trl |
$216.81 | 365 | 188 |
|
Deborah Kellide Conseen-Bradley
777 Casino Dr |
$340.07 | 403 | 322 |
|
Everett F. Rollins
1 Hospital Road |
$336.64 | 410 | 339 |
|
Jeffrey Alan Weiss
1 Hospital Road |
$369.12 | 424 | 363 |
|
Blythe Winchester
1 Hospital Road |
$146.41 | 534 | 385 |
|
Charlisa Cable Hedrick
1 Hospital Rd. |
$650.94 | 542 | 534 |
|
Cody Hunter Cook
1 Hospital Road |
$651.32 | 555 | 540 |
|
Randy Sexton
1 Hospital Rd |
$453.98 | 649 | 622 |
|
Daniel Reynolds
1 Hospital Rd |
$572.77 | 690 | 643 |
|
Emily Caroline Wegenka
1 Hospital Road |
$575.13 | 699 | 651 |
|
Lee Sanford Hyde
Cherokee Indian Hospital |
$212.44 | 759 | 332 |
|
Orlando Nieves
1 Hospital Road |
$481.74 | 807 | 766 |
|
Frank L Van Middlesworth
1 Hospital Rd |
$432.86 | 816 | 761 |
|
Calvin Keith Grant
1 Hospital Road |
$475.27 | 922 | 769 |
|
Connie Srubar Soule
1 Hospital Rd |
$458.55 | 933 | 882 |
|
Quana Marie Winstead
1 Hospital Road |
$439.32 | 1,085 | 562 |
|
Izabela Halina Lubinska-Welch
188 Cherokee Hospital Loop |
$500.48 | 1,126 | 1,079 |
|
Mary Katherine Postell Jones
1 Hospital Rd |
$615.85 | 1,152 | 915 |
|
Rebecca J Ruf
1 Hospital Road |
$464.69 | 1,399 | 1,146 |
|
Richard A Bunio
1 Hospital Rd |
$380.25 | 1,564 | 1,207 |
|
Robert Edward Ross
1 Hospital Rd |
$460.27 | 1,625 | 1,332 |
|
Shannon Gabriela Ardaiolo
1 Hospital Road |
$48.21 | 1,694 | 1,313 |
|
Katherine Anne Mckittrick
Cherokee Indian Hospital |
$350.69 | 1,742 | 1,046 |
|
Tony Jones
1 Hospital Rd |
$560.87 | 2,500 | 1,846 |
|
Mary Lynn Scarbrough
1 Hospital Road |
$589.54 | 2,524 | 2,230 |
|
Tracy Lea Wolfe Birchfield
1 Hospital Rd |
$419.16 | 2,683 | 1,680 |
|
Lucy Wanda Komorowski
Caller Box C-268 |
$516.11 | 4,546 | 4,128 |
|
Elizabeth Coleman Mcdonald
1 Hospital Rd |
$62.77 | 4,700 | 3,516 |
|
Winona Sue Houser
1 Hospital Rd |
$476.62 | 4,700 | 3,051 |
|
Carmen A Nations
1 Hospital Rd |
$243.96 | 4,899 | 3,854 |
|
Cherokee Indian Hospital Authority
1 Hospital Road |
$412.29 | 7,456 | 4,344 |
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 Cherokee, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cherokee, NC is $411.87 per claim, based on 75,473 claims from 52 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 Cherokee, NC?
There are 52 Medicaid providers offering Office Visit related services in Cherokee, NC according to public payment data.
What is the price range for Office Visit in Cherokee, NC?
Medicaid reimbursement for Office Visit in Cherokee, NC ranges from $48.21 to $654.00 per claim, with an average of $411.87. 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 Cherokee, NC
Emergency Room Visit
Avg $249.17
25,563 claims
Dental Cleaning & Exam
Avg $126.21
15,814 claims
Psychiatric Evaluation
Avg $334.21
13,402 claims
Ambulance Transport
Avg $48.34
10,604 claims
Blood Work & Lab Tests
Avg $31.84
9,711 claims
Behavioral & Mental Health Therapy
Avg $52.93
7,971 claims
Substance Abuse Treatment
Avg $556.53
7,460 claims
Vaccines & Immunizations
Avg $46.67
6,324 claims