Average Medicaid Office Visit Payments in Cornelius, NC: $47.58
Avg. Paid
$47.58
Range
$0.00 – $103.23
Total Claims
38,137
Providers
54
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 Cornelius, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cecile Theresa Robes
19485 Old Jetton Rd Ste 100 |
$24.80 | 10,537 | 9,186 |
|
Richell Ann Foy
19485 Old Jetton Rd Ste 100 |
$69.04 | 4,007 | 3,102 |
|
Taiwona Lameeka Elliott
19485 Old Jetton Rd Ste 100 |
$60.05 | 3,440 | 2,994 |
|
Mark Vincent
19485 Old Jetton Rd |
$58.73 | 2,451 | 2,190 |
|
Rashida Aliya Mungin
19830 Zion Ave |
$50.65 | 1,897 | 1,287 |
|
Amanda E White
19485 Old Jetton Rd Ste 200 |
$67.96 | 1,419 | 1,320 |
|
Meredith Anne Niess
19485 Old Jetton Rd Ste 100 |
$0.00 | 1,271 | 1,132 |
|
Josette Marie Giuffrida
18067 W. Catawba Ave |
$62.94 | 1,246 | 1,108 |
|
Rachel Lynn Pritchard
19485 Old Jetton Rd Ste 100 |
$65.70 | 818 | 697 |
|
Kristen Elizabeth Vance
19485 Old Jetton Rd Ste 210 |
$41.86 | 774 | 479 |
|
Tania V Menz
19485 Old Jetton Rd Ste 100 |
$45.37 | 710 | 679 |
|
Michael B Durbin
17078 Nat Bynum Ln Unit 3 |
$57.05 | 700 | 639 |
|
Coral D Kirscher
18805 W Catawba Ave Ste 100 |
$52.75 | 665 | 545 |
|
Kindra Janee Littman-Dekine
19485 Old Jetton Rd Ste 100 |
$65.76 | 656 | 571 |
|
Andrew Deaton Blodgett
19830 Zion Ave |
$61.96 | 604 | 514 |
|
Ashley Wilkens
8211 Village Harbor Dr |
$41.88 | 602 | 366 |
|
Puja Dalal
19485 Old Jetton Rd Ste 100 |
$53.53 | 600 | 575 |
|
Christopher Thomas Messitt
9623 Bailey Rd Ste 220 |
$50.88 | 589 | 557 |
|
Phil Johns
16930 W Catawba Ave Ste 200 |
$67.37 | 586 | 383 |
|
Jana Kaye Burson
19701 W Catawba Ave Ste F |
$26.79 | 507 | 295 |
|
Keyona Cheyne Oni
19485 Old Jetton Rd Ste 100 |
$60.27 | 443 | 359 |
|
Eileen Catherine Frager
19485 Old Jetton Rd Ste 270 |
$55.21 | 417 | 400 |
|
Elizabeth Joyce Trout
19485 Old Jetton Rd Ste 100 |
$58.04 | 356 | 335 |
|
Jackie Rex Faircloth
20036 Zion Ave |
$63.54 | 296 | 238 |
|
Erin Able Wagner
17078 Nat Bynum Ln Unit 3 |
$60.25 | 270 | 251 |
|
Kristina Alisa Taylor-Lewis
17078 Nat Bynum Ln Unit 3 |
$62.28 | 225 | 159 |
|
Katherine Elizabeth Haga
19485 Old Jetton Rd Ste 100 |
$48.25 | 195 | 134 |
|
Vanessa Lynn Everett
20036 Zion Ave |
$56.52 | 181 | 163 |
|
Christina Dishmond
20808 N Main St Ste 102 |
$51.78 | 158 | 157 |
|
James Thomas Chapman
19485 Old Jetton Rd Ste 100 |
$79.78 | 157 | 143 |
|
Scott Brandon Webster
19485 Old Jetton Rd Ste 210 |
$35.07 | 124 | 116 |
|
Nancy Elizabeth Deem
20036 Zion Ave |
$57.81 | 124 | 100 |
|
Rocio Claribel Tavarez Angeles
19485 Old Jetton Rd Ste 100 |
$63.16 | 120 | 109 |
|
Wendy G Talley
8301 Magnolia Estates Dr Ste 17 |
$59.02 | 110 | 103 |
|
Eric Allan Chandley
19485 Old Jetton Rd Ste 210 |
$46.71 | 110 | 91 |
|
Valorie Stewart Byrd
8301 Magnolia Estates Dr Ste 17 |
$51.82 | 107 | 90 |
|
Christina A Wescott
8301 Magnolia Estates Dr Ste 17 |
$71.51 | 100 | 92 |
|
Blakely David Wise
20036 Zion Ave |
$84.87 | 63 | 61 |
|
Corey Scott Mottesheard
19485 Old Jetton Rd Ste 100 |
$78.60 | 57 | 53 |
|
Lloyd Austin Aaron Runser
19485 Old Jetton Rd Ste 100 |
$52.12 | 56 | 39 |
|
Heather Christine Doty
19485 Old Jetton Rd |
$85.54 | 52 | 42 |
|
Kenesha Hilda Kirkland
9623 Bailey Rd Ste 220 |
$45.16 | 52 | 41 |
|
Sarah Soroosh Vandergoot
19485 Old Jetton Rd Ste 100 |
$67.49 | 46 | 43 |
|
Christopher A Zagar
19485 Old Jetton Rd |
$61.25 | 42 | 39 |
|
Jess Mckarns Kirby
19485 Old Jetton Rd |
$32.34 | 29 | 25 |
|
David Justin Drago
19485 Old Jetton Rd Ste 210 |
$57.36 | 29 | 25 |
|
Carrie Gregory
8301 Magnolia Estates Dr Ste 17 |
$64.31 | 28 | 25 |
|
Mark Lowell Higdon
19485 Old Jetton Rd Ste 100 |
$103.23 | 28 | 28 |
|
Ariel Catherine Haddad
9624 Bailey Rd Ste 285 |
$49.67 | 17 | 15 |
|
Preeya Atul Patel
19475 Old Jetton Rd Ste 200 |
$75.36 | 14 | 13 |
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 Cornelius, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cornelius, NC is $47.58 per claim, based on 38,137 claims from 54 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 Cornelius, NC?
There are 54 Medicaid providers offering Office Visit related services in Cornelius, NC according to public payment data.
What is the price range for Office Visit in Cornelius, NC?
Medicaid reimbursement for Office Visit in Cornelius, NC ranges from $0.00 to $103.23 per claim, with an average of $47.58. 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 Cornelius, NC
Tooth Extraction
Avg $124.17
27,742 claims
Blood Work & Lab Tests
Avg $4.55
13,718 claims
Dental Cleaning & Exam
Avg $39.08
11,375 claims
Psychiatric Evaluation
Avg $75.21
10,661 claims
Emergency Room Visit
Avg $55.14
5,799 claims
Vaccines & Immunizations
Avg $11.81
5,458 claims
Pathology & Lab Services
Avg $23.31
5,442 claims
Speech Therapy
Avg $59.73
3,057 claims