Average Medicaid Office Visit Payments in Four Oaks, NC: $55.39
Avg. Paid
$55.39
Range
$19.64 – $60.92
Total Claims
18,277
Providers
7
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 Four Oaks, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James Hampson
725 Boyette Road |
$58.88 | 6,232 | 4,839 |
|
Monica Ann Selak
864 Black Creek Rd |
$55.18 | 4,891 | 3,777 |
|
Stanley Rudolph Watson
864 Black Creek Rd |
$58.81 | 3,667 | 2,775 |
|
Breanna Elizabeth Flaccavento
725 Boyette Road |
$49.93 | 2,215 | 1,744 |
|
Hannah Gilbert Brame
864 Black Creek Rd |
$38.80 | 950 | 588 |
|
April Dawn Jackson
1127 Keen Rd |
$19.64 | 175 | 80 |
|
Olivia Johnson
864 Black Creek Rd |
$60.92 | 147 | 128 |
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 Four Oaks, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Four Oaks, NC is $55.39 per claim, based on 18,277 claims from 7 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 Four Oaks, NC?
There are 7 Medicaid providers offering Office Visit related services in Four Oaks, NC according to public payment data.
What is the price range for Office Visit in Four Oaks, NC?
Medicaid reimbursement for Office Visit in Four Oaks, NC ranges from $19.64 to $60.92 per claim, with an average of $55.39. 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
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Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Avg $54.47
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Other Procedures in Four Oaks, NC
Dental Cleaning & Exam
Avg $36.38
16,824 claims
Vaccines & Immunizations
Avg $13.72
15,955 claims
Dental Filling
Avg $77.62
2,361 claims
Hearing Test (Audiometry)
Avg $0.56
2,190 claims
Urinalysis & Urine Tests
Avg $4.38
1,436 claims
Blood Work & Lab Tests
Avg $0.73
428 claims
Physical Therapy
Avg $0.00
336 claims
Tooth Extraction
Avg $68.36
152 claims