Average Medicaid Office Visit Payments in Eden, NC: $52.79
Avg. Paid
$52.79
Range
$10.07 – $79.06
Total Claims
206,682
Providers
52
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 Eden, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Terry G Daniel
250 W Kings Hwy |
$59.15 | 24,587 | 18,956 |
|
Paul W Sasser
250 W Kings Hwy |
$58.03 | 20,559 | 16,107 |
|
Steven E Burdine
250 W Kings Hwy |
$58.11 | 18,869 | 14,851 |
|
Rozita Akhbari
509 S Van Buren Rd Ste B |
$10.54 | 17,358 | 16,030 |
|
Mark C Bucy
520 S Van Buren Rd |
$79.06 | 16,536 | 14,552 |
|
Zainab S Qayumi
509 S Van Buren Rd |
$74.89 | 12,638 | 11,532 |
|
Xaje A Hasanaj
507 Highland Park Dr |
$22.94 | 12,507 | 7,262 |
|
Vivian Eliza B Salvador
520 S Van Buren Rd |
$72.95 | 11,306 | 10,481 |
|
Inger M. Law
520 S. Van Buren Rd. |
$74.86 | 9,008 | 8,350 |
|
Kevin P Howard
925 Oak Ridge Dr |
$59.38 | 7,977 | 6,720 |
|
Ashish C Shah
405 Thompson St |
$32.90 | 7,793 | 5,657 |
|
James W Hathorn
516 S Van Buren Rd |
$42.63 | 7,517 | 5,622 |
|
Gordon Frank Williams
250 W Kings Hwy |
$54.55 | 6,985 | 5,518 |
|
Dhruv B Vyas
405 Thompson St |
$32.62 | 6,429 | 4,851 |
|
Donna Yates Jennings
117 E Kings Hwy |
$57.08 | 5,634 | 5,337 |
|
Aaron Bradley Thompson
250 W Kings Hwy |
$53.14 | 5,295 | 3,405 |
|
Sandeep Raj Pandit
516 S Van Buren Rd |
$27.10 | 2,012 | 1,799 |
|
Brad Lee Bauer
618 S Pierce St |
$38.18 | 1,588 | 1,409 |
|
Kelly B Erskine
522 S Van Buren Rd |
$66.67 | 1,327 | 1,090 |
|
Alethea Yvette Rucker
515 Thompson Street |
$68.58 | 1,283 | 1,169 |
|
Paul Ziomek
250 W Kings Hwy |
$43.05 | 1,099 | 775 |
|
Angela Renee Boone
405 Thompson St |
$41.64 | 1,010 | 802 |
|
Gina L Varner
250 W Kings Hwy |
$56.37 | 729 | 635 |
|
Dionne P. Galloway
522 S. Van Buren Rd. |
$50.14 | 702 | 548 |
|
Nigel A. Buist
522 S. Van Buren Rd. |
$47.23 | 652 | 500 |
|
Rockingham Internal Medicine Associates Pa
507 Highland Park Dr |
$61.16 | 613 | 423 |
|
Terra Scarlette Mcalister
520 S Van Buren Rd Ste 1 |
$38.40 | 578 | 486 |
|
Betty J Marshall
518 S Van Buren Rd |
$44.50 | 472 | 317 |
|
Suresh A Koneswaran
518 S Van Buren Rd |
$35.32 | 458 | 422 |
|
Monica Mamina Kelly-Coleman
247 W Kings Hwy |
$49.36 | 454 | 282 |
|
Elizabeth Mary Peck
110 S Park Ter |
$34.82 | 388 | 368 |
|
Reginald Cathey
515 Thompson St |
$12.86 | 325 | 185 |
|
Steven L Case
520 S Van Buren Rd Ste 1 |
$36.93 | 296 | 246 |
|
Kanan H Hudhud
516 S Van Buren Rd |
$43.80 | 208 | 172 |
|
Joseph Aaron Sivak
518 S Van Buren Rd Ste 3 |
$31.78 | 199 | 183 |
|
Molly Christine Hamilton
618 S Pierce St # 102 |
$25.10 | 185 | 164 |
|
Douglas Guy Browning
207 E Meadow Rd |
$43.80 | 147 | 126 |
|
Susan D Pappas
515 Thompson St Ste D |
$43.90 | 146 | 135 |
|
David B. Tapper
515 Thompson St |
$32.58 | 130 | 120 |
|
Lillian P Burke
516 S Van Buren Rd |
$71.02 | 97 | 85 |
|
Alyssa Michelle Allwardt
250 W Kings Hwy |
$50.02 | 97 | 91 |
|
Dawn V Quashie
117 E Kings Hwy |
$10.07 | 90 | 70 |
|
Clarence Henry Beavers
207 E Meadow Rd Ste 1 |
$13.97 | 88 | 76 |
|
Keavie C. Hairfield
405 Thompson St |
$33.94 | 86 | 72 |
|
Mark William Roy
518 S Van Buren Rd |
$21.26 | 55 | 50 |
|
William J. Mcleod
522 S. Van Buren Rd. |
$46.97 | 49 | 41 |
|
Beth Ann Dekoninck
207 E Meadow Rd Ste 6 |
$64.08 | 39 | 37 |
|
Megan K Straughan
515 Thompson St Ste B |
$31.40 | 20 | 15 |
|
Chamundambika Shanmugam
520 S Van Buren Rd |
$72.22 | 20 | 20 |
|
Sue Adkins Fitzko
405 Thompson St |
$45.08 | 17 | 16 |
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 Eden, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Eden, NC is $52.79 per claim, based on 206,682 claims from 52 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 Eden, NC?
There are 52 Medicaid providers offering Office Visit related services in Eden, NC according to public payment data.
What is the price range for Office Visit in Eden, NC?
Medicaid reimbursement for Office Visit in Eden, NC ranges from $10.07 to $79.06 per claim, with an average of $52.79. 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 Eden, NC
Vaccines & Immunizations
Avg $13.78
99,022 claims
Blood Work & Lab Tests
Avg $5.23
96,313 claims
Emergency Room Visit
Avg $114.83
69,244 claims
Dental Cleaning & Exam
Avg $29.58
48,385 claims
Speech Therapy
Avg $38.11
26,738 claims
Urinalysis & Urine Tests
Avg $2.28
22,384 claims
Hearing Test (Audiometry)
Avg $1.45
19,554 claims
Nursing Facility Care
Avg $10.97
18,510 claims