Average Medicaid Office Visit Payments in Clinton, NC: $50.69
Avg. Paid
$50.69
Range
$0.00 – $81.69
Total Claims
233,255
Providers
64
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 Clinton, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Teague Lon Horton
403 Fairview St |
$70.78 | 16,748 | 15,358 |
|
Ken T. Yang
403 Fairview St |
$62.82 | 14,478 | 12,489 |
|
Ashley Leeann Tuttle
403 Fairview St |
$61.27 | 13,041 | 11,098 |
|
Ada M. Conway
403 Fairview St |
$81.69 | 12,035 | 11,038 |
|
Rodney Kevin Sessoms
500 Beaman St |
$32.62 | 11,273 | 6,880 |
|
Ginger T. Mccullen
403 Fairview St |
$60.72 | 11,150 | 9,517 |
|
John-Mark Mark Miller
516 Beaman St |
$40.18 | 9,985 | 7,078 |
|
Jeffrey Wayne Autry
1004 Beamon St. |
$44.83 | 9,458 | 6,323 |
|
William C. Carr
403 Fairview St |
$62.87 | 8,434 | 7,314 |
|
Michael Andrew Wall
1515 Sunset Ave |
$43.73 | 8,367 | 5,933 |
|
Shane Megan Sundlie
403 Fairview St |
$78.81 | 7,934 | 6,505 |
|
Gilbert F Palmer
403 Fairview St |
$56.52 | 7,901 | 6,917 |
|
Eskander G Morkos
518 Beaman St |
$23.86 | 7,439 | 5,714 |
|
Ted Albert Bauman
403 Fairview St |
$61.40 | 7,393 | 6,394 |
|
Joshua Ferrell
516 Beaman St |
$43.22 | 7,294 | 5,082 |
|
Ann A Lewis
408 Fairview St |
$3.38 | 7,268 | 5,433 |
|
Robert W Reagan
1021 Beaman St |
$22.10 | 7,124 | 4,932 |
|
Mary Katrina Snyder Gaylord
403 Fairview St |
$48.96 | 6,050 | 5,132 |
|
Arthur E. Apolinario
403 Fairview St |
$54.97 | 5,337 | 4,691 |
|
William Alexander Huff
520 Beaman St |
$24.95 | 4,784 | 3,213 |
|
Jill Anne Breton
360 County Complex Rd Ste 200 |
$36.65 | 4,451 | 2,581 |
|
Lawrence J. Watts
403 Fairview St |
$61.76 | 4,439 | 3,843 |
|
Sharry Jackson Malpass
403 Fairview St |
$52.17 | 4,375 | 3,714 |
|
Alexandria Bass Glass
412 E Johnson St |
$53.28 | 3,822 | 2,754 |
|
Timothy Ted Smith
522 Beaman St |
$36.59 | 3,600 | 2,347 |
|
Lauren Elaine Aves
403 Fairview St |
$60.71 | 3,299 | 2,441 |
|
Seth Lowell Thomas
403 Fairview St |
$64.16 | 3,234 | 2,798 |
|
Robert John Kastner
603 Beaman St Ste 501 |
$39.87 | 2,156 | 1,837 |
|
Jamie Alysse Weiner
403 Fairview St |
$66.18 | 2,002 | 1,862 |
|
Carrie L Green
403 Fairview St |
$52.98 | 1,921 | 1,633 |
|
Linda Rita Boggs
906 N Us 421 Hwy |
$3.29 | 1,416 | 1,107 |
|
Tara Lynn Marr-Carter
403 Fairview St |
$57.51 | 1,381 | 1,226 |
|
Susie Fitzgerald
607 Beaman St |
$61.82 | 1,319 | 982 |
|
Russell Matthews
408 Fairview St |
$7.92 | 1,070 | 810 |
|
Michael Arthur Valenti
603 Beaman Street |
$19.93 | 1,025 | 778 |
|
Karika Partilia Watkins-Hill
1515 Sunset Ave |
$41.67 | 935 | 662 |
|
Kari Leanne Barnett
906 N Us Highway 421 |
$7.36 | 932 | 672 |
|
Beverly Jeanne Degrandchamp
408 Fairview St |
$0.00 | 895 | 767 |
|
Robert Talmadge Blackwood
603 Beaman St Ste 501 |
$17.96 | 769 | 673 |
|
Crystal Gillis
403 Fairview St |
$43.90 | 746 | 649 |
|
Phyllis Armstead Baez
417 Vance St |
$51.46 | 710 | 428 |
|
Arka Chaudhury
607 Beaman St |
$56.85 | 684 | 597 |
|
Linda Kay Winner
1106 Sunset Ave |
$5.21 | 546 | 360 |
|
Albert Alexander Verrilli
603 Beaman St |
$23.83 | 460 | 286 |
|
Ashley Maureen Daniels
1515 Sunset Ave |
$46.39 | 449 | 380 |
|
Kaitlyn Averitt Tyndall
906 N Us 421 Hwy |
$10.56 | 370 | 327 |
|
Henry Nathaniel Curry
1004 Beaman St |
$49.69 | 356 | 279 |
|
Douglas Terry Whitney
408 Fairview St |
$46.12 | 310 | 247 |
|
Allison Elise Matte
607 Beaman St |
$64.80 | 301 | 271 |
|
Deepakta Kaur
607 Beaman St |
$56.50 | 286 | 254 |
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 Clinton, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clinton, NC is $50.69 per claim, based on 233,255 claims from 64 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 Clinton, NC?
There are 64 Medicaid providers offering Office Visit related services in Clinton, NC according to public payment data.
What is the price range for Office Visit in Clinton, NC?
Medicaid reimbursement for Office Visit in Clinton, NC ranges from $0.00 to $81.69 per claim, with an average of $50.69. 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 Clinton, NC
Speech Therapy
Avg $57.24
208,747 claims
Vaccines & Immunizations
Avg $14.11
125,251 claims
Blood Work & Lab Tests
Avg $6.70
78,759 claims
Dental Cleaning & Exam
Avg $30.91
78,693 claims
Emergency Room Visit
Avg $76.25
71,091 claims
Non-Emergency Medical Transportation
Avg $39.99
54,699 claims
Urinalysis & Urine Tests
Avg $2.84
41,205 claims
X-Ray
Avg $6.71
35,218 claims