Average Medicaid Office Visit Payments in Erwin, NC: $44.20
Avg. Paid
$44.20
Range
$18.05 – $64.48
Total Claims
33,492
Providers
17
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 Erwin, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alyssa Lafave
25 Professional Park |
$18.05 | 24 | 20 |
|
Richard Michael Slusher
133 Professional Dr |
$45.41 | 554 | 465 |
|
Anna Grace Stephenson
25 Professional Park |
$19.85 | 565 | 325 |
|
Prabhakar Narhari Vaidya
133 Professional Park |
$51.79 | 593 | 496 |
|
Cynthia Dawn Lee
518 E H St |
$24.39 | 869 | 600 |
|
Elizabeth Anne Butcher
133 Professional Park |
$39.29 | 966 | 761 |
|
Sarah Gruis
25 Professional Park |
$64.48 | 1,071 | 839 |
|
Ashley A Irons
901 Denim Dr |
$45.99 | 1,280 | 1,132 |
|
Oanh Ngoc Phung
901 Denim Dr |
$45.61 | 1,392 | 993 |
|
Amy Lamb Ennis
518 E H St |
$37.76 | 1,599 | 1,396 |
|
Madilyn Gray Smith
110 E H St |
$43.02 | 1,625 | 1,353 |
|
Todd Lynn Hold
410 Denim Dr |
$56.37 | 2,193 | 2,052 |
|
Carra Avery Mclamb
901 Denim Dr |
$33.50 | 2,399 | 1,971 |
|
Lakshman Rao
518 E H St |
$29.61 | 2,731 | 2,265 |
|
Sarah Stall
901 Denim Dr |
$33.19 | 4,984 | 3,435 |
|
Md Abu Zahed Karim
901 Denim Dr |
$45.17 | 5,169 | 3,433 |
|
Orlinda A Martinez
901 Denim Dr |
$63.60 | 5,478 | 4,616 |
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 Erwin, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Erwin, NC is $44.20 per claim, based on 33,492 claims from 17 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 Erwin, NC?
There are 17 Medicaid providers offering Office Visit related services in Erwin, NC according to public payment data.
What is the price range for Office Visit in Erwin, NC?
Medicaid reimbursement for Office Visit in Erwin, NC ranges from $18.05 to $64.48 per claim, with an average of $44.20. 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 Erwin, NC
Substance Abuse Treatment
Avg $29.11
103,533 claims
Dental Cleaning & Exam
Avg $36.78
14,812 claims
Personal Care Services
Avg $129.38
12,997 claims
Tooth Extraction
Avg $101.35
6,653 claims
Nursing Facility Care
Avg $9.81
5,394 claims
Vaccines & Immunizations
Avg $13.41
3,256 claims
Physical Therapy
Avg $21.29
3,068 claims
Psychiatric Evaluation
Avg $52.12
2,067 claims