Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Clayton, NC: $62.37

Avg. Paid

$62.37

Range

$0.00 – $187.71

Total Claims

224,990

Providers

118

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 Clayton, NC

Provider	Avg. Paid	Claims	Patients
Riddhi Mehta 166 Springbrook Ave Ste 101	$53.23	13	13
Paul Matthew Dunneback 166 Springbrook Ave Ste 101	$50.17	14	12
Nivetha Vishnuvardhan 2076 Nc Highway 42 W Ste 130	$53.04	14	13
Dasha Valeria Lopez Vasquez 34 Healthpark Way Ste 100C	$187.71	15	15
Joan N Meehan 100 Guy Rd	$47.15	17	14
Jacob Lagomarcino 935 Shotwell Rd	$76.54	17	13
Timothy Gerald Marine 2196 Nc Highway 42 W	$30.40	17	12
Sanjay Tomar 244 Medspring Dr	$28.61	19	16
Colleen Marie Sullivan 2076 Highway 42 West	$17.70	19	17
Joseph Ernesto Massaglia 2196 Nc Highway 42 W	$39.04	38	35
Amy Elizabeth Purvis 935 Shotwell Rd	$80.27	41	37
Leah Christine Fleischhauer 34 Healthpark Way Ste 100D	$13.05	45	34
Jessica Phillips 11911 Us 70 Bus Hwy W	$0.00	50	40
Amber Ellis 12701 Us 70W	$0.00	55	51
Thanh Thanh Tran 2076 Nc Highway 42 W	$93.77	73	71
Tania Diaz 104 Medspring Dr	$34.41	74	69
Barton Stearns 935 Shotwell Rd	$55.68	78	49
Lori Orndorff Cobern 11911 Us 70 Business Hwy W	$6.42	78	64
Jessica B Wagoner 244 Medspring Dr	$34.79	84	68
Kayla Nicole Deangelis 2076 Veterans Pkwy Ste 330	$52.78	95	90
Matthew Munschauer 104 Medspring Dr	$54.55	113	89
Christopher Page Jordan 649 Guy Rd Ste 200	$27.98	121	95
Derrick Andrew Bass 166 Springbrook Ave Ste 101	$28.76	131	109
Donald Anthony Schmidt 2196 Nc Highway 42 W	$54.02	131	118
Samantha Alice Campbell 104 Medspring Dr Ste 100	$78.54	134	133
Kristina Celeste Williams 204 Medspring Dr Ste 100	$46.21	164	162
Jack M Sibrizzi 442 E Main St Ste A	$29.17	173	167
Sarah Elizabeth Starr 37 Pineville Blvd Ste 101	$57.99	196	144
Lindsey Barrett Olive 2138 Nc Highway 42 W	$53.65	216	204
Veronica Marie Hill 935 Shotwell Rd	$74.34	223	213
Julian Kevin Smith 2196 Nc Highway 42 W	$61.75	224	145
Viyan Udawatta 166 Springbrook Ave Ste 105	$116.42	225	201
Maria Fakadej 11618 Us Highway 70 W	$17.42	226	215
Zachary J Bloom 166 Springbrook Ave Ste 101	$40.76	237	217
Michael Vincent Woodbridge 11618 Us Hwy 70-W	$18.49	251	225
Carrie Leigh Knaus 2076 Hwy. 42 West	$37.12	252	227
Tiffany Danielle Miller 34 Healthpark Way Ste 100	$52.87	333	323
Jason Alexander Cooper 37 Pineville Blvd Ste 101	$77.21	344	297
Tiffany Anne Greenwood 11911 Us 70 Business Hwy W	$10.62	380	230
Christopher C Clark 2076 Hwy 42 W	$74.37	388	381
Angela Byrd 34 Healthpark Way Ste 100	$42.72	397	325
Stephanie Benson 2076 Nc Highway 42 W Ste 230	$4.52	406	253
Samantha Lynn Breen 12701 Us 70W Business	$63.84	418	380
Tacara Nichole Anderson 11618 Clayton Blvd	$10.47	472	435
Mary Anne Dooley 34 Healthpark Way Ste 100C	$65.62	484	441
Rebecca Anne Johnson 236 Butternut Ln	$40.62	497	373
Kelly A Ellington 2076 Nc Highway 42 W Ste 250	$52.70	540	475
Katie Gould Hancock 935 Shotwell Rd	$54.81	601	431
Maghan Walker 34 Healthpark Way Ste 100	$49.25	631	571
Jimmy Nicolas Pan 34 Healthpark Way Ste 100	$69.65	662	586

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 Clayton, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clayton, NC is $62.37 per claim, based on 224,990 claims from 118 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 Clayton, NC?

There are 118 Medicaid providers offering Office Visit related services in Clayton, NC according to public payment data.

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

Medicaid reimbursement for Office Visit in Clayton, NC ranges from $0.00 to $187.71 per claim, with an average of $62.37. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Clayton, NC: $62.37

Providers Offering Office Visit in Clayton, NC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Clayton, NC

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Psychiatric Evaluation

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Physical Therapy

Speech Therapy

Hearing Test (Audiometry)