Average Medicaid Office Visit Payments in Clemmons, NC: $54.20
Avg. Paid
$54.20
Range
$0.00 – $95.17
Total Claims
117,568
Providers
80
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 Clemmons, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Danielle Marguerite Carter Adkins
6301 Stadium Dr Ste 500 |
$61.97 | 14 | 14 |
|
Ernest Frederick Mcphail
7210 Village Medical Cir Ste 225 |
$12.90 | 14 | 12 |
|
Brandi Lelia Holmes Jones
2770 Lewisville Clemmons Rd |
$53.06 | 18 | 17 |
|
Louis F Mcintyre
7210 Village Medical Cir Ste 110 |
$48.00 | 28 | 27 |
|
Catherine Walter Goodyear
4740 Commercial Park Ct |
$57.22 | 31 | 31 |
|
Thane Robert Campbell
6301 Stadium Dr # 500 |
$38.26 | 31 | 25 |
|
Carmen Tabrielle Robinson
6301 Stadium Dr |
$34.00 | 32 | 27 |
|
Ashley Pappas Minton
2311 Lewisville Clemmons Rd Fl 3 |
$67.62 | 35 | 34 |
|
Justin Fletcher Segrest
2770 Lewisville Clemmons Rd |
$0.00 | 38 | 20 |
|
Melissa Ann Helman
4130 Clemmons Rd |
$89.08 | 40 | 34 |
|
Clark William Pinyan
2341 Lewisville Clemmons Rd |
$25.18 | 43 | 42 |
|
Xiuwei Cai
740 Clemmons Crossing Ct |
$74.67 | 45 | 45 |
|
Christopher Andrew Madden
6301 Stadium Dr |
$52.71 | 62 | 41 |
|
Matthew Gray Spivey
7210 Village Medical Cir Ste 110 |
$44.40 | 71 | 65 |
|
Jessica Saunders Lennon
2341 Lewisville Clemmons Rd Fl 2 |
$40.75 | 80 | 73 |
|
Alyssa Marie Sutton
6301 Stadium Dr Ste 500 |
$75.70 | 93 | 76 |
|
Lauren Agner
6371 Jessie Ln |
$55.35 | 95 | 84 |
|
Uzma Enayatulla-Nasir
2311 Lewisville Clemmons Rd |
$95.17 | 116 | 111 |
|
Un Ju Kim
7114 Village Medical Cir |
$38.10 | 120 | 103 |
|
Brittany Miles James
2265 Lewisville Clemmons Rd |
$62.23 | 120 | 97 |
|
Melanie N Bhambri
2341 Lewisville Clemmons Rd Fl 2 |
$34.89 | 121 | 100 |
|
Todd Michael Derreberry
2554 Lewisville Clemmons Rd Ste 207 |
$42.38 | 135 | 120 |
|
Christopher John Warnimont
105 Stadium Oaks Dr |
$57.74 | 165 | 136 |
|
Richard Edwin Haigler
7138 Village Medical Cir |
$33.32 | 173 | 149 |
|
Benjamin Keith Boles
7210 Village Medical Cir Ste 110 |
$47.88 | 180 | 163 |
|
Martha Lumngwegang Eseh
2554 Lewisville Clemmons Rd Ste 305K |
$74.56 | 226 | 210 |
|
Yasmine Kahok Alimena
2265 Lewisville Clemmons Rd |
$62.17 | 243 | 188 |
|
Stuart Mciver Saunders
7210 Village Medical Cir Ste 110 |
$43.88 | 251 | 212 |
|
Stephanie Caudle Draker
6915 Village Medical Cir |
$42.77 | 284 | 240 |
|
Stephen Bradley Winter
3311 Jessie Village Dr |
$34.96 | 312 | 237 |
|
Rhonda Wallace Dixon
4130 Clemmons Rd |
$49.96 | 324 | 251 |
|
Holly Anne Jamison
4740 Commercial Park Ct |
$44.96 | 324 | 224 |
|
Scott L Vogler
2265 Lewisville Clemmons Rd |
$54.24 | 346 | 303 |
|
Andrea Dawn Stokes Underwood
3163 Gammon Ln |
$32.92 | 356 | 346 |
|
Erin Elizabeth Kelly
6915 Village Medical Cir |
$37.36 | 365 | 322 |
|
Ryan Dwain Gilliam
2311 Lewisville Clemmons Rd |
$39.95 | 382 | 361 |
|
Nancy Elizabeth Bogenrieder
4740 Commercial Park Ct |
$0.00 | 383 | 367 |
|
Jonathan Mark Adams
7210 Village Medical Cir Ste 110 |
$35.40 | 408 | 347 |
|
Candice Darcy Johnson-Leonard
2311 Lewisville Clemmons Rd |
$53.54 | 416 | 377 |
|
Wendy Dianne Smith
2265 Lewisville Clemmons Rd |
$84.24 | 476 | 160 |
|
Catherine R Bradford
2341 Lewisville Clemmons Rd |
$42.06 | 547 | 485 |
|
Lauren Elizabeth Fennell
2341 Lewisville Clemmons Rd |
$35.09 | 559 | 399 |
|
Dana R Winn
2311 Lewisville Clemmons Rd |
$51.85 | 608 | 565 |
|
John Rouse Weathers
105 Stadium Oaks Dr |
$62.26 | 677 | 496 |
|
Austin Chapman-Lovette Cromer
5175 Old Clemmons School Rd |
$56.25 | 685 | 621 |
|
Holly Antony Borders
2311 Lewisville Clemmons Rd Fl 3 |
$46.32 | 795 | 735 |
|
Felicity Nicole Mayberry
2341 Lewisville Clemmons Rd |
$38.59 | 962 | 760 |
|
John Clifton Harper
2235 Lewisville Clemmons Rd |
$73.67 | 1,015 | 783 |
|
Tsz Hin Choi
2554 Lewisville Clemmons Rd Ste 209 |
$67.30 | 1,037 | 831 |
|
Carrie Hall Merritt
105 Stadium Oaks Dr |
$46.07 | 1,050 | 877 |
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 Clemmons, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clemmons, NC is $54.20 per claim, based on 117,568 claims from 80 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 Clemmons, NC?
There are 80 Medicaid providers offering Office Visit related services in Clemmons, NC according to public payment data.
What is the price range for Office Visit in Clemmons, NC?
Medicaid reimbursement for Office Visit in Clemmons, NC ranges from $0.00 to $95.17 per claim, with an average of $54.20. 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 Clemmons, NC
Dental Cleaning & Exam
Avg $29.42
27,206 claims
Vaccines & Immunizations
Avg $15.59
19,232 claims
Eye Exam
Avg $29.89
14,747 claims
Psychiatric Evaluation
Avg $67.63
10,454 claims
Dental Filling
Avg $86.70
10,142 claims
Urinalysis & Urine Tests
Avg $4.75
7,704 claims
Blood Work & Lab Tests
Avg $8.33
6,902 claims
Emergency Room Visit
Avg $83.68
3,842 claims