Average Medicaid Office Visit Payments in Garner, NC: $59.11
Avg. Paid
$59.11
Range
$7.72 – $112.94
Total Claims
111,441
Providers
66
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 Garner, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anna Jeanne Ciccolini
811 Us 70 Hwy W |
$84.00 | 14 | 12 |
|
Sameen Bozai
790 Timber Dr |
$80.39 | 25 | 16 |
|
Aleksandra Avery
400 Us 70 Hwy E |
$57.97 | 30 | 28 |
|
Lance Robert Fuller
893 Hwy 70 West |
$43.88 | 32 | 31 |
|
Gretchen Dawson
300 Health Park Dr Ste 220 |
$62.62 | 38 | 26 |
|
Megan Jo Ferritto
501 Health Park Dr Ste 150 |
$12.21 | 47 | 40 |
|
George Daniel Kryder
400 Us 70 Highway E |
$45.75 | 54 | 54 |
|
Tina H Scott
801 Poole Dr |
$35.17 | 68 | 61 |
|
Kelechi C Uwakwe
405 Aversboro Rd Ste 400 |
$112.94 | 100 | 60 |
|
Kim Atkinson
790 Timber Dr |
$69.90 | 114 | 92 |
|
Keynadomnicia Chioma Udenze
500 Benson Rd Ste 115 |
$17.29 | 120 | 61 |
|
Erin Bennek Reis
811 Us 70 Hwy W |
$75.38 | 144 | 123 |
|
Brendan D Mcnulty
300 Health Park Dr |
$32.07 | 187 | 144 |
|
Matthew Thomas Sproul
811 Us 70 Hwy W |
$74.87 | 220 | 192 |
|
Julia Kristen Rauch
300 Health Park Dr |
$62.14 | 228 | 171 |
|
Sara Colmer Syvinski
300 Health Park Dr Ste 220 |
$44.59 | 228 | 165 |
|
Thomas Michael Golden
400 Us Hwy 70 East |
$106.06 | 261 | 245 |
|
Obiageli Okoli
1140 Benson Rd Ste 201 |
$7.72 | 328 | 223 |
|
Jessica Krop
1175 Us 70 Hwy W |
$72.37 | 356 | 320 |
|
Caroline A Sartschev
1405 Timber Dr E |
$50.38 | 406 | 376 |
|
Domingo Rodriguez-Cue
12450 Cleveland Rd Ste 205 |
$28.18 | 428 | 327 |
|
Kristen Osterman Dutton
300 Health Park Dr Ste 220 |
$28.54 | 443 | 310 |
|
Melissa Ernst
5156 Nc Highway 42 W |
$48.49 | 459 | 321 |
|
Kayla Grace Sasser
811 Us 70 Hwy W |
$52.47 | 491 | 444 |
|
Crystal Marie Clark
5156 Nc Highway 42 W |
$43.05 | 584 | 440 |
|
Lindsey Kenz Seaver
1175 Us 70 Hwy W |
$51.98 | 665 | 573 |
|
Rachel Lynn Chandler
5156 Nc Highway 42 W |
$56.10 | 685 | 530 |
|
Aubrey Elizabeth Barker
256 Shenstone Blvd |
$66.47 | 715 | 657 |
|
Deepti Sharma
Wakemed Garner Urgent Care |
$69.39 | 889 | 699 |
|
Carly Rose Dunn
400 Health Park Dr Ste 100 |
$56.12 | 960 | 852 |
|
Leroy S. Darkes
400 Health Park Dr Ste 100 |
$37.64 | 961 | 909 |
|
Allison B Snyder
220 Us Highway |
$55.91 | 1,087 | 749 |
|
Heather Smith Parker
876 Timber Dr |
$46.10 | 1,133 | 791 |
|
Angela Amanchukwu Plummer
934 Vandora Springs Rd |
$54.68 | 1,145 | 785 |
|
Benjamin Jeffrey
127 Us 70 Hwy W |
$52.03 | 1,147 | 936 |
|
Meagan Wallace Puckett
5680 Nc Highway 42 W |
$73.60 | 1,204 | 1,130 |
|
Denise Wibran Sponseller
811 Us 70 Hwy W |
$59.53 | 1,315 | 1,140 |
|
Ghulam Murtaza Shaikh
171 Mast Dr |
$33.59 | 1,422 | 856 |
|
Ramona Peteu Albrecht
811 Us Highway 70 W |
$59.39 | 1,443 | 1,152 |
|
Erin Ebaugh Sukhu
1405 Timber Dr E |
$76.31 | 1,570 | 1,424 |
|
Andreas Linke
5156 Nc Highway 42 W |
$64.58 | 1,642 | 1,411 |
|
Amy Marie Horton
510 Timber Dr E Ste 105 |
$30.76 | 1,752 | 1,328 |
|
Marian Jeanette Keen
22 Shipwash Drive |
$44.52 | 1,839 | 1,352 |
|
Deborah Lousie Ballard
790 Timber Dr |
$35.51 | 1,911 | 1,571 |
|
Kerry Lynn Autry
934 Vandora Springs Rd |
$42.76 | 1,946 | 1,370 |
|
Meredith-Scott Powell Baker
801 Poole Dr |
$53.31 | 2,098 | 1,849 |
|
Faisal Mahmood Khan
400 Us 70 Highway E |
$43.44 | 2,122 | 1,938 |
|
Kayleigh Ann Gilmore
811 Us 70 Hwy W |
$77.49 | 2,385 | 2,133 |
|
Jeremy Yates
1405 Timber Dr E |
$66.93 | 2,415 | 1,788 |
|
Ronald David Krull
811 Us 70 Hwy W |
$61.54 | 2,456 | 2,065 |
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 Garner, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Garner, NC is $59.11 per claim, based on 111,441 claims from 66 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 Garner, NC?
There are 66 Medicaid providers offering Office Visit related services in Garner, NC according to public payment data.
What is the price range for Office Visit in Garner, NC?
Medicaid reimbursement for Office Visit in Garner, NC ranges from $7.72 to $112.94 per claim, with an average of $59.11. 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 Garner, NC
Dental Cleaning & Exam
Avg $29.59
95,351 claims
Speech Therapy
Avg $62.24
76,554 claims
Psychiatric Evaluation
Avg $77.97
57,885 claims
Physical Therapy
Avg $61.08
46,101 claims
Vaccines & Immunizations
Avg $20.67
40,371 claims
Blood Work & Lab Tests
Avg $8.81
25,804 claims
Emergency Room Visit
Avg $109.36
25,556 claims
Personal Care Services
Avg $66.94
21,465 claims