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Based on public Medicaid payment data.

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
Samantha Jo Stocke

3200 Waterfield Dr

 $71.02 6,196 5,402
Randolph D Scott

934 Vandora Springs Rd

 $67.85 6,162 3,663
Jeffrey Johnson

1405 Timber Dr E

 $67.73 5,815 4,771
Austin Benedict Lehmann

5156 Nc Highway 42 W

 $64.85 4,892 4,321
Adam Ottley

810 Timber Drive

 $66.58 4,665 4,077
James Randy Hedgepeth

1405 Timber Dr E

 $70.88 4,597 3,754
Melinda Taylor

1405 Timber Dr E

 $68.62 4,362 3,537
Jamie Hisae Bledsoe

22 Shipwash Dr

 $52.76 4,315 3,461
Chukwuma Ukata

516 Village Ct

 $20.40 4,281 3,100
Dayne Delabastide

5156 Nc Highway 42 W

 $68.28 3,983 3,456
Trang T Ngo

811 Us 70 Hwy W

 $55.96 3,960 3,288
Linda Ines Collazo-Batista

810 Timber Dr

 $78.10 3,501 2,962
Stephanie Voshell Orihood

5156 Nc Highway 42 W

 $70.84 3,448 2,404
Tarshree Louise Sawyer Knox

810 Timber Dr

 $63.20 3,267 2,733
Nana Akuoko

5156 Nc-42

 $57.30 3,150 2,509
Nicole A Collins

1175 Us 70 Hwy W

 $31.38 2,535 2,025
Ronald David Krull

811 Us 70 Hwy W

 $61.54 2,456 2,065
Jeremy Yates

1405 Timber Dr E

 $66.93 2,415 1,788
Kayleigh Ann Gilmore

811 Us 70 Hwy W

 $77.49 2,385 2,133
Faisal Mahmood Khan

400 Us 70 Highway E

 $43.44 2,122 1,938
Meredith-Scott Powell Baker

801 Poole Dr

 $53.31 2,098 1,849
Kerry Lynn Autry

934 Vandora Springs Rd

 $42.76 1,946 1,370
Deborah Lousie Ballard

790 Timber Dr

 $35.51 1,911 1,571
Marian Jeanette Keen

22 Shipwash Drive

 $44.52 1,839 1,352
Amy Marie Horton

510 Timber Dr E Ste 105

 $30.76 1,752 1,328
Andreas Linke

5156 Nc Highway 42 W

 $64.58 1,642 1,411
Erin Ebaugh Sukhu

1405 Timber Dr E

 $76.31 1,570 1,424
Ramona Peteu Albrecht

811 Us Highway 70 W

 $59.39 1,443 1,152
Ghulam Murtaza Shaikh

171 Mast Dr

 $33.59 1,422 856
Denise Wibran Sponseller

811 Us 70 Hwy W

 $59.53 1,315 1,140
Meagan Wallace Puckett

5680 Nc Highway 42 W

 $73.60 1,204 1,130
Benjamin Jeffrey

127 Us 70 Hwy W

 $52.03 1,147 936
Angela Amanchukwu Plummer

934 Vandora Springs Rd

 $54.68 1,145 785
Heather Smith Parker

876 Timber Dr

 $46.10 1,133 791
Allison B Snyder

220 Us Highway

 $55.91 1,087 749
Leroy S. Darkes

400 Health Park Dr Ste 100

 $37.64 961 909
Carly Rose Dunn

400 Health Park Dr Ste 100

 $56.12 960 852
Deepti Sharma

Wakemed Garner Urgent Care

 $69.39 889 699
Aubrey Elizabeth Barker

256 Shenstone Blvd

 $66.47 715 657
Rachel Lynn Chandler

5156 Nc Highway 42 W

 $56.10 685 530
Lindsey Kenz Seaver

1175 Us 70 Hwy W

 $51.98 665 573
Crystal Marie Clark

5156 Nc Highway 42 W

 $43.05 584 440
Kayla Grace Sasser

811 Us 70 Hwy W

 $52.47 491 444
Melissa Ernst

5156 Nc Highway 42 W

 $48.49 459 321
Kristen Osterman Dutton

300 Health Park Dr Ste 220

 $28.54 443 310
Domingo Rodriguez-Cue

12450 Cleveland Rd Ste 205

 $28.18 428 327
Caroline A Sartschev

1405 Timber Dr E

 $50.38 406 376
Jessica Krop

1175 Us 70 Hwy W

 $72.37 356 320
Obiageli Okoli

1140 Benson Rd Ste 201

 $7.72 328 223
Thomas Michael Golden

400 Us Hwy 70 East

 $106.06 261 245

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