Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Durham, NC: $53.48

Avg. Paid

$53.48

Range

$0.00 – $318.75

Total Claims

1,229,002

Providers

1,194

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 Durham, NC

Provider	Avg. Paid	Claims	Patients
Heather Pastor Scimeca 40 Duke Medicine Cir # 3K	$51.74	12	12
Justin Frye 40 Duke Medicine Cir	$45.66	12	12
Cynthia Kay Feltner 508 Fulton St	$17.34	12	12
Ashit Patel 40 Duke Medicine Cir # 3J	$93.99	12	12
Kimberly Hutter Sepe 3643 N Roxboro St	$23.00	12	12
Vincent M Guilamo 1301 Fayetteville St	$76.63	12	12
Marjorie Ellen Soltis 2301 Erwin Rd	$37.44	12	12
Ali R. Qamar 40 Duke Medicine Cir	$25.90	12	12
Stephen John Greene 2301 Erwin Rd # Dumc3845	$50.25	12	12
Megan N Maloney Dumc 3815	$55.94	12	12
Allen Hershel Tanner 2301 Erwin Rd	$83.86	12	12
Teresa Sanchez Avery 2301 Erwin Rd	$132.30	12	12
John Lohnes 2100 Erwin Rd	$49.97	12	12
Christopher Ryan Kelsey Morris Building, Science Drive, Room 05135	$14.68	12	12
Wissam Najib Mansour 932 Morreene Rd	$29.76	12	12
Sarah Holt Lipscomb 807 S Duke St	$59.67	12	12
Terry Lowry 2100 Erwin Rd	$11.53	12	12
Julia Michelle Deruyter 2301 Erwin Rd	$29.65	12	12
Shamika Kayo Robinson 2301 Erwin Rd	$45.31	12	12
Andrew M Schwartz 3609 Sw Durham Dr	$40.88	12	12
Ashley Grimsley 1000 Trent Dr	$14.92	12	12
Alice Yelan Luo 3643 N Roxboro St	$50.46	12	12
Romin Bonakdar 4419 Ben Franklin Blvd	$41.73	12	12
Max Flint Hockenbury 234 Crooked Creek Pkwy Ste 200	$29.96	12	12
Melissa Anne Rafidi 30 Duke Medicine Cir # 1A	$15.25	12	12
Cameron R. Wolfe 2100 Erwin Rd	$32.49	12	12
Detlev Erdmann 40 Medicine Circle Brown Zone Baker House Room 133	$22.09	13	12
Timothy Ellis Miller 2100 Erwin Road	$26.03	13	13
Tara R Herrmann Duke University Medical Ctr	$62.33	13	12
Daniel J Friedman Duke University Hospital	$14.25	13	12
Nitya Kumar 30 Duke Medicine Cir # 1A	$48.82	13	12
Benjamin O Linthicum 1901 Hillandale Rd	$56.21	13	12
Gwynn Long 2100 Erwin Rd	$24.46	13	12
Julia Dawn Visgauss 200 Trent Dr	$27.55	13	12
Anica Peros Land 40 Duke Medicine Cir	$24.96	13	12
Adriane Osborne 414 E Main St	$45.54	13	13
Benjamin Joseph White 2609 N Duke St Ste 204	$59.04	13	13
Dennis Abraham 40 Duke Medicine Cir	$24.80	13	12
Melissa Maria Erickson 30 Duke Medicine Cir	$13.97	13	12
Dwight Dudley Koeberl 2100 Erwin Rd	$39.45	13	12
Camille G. Frazier-Mills 2301 Erwin Rd Box 3174	$21.77	13	13
Aparna B Vaikunth 2511 Old Cornwallis Rd Ste 200	$73.23	13	12
Vinaya Rao 2301 Erwin Rd	$0.00	13	12
Annick Desjardins 20 Duke Medicine Cir	$59.98	13	13
John Stewart Jones 1821 Hillandale Rd	$82.60	13	13
Lorena Rocha Wilson 19 Sangre De Cristo Dr	$85.54	13	12
Julia Lorraine Graham 5102 N Roxboro St	$80.32	13	12
Linda R. Belhorn 120 William Penn Plz	$51.02	13	12
Kate Lawrence Mitchell 120 William Penn Plz	$24.23	13	13
Melodi Javid Whitley 2301 Erwin Rd	$27.90	13	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 Durham, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Durham, NC is $53.48 per claim, based on 1,229,002 claims from 1194 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 Durham, NC?

There are 1194 Medicaid providers offering Office Visit related services in Durham, NC according to public payment data.

What is the price range for Office Visit in Durham, NC?

Medicaid reimbursement for Office Visit in Durham, NC ranges from $0.00 to $318.75 per claim, with an average of $53.48. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Durham, NC: $53.48

Providers Offering Office Visit in Durham, NC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Durham, NC

Dental Cleaning & Exam

Substance Abuse Treatment

X-Ray

Blood Work & Lab Tests

Speech Therapy

Psychiatric Evaluation

Emergency Room Visit

Vaccines & Immunizations