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 |
|---|---|---|---|
|
Rebecca Faith Richardson
4136 Clemmons Rd |
$51.11 | 8,036 | 6,141 |
|
Amy Howell Wren
2341 Lewisville Clemmons Rd |
$33.20 | 6,651 | 4,851 |
|
Melanie Aydt Brost
One Health Fm Clemmons |
$57.20 | 6,561 | 5,175 |
|
Margaret O'Reilly Mcdonald
4136 Clemmons Rd |
$51.95 | 5,908 | 3,536 |
|
Susan Abigail Farmer Haas
2311 Lewisville Clemmons Rd |
$74.30 | 5,860 | 5,174 |
|
David M Villanueva
2311 Lewisville Clemmons Rd |
$4.67 | 5,759 | 4,903 |
|
Arie Mantin
2245 Lewisville Clemmons Rd |
$87.14 | 5,234 | 2,398 |
|
Eric Warren Hein
2554 Lewisville Clemmons Rd Ste 308 |
$59.25 | 5,123 | 4,061 |
|
Matthew Green
2311 Lewisville Clemmons Rd |
$64.40 | 4,918 | 4,139 |
|
Katina Dena' Little
2509A Lewisville Clemmons Rd # 1004 |
$83.49 | 4,542 | 3,998 |
|
Richard Bartholomew
2311 Lewisville Clemmons Rd |
$57.48 | 3,866 | 2,812 |
|
Angela Acevedo
2311 Lewisville Clemmons Rd |
$53.09 | 3,747 | 3,167 |
|
Brittney Heath Preslar
4136 Clemmons Rd |
$57.10 | 3,528 | 2,746 |
|
Diane Benson Barber
6966 Millbridge Rd |
$76.19 | 3,459 | 1,727 |
|
Kimberly Dawn Zander
2341 Lewisville Clemmons Rd |
$36.02 | 2,740 | 2,314 |
|
Stuart Allan Kossover
2311 Lewisville Clemmons Rd |
$64.50 | 2,700 | 2,253 |
|
Travis Worth Howell
7130 Village Medical Cir |
$39.44 | 2,649 | 2,311 |
|
Anna Collins Norman
7130 Village Medical Cir |
$55.90 | 2,268 | 1,940 |
|
Bethany Rena Low
6301 Stadium Dr Ste 500 |
$49.35 | 2,133 | 1,957 |
|
Jennifer Niland Kerley
7130 Village Medical Cir |
$56.80 | 2,122 | 1,852 |
|
Alexandra Jane Talbert
5175 Old Clemmons School Rd |
$61.77 | 1,845 | 1,695 |
|
David Ethan Lee
7130 Village Medical Cir |
$67.58 | 1,645 | 1,363 |
|
James G Guerrini
2311 Lewisville Clemmons Rd |
$19.50 | 1,627 | 1,570 |
|
Vanessa Lynn Kearney
2311 Lewisville Clemmons Rd |
$43.55 | 1,611 | 1,432 |
|
Sarah Ellen Hallett
7130 Village Medical Cir |
$56.79 | 1,607 | 1,384 |
|
Mark Albert Pashayan
2311 Lewisville Clemmons Rd |
$46.24 | 1,603 | 1,451 |
|
Leslie Jean Boucherle
4740 Commercial Park Ct |
$55.77 | 1,420 | 930 |
|
Elisabeth Dowlen
5175 Old Clemmons School Rd |
$71.63 | 1,231 | 1,008 |
|
Jennifer Kristin Lenchik
2341 Lewisville Clemmons Rd Fl 2 |
$42.76 | 1,150 | 897 |
|
Jacob Gray Lackey
3163 Gammon Ln |
$58.37 | 1,094 | 872 |
|
Carrie Hall Merritt
105 Stadium Oaks Dr |
$46.07 | 1,050 | 877 |
|
Tsz Hin Choi
2554 Lewisville Clemmons Rd Ste 209 |
$67.30 | 1,037 | 831 |
|
John Clifton Harper
2235 Lewisville Clemmons Rd |
$73.67 | 1,015 | 783 |
|
Felicity Nicole Mayberry
2341 Lewisville Clemmons Rd |
$38.59 | 962 | 760 |
|
Holly Antony Borders
2311 Lewisville Clemmons Rd Fl 3 |
$46.32 | 795 | 735 |
|
Austin Chapman-Lovette Cromer
5175 Old Clemmons School Rd |
$56.25 | 685 | 621 |
|
John Rouse Weathers
105 Stadium Oaks Dr |
$62.26 | 677 | 496 |
|
Dana R Winn
2311 Lewisville Clemmons Rd |
$51.85 | 608 | 565 |
|
Lauren Elizabeth Fennell
2341 Lewisville Clemmons Rd |
$35.09 | 559 | 399 |
|
Catherine R Bradford
2341 Lewisville Clemmons Rd |
$42.06 | 547 | 485 |
|
Wendy Dianne Smith
2265 Lewisville Clemmons Rd |
$84.24 | 476 | 160 |
|
Candice Darcy Johnson-Leonard
2311 Lewisville Clemmons Rd |
$53.54 | 416 | 377 |
|
Jonathan Mark Adams
7210 Village Medical Cir Ste 110 |
$35.40 | 408 | 347 |
|
Nancy Elizabeth Bogenrieder
4740 Commercial Park Ct |
$0.00 | 383 | 367 |
|
Ryan Dwain Gilliam
2311 Lewisville Clemmons Rd |
$39.95 | 382 | 361 |
|
Erin Elizabeth Kelly
6915 Village Medical Cir |
$37.36 | 365 | 322 |
|
Andrea Dawn Stokes Underwood
3163 Gammon Ln |
$32.92 | 356 | 346 |
|
Scott L Vogler
2265 Lewisville Clemmons Rd |
$54.24 | 346 | 303 |
|
Rhonda Wallace Dixon
4130 Clemmons Rd |
$49.96 | 324 | 251 |
|
Holly Anne Jamison
4740 Commercial Park Ct |
$44.96 | 324 | 224 |
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