Average Medicaid Office Visit Payments in Edenton, NC: $55.63
Avg. Paid
$55.63
Range
$16.35 – $758.67
Total Claims
82,114
Providers
37
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 Edenton, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sandra J Layden
314 W Queen St |
$54.98 | 13 | 12 |
|
Francis Michael Mccarthy
701 Luke St |
$16.84 | 28 | 27 |
|
Ashley Lang Marlowe
203 Earnhart Dr Ste B |
$52.44 | 46 | 37 |
|
Enc Peds Pllc
222B Virginia Rd |
$57.11 | 93 | 87 |
|
Melanie Dolores Gray Miller
203 Earnhart Dr Ste A |
$71.79 | 129 | 121 |
|
Esther E. Lyons
609 N Broad St |
$87.39 | 155 | 152 |
|
Jean Claude Jubert
314 W Queen St |
$758.67 | 163 | 143 |
|
Stephen P Benkusky
103 W Eden St |
$61.21 | 197 | 133 |
|
William S Blakemore
101 Mark Dr |
$16.35 | 204 | 179 |
|
Joana Eleanor Colzani-Cohen-Deutsch
201 Virginia Rd |
$54.01 | 255 | 217 |
|
Thomas Calvin Dimartino
201 Virginia Rd |
$17.46 | 333 | 284 |
|
Dakota Webster
204 Earnhart Dr |
$31.57 | 436 | 360 |
|
Kimberly Jones Chalot
701 Luke St Ste D |
$21.12 | 441 | 357 |
|
Peter Francis Boehling
309 N Broad St |
$45.33 | 487 | 401 |
|
Jaffer Hussain
104 Mark Dr |
$44.20 | 908 | 783 |
|
Madeline Montgomery Winslow
701 Luke St Ste D |
$46.16 | 1,148 | 907 |
|
Judith Anne Borger
203 Earnhart Dr Ste A |
$60.95 | 1,181 | 1,042 |
|
Julane Chappell Upton
203 Earnhart Dr Ste A |
$39.75 | 1,190 | 996 |
|
Matthew Linus Parker
113 Virginia Rd |
$55.34 | 1,314 | 1,176 |
|
Joel Crist Reynolds
210 N Broad St |
$27.12 | 1,409 | 1,081 |
|
Robert Gale Reiheld
207 Queen Anne Dr |
$37.71 | 1,475 | 1,378 |
|
Paul C Neuman
113 Virginia Rd |
$20.70 | 1,478 | 1,214 |
|
Michael T Hopkins
211 Virginia Rd |
$28.42 | 1,603 | 1,367 |
|
Hannah Rachel Graham
105 Mark Dr |
$47.97 | 1,731 | 1,486 |
|
Bora Abdullah Duruman
203 Earnhart Dr |
$45.96 | 1,971 | 1,633 |
|
Karen Parrish Huey
309 N Broad St |
$39.18 | 2,389 | 2,005 |
|
Earic Ramon Bonner
105 Mark Dr |
$37.17 | 2,484 | 1,960 |
|
Bryan C Bunn
113 Virginia Rd |
$51.51 | 2,581 | 2,156 |
|
Linda Marie Abbott
201 Virginia Rd |
$33.12 | 3,405 | 2,847 |
|
Ian Luke Bryan
18 Old Fish Hatchery Rd |
$62.08 | 3,426 | 2,644 |
|
Ahmad Jafar Ali
314 W Queen St |
$48.58 | 3,756 | 3,117 |
|
Mathijs Henri Brentjens
222 Virginia Rd |
$27.69 | 3,909 | 2,916 |
|
Samuel Moskowitz
201 Virginia Rd |
$38.57 | 4,132 | 3,323 |
|
Bartholomew J Resta
203 Earnhart Dr |
$68.84 | 5,242 | 4,768 |
|
Mia Lekendra Peterson Spencer
105 Mark Dr |
$57.05 | 6,701 | 6,082 |
|
Heather Elysia Pfahlert
701 Luke St |
$58.56 | 8,052 | 6,880 |
|
Raid Abo-Kamil
203 Earnhart Dr |
$79.01 | 17,649 | 14,633 |
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 Edenton, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Edenton, NC is $55.63 per claim, based on 82,114 claims from 37 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 Edenton, NC?
There are 37 Medicaid providers offering Office Visit related services in Edenton, NC according to public payment data.
What is the price range for Office Visit in Edenton, NC?
Medicaid reimbursement for Office Visit in Edenton, NC ranges from $16.35 to $758.67 per claim, with an average of $55.63. 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 Edenton, NC
Personal Care Services
Avg $98.08
78,760 claims
Emergency Room Visit
Avg $100.71
45,666 claims
Vaccines & Immunizations
Avg $13.82
42,218 claims
Dental Cleaning & Exam
Avg $30.47
25,930 claims
Blood Work & Lab Tests
Avg $6.80
23,313 claims
Urinalysis & Urine Tests
Avg $2.85
10,807 claims
Nursing Facility Care
Avg $16.30
10,346 claims
Ambulance Transport
Avg $50.08
9,464 claims