Average Medicaid Office Visit Payments in Creedmoor, NC: $46.22
Avg. Paid
$46.22
Range
$0.00 – $70.43
Total Claims
20,077
Providers
24
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 Creedmoor, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Catherina Bostelman
2527 Lyons Station Road |
$58.89 | 2,945 | 2,613 |
|
Alexia Edwards
1614 Nc Highway 56 |
$49.91 | 2,899 | 2,385 |
|
Alyssa Krueger
2503 E Lyon Station Rd |
$59.52 | 2,318 | 2,053 |
|
Allen T Smith
2527 E Lyon Station Rd |
$54.83 | 1,849 | 1,698 |
|
Yvonne E Berstler
2527 Lyons Station Road |
$54.53 | 1,662 | 1,453 |
|
Candice Starr Ryan
1614 Nc Highway 56 |
$7.55 | 1,236 | 887 |
|
Jason Michael Pesqueira
1614 N Highway 56 |
$10.40 | 1,195 | 954 |
|
Benjamin Joseph Mastridge
402 North Main St |
$58.04 | 836 | 567 |
|
Morgan Bradford Smith
2503 E Lyon Station Rd |
$68.09 | 834 | 724 |
|
Jesse Randall Byrd
1614 Hwy 56 |
$6.44 | 793 | 588 |
|
Gretchen Iroha
2503 E Lyon Station Rd |
$63.08 | 771 | 680 |
|
Corey Coles
2503 E Lyon Station Rd # 2 |
$51.14 | 654 | 589 |
|
Jolene Jean-Gracia
1614 Nc Highway 56 |
$14.30 | 593 | 437 |
|
Craig Hoffmeier
2527 E Lyon Station Rd |
$41.75 | 344 | 307 |
|
Vincent John Cella
402 Main Street |
$63.79 | 334 | 202 |
|
Elizabeth Beatrice Baltaro
1614 Nc Highway 56 |
$0.00 | 227 | 210 |
|
Jennifer Leah Mahoney
1614 Nc Highway 56 |
$4.33 | 131 | 115 |
|
Amy Jane Nayo
1614 Nc Highway 56 |
$0.00 | 113 | 107 |
|
Robin Peterson
3185 Hardie St |
$64.11 | 91 | 90 |
|
Kaitlyn Ann Coyle
2503 E Lyon Station Rd |
$70.43 | 67 | 60 |
|
Christina O Beck
2503 E Lyon Station Rd |
$69.59 | 66 | 39 |
|
Peggy Kiser Harris
1614 Nc Highway 56 |
$47.05 | 59 | 55 |
|
Sally Laliberte
1614 Nc Highway 56 |
$43.08 | 39 | 39 |
|
Bani'Ci' Nicosi'A Townsend-Harrison
206 W Lake Rd |
$57.64 | 21 | 14 |
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 Creedmoor, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Creedmoor, NC is $46.22 per claim, based on 20,077 claims from 24 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 Creedmoor, NC?
There are 24 Medicaid providers offering Office Visit related services in Creedmoor, NC according to public payment data.
What is the price range for Office Visit in Creedmoor, NC?
Medicaid reimbursement for Office Visit in Creedmoor, NC ranges from $0.00 to $70.43 per claim, with an average of $46.22. 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
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Las Vegas, NV
Avg $54.47
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Other Procedures in Creedmoor, NC
Behavioral & Mental Health Therapy
Avg $84.90
44,263 claims
Speech Therapy
Avg $65.02
24,991 claims
Case Management Services
Avg $234.35
17,375 claims
Dental Filling
Avg $111.37
12,512 claims
Personal Care Services
Avg $131.44
11,276 claims
Dental Cleaning & Exam
Avg $30.42
9,795 claims
Psychiatric Evaluation
Avg $73.31
7,470 claims
Home Health Visit
Avg $98.55
4,864 claims