Average Medicaid Office Visit Payments in Denver, NC: $65.52
Avg. Paid
$65.52
Range
$31.89 – $87.22
Total Claims
105,912
Providers
49
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 Denver, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
William M Barrett
514 N Nc 16 Business Hwy |
$67.86 | 14,938 | 12,683 |
|
June Durell Smith-Hartness
1420 Highway 16 N |
$78.16 | 14,815 | 12,383 |
|
Julissa Grace Joyce
409 Olin Way |
$71.74 | 9,650 | 8,279 |
|
Wissam Edward Nadra
275 N. Hwy 16. Suite: 103 |
$65.57 | 7,574 | 5,976 |
|
Rachel Leigh Gregory
409 Olin Way |
$60.78 | 5,777 | 5,122 |
|
Amy Lynn Heusinger
275 N Nc-16 Hwy Bus, Ste 104 |
$53.06 | 5,503 | 4,687 |
|
Stephen Bruce Zimmer
294 N Highway 16 |
$85.84 | 4,188 | 3,597 |
|
Jennifer Louise Bushey Colyer
409 Olin Way |
$69.10 | 4,056 | 3,575 |
|
Julia Richards
269 Gillman Rd Ste 200A |
$73.03 | 3,997 | 3,308 |
|
Misti G Benton
275 N Highway 16 |
$52.18 | 3,685 | 3,022 |
|
Amrita Kaur Dhillon
1585 Forney Creek Pkwy |
$64.62 | 2,959 | 2,669 |
|
Tara Ghatge Nagaraja
409 Olin Way |
$58.27 | 2,507 | 2,024 |
|
Ann Elizabeth Pittoni Condon
269 Gillman Rd Ste 200A |
$67.99 | 2,369 | 1,712 |
|
Elizabeth Restino
6127 Highway 16 S |
$37.89 | 2,208 | 1,668 |
|
Nicole Katharine Watt
1585 Forney Creek Pkwy |
$50.75 | 1,628 | 1,093 |
|
Rebecca Stolorena
6127 S Nc 16 Business Hwy |
$60.17 | 1,520 | 1,227 |
|
Debra D Powell
7476 Waterside Loop Rd. Ste 600 |
$63.93 | 1,475 | 1,303 |
|
Julia Nell Alexander
6127 Highway 16 S |
$56.34 | 1,449 | 1,312 |
|
Taquita Milner
7490 Waterside Crossing Blvd Ste 2A |
$46.47 | 1,426 | 1,107 |
|
Gerald T Ahigian
2266 N Nc 16 Business Hwy |
$40.60 | 1,371 | 1,141 |
|
Crystal Beard Wilson
6127 S Nc 16 Business Hwy |
$87.22 | 1,347 | 989 |
|
Daniel Bernard Barnes
269 Gillman Rd Ste 100 |
$50.96 | 1,198 | 1,066 |
|
Kellie Harney O'Hara
275 N Nc 16 Business Hwy Ste 104 |
$60.55 | 1,084 | 923 |
|
James Rapsinski
275 N Nc 16 Business Hwy |
$71.03 | 923 | 817 |
|
Marlisa Bullock
269 Gillman Rd Ste 100 |
$52.97 | 918 | 829 |
|
Keith Eric Mcmanus
269 Gillman Rd Ste 100 |
$45.69 | 779 | 684 |
|
Steven Allen Gold
1585 Forney Creek Pkwy Ste 2100 |
$56.39 | 722 | 611 |
|
Joseph A. Davis
1585 Forney Creek Pkwy |
$45.28 | 664 | 617 |
|
Richard Michael Kuzma
1585 Forney Creek Pkwy |
$65.26 | 642 | 580 |
|
Moses S Raj
268 Gillman Rd Ste A |
$41.14 | 532 | 461 |
|
Kelly Lynn Tolcher
269 Gillman Rd Ste 200A |
$67.79 | 462 | 423 |
|
Chelsea Annette Davis
409 Olin Way |
$46.40 | 414 | 301 |
|
Kristie Nicole Singer
409 Olin Way |
$56.87 | 413 | 300 |
|
Deanna Marie Didiano
1585 Forney Creek Pkwy |
$54.63 | 399 | 340 |
|
Jeffrey Charles Ham
1585 Forney Creek Pkwy |
$72.71 | 397 | 335 |
|
Laura Howard Burgess
6127 Highway 16 South |
$54.27 | 327 | 297 |
|
Prag Gupta
1585 Forney Creek Pkwy Ste 2200 |
$31.89 | 282 | 210 |
|
Julia Ann Banks
269 Gillman Rd Ste 100 |
$57.01 | 248 | 229 |
|
Ryan Scott Brooks
409 Olin Way |
$61.65 | 248 | 199 |
|
Kyle Matthew Lamb
1585 Forney Creek Pkwy |
$57.71 | 232 | 205 |
|
Daniel T. Biondi
2826 Lake Shore Rd S |
$60.56 | 227 | 197 |
|
Ashley Dibbert Flye
269 Gillman Rd Ste 100 |
$64.44 | 118 | 105 |
|
Justin Michael Kolesar
1585 Forney Creek Pkwy |
$62.97 | 57 | 54 |
|
Cassandra Gomez Caver
409 Olin Way |
$63.31 | 51 | 30 |
|
Jeffrey Taylor Moss
269 Gillman Rd Ste 100 |
$47.26 | 39 | 30 |
|
Jeffrey Richard Many
269 Gillman Rd |
$47.95 | 36 | 30 |
|
Susane Maher Habashi-Ahigian
2266 N Highway 16 |
$54.00 | 31 | 27 |
|
Haley Cline Sutton
1585 Forney Creek Pkwy |
$64.95 | 15 | 14 |
|
Brian Scott Nishek
324 N Highway 16 |
$47.50 | 12 | 12 |
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 Denver, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Denver, NC is $65.52 per claim, based on 105,912 claims from 49 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 Denver, NC?
There are 49 Medicaid providers offering Office Visit related services in Denver, NC according to public payment data.
What is the price range for Office Visit in Denver, NC?
Medicaid reimbursement for Office Visit in Denver, NC ranges from $31.89 to $87.22 per claim, with an average of $65.52. 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 Denver, NC
Dental Cleaning & Exam
Avg $30.35
81,057 claims
Vaccines & Immunizations
Avg $17.51
47,279 claims
Psychiatric Evaluation
Avg $52.16
31,332 claims
Nursing Facility Care
Avg $18.91
28,883 claims
Dental Filling
Avg $94.88
21,283 claims
X-Ray
Avg $4.60
9,909 claims
Blood Work & Lab Tests
Avg $15.27
9,872 claims
Hearing Test (Audiometry)
Avg $4.00
5,674 claims