Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Gastonia, NC: $55.63

Avg. Paid

$55.63

Range

$0.00 – $250.92

Total Claims

914,198

Providers

433

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 Gastonia, NC

Provider	Avg. Paid	Claims	Patients
Olivia Bridget Mijumbi 239 Wilmot Dr Ste A	$50.98	51,864	30,500
Nilima Vikram Shukla 1530 Union Rd Ste A	$57.46	38,191	30,493
Margaret Lubega 2644 Court Dr	$74.36	29,608	24,109
Shamsher Singh Ahluwalia 1337 E Garrison Blvd	$77.36	19,297	12,324
Peter Christian Mattfeld 708 S Chestnut St	$88.66	18,728	16,815
Tonja Simmons Norman 1558 Union Rd	$50.52	18,426	14,296
Kirsten Gross Damore 640 Summit Crossing Pl Ste 200	$21.05	17,703	15,274
Hannah Kinlaw Herring 991 W Hudson Blvd	$64.88	17,448	14,716
Ramesh Gihwala 991 W Hudson Blvd	$64.40	16,597	13,191
John Lawrence Scheitler 640 Summit Crossing Place	$70.28	16,562	14,201
Olufolarin Akanfe Ajao 2664 Court Drive	$43.28	14,501	9,566
Tanya Ann Pratt-Doctry 175 W Franklin Blvd	$93.27	13,323	11,986
Sarah Rona Grossman 1839 E Garrison Blvd	$65.34	13,244	11,363
Constance E Walker 1839 E Garrison Blvd	$69.16	11,617	10,172
John C Watts 1839 E Garrison Blvd	$65.20	11,325	9,785
Montesha Sherrelle Evans 1337 E Garrison Blvd	$89.75	10,051	8,700
Julie Parker Thompson 1006 Union Rd	$57.75	9,743	7,791
Robert Eldridge Delozier 1530 Union Rd Ste A	$64.59	9,371	7,340
Ellen Moore Adams 2711 X Ray Dr Ste 3701	$28.60	9,328	5,619
Joshua Calvin Yelverton 2520 Aberdeen Blvd	$59.53	8,674	7,049
Cheryl Lynn Baxter 3320 Robinwood Rd	$53.87	8,439	6,646
Allison Michele Garsva 705 Summit Crossing Pl Ste 150	$27.47	8,308	7,998
Aaron Daniel Brown 3050 Riverwood Pkwy	$60.01	7,784	6,018
Julie Witcher Depalma 2544 Court Dr	$67.53	7,720	6,823
Kavithashree Gnanasekaran 2544 Court Dr	$69.83	7,494	6,370
Mark Edwin Reiber 2520 Aberdeen Blvd	$50.45	7,461	6,019
Luna Bailey 2520 Aberdeen Blvd	$54.16	7,326	5,928
Stephanie Nicole Hilderbran 3050 Riverwood Pkwy	$98.23	7,315	5,847
Melanie Jessup Eubanks 2391 Court Dr Ste 100	$23.68	7,226	5,035
Logan Rhyne Breakfield 2211 E Franklin Blvd	$56.55	6,738	5,534
Mark Miceli 603 Cox Rd	$24.30	6,694	4,607
Megan Renee Wright Nguyen 620 Summit Crossing Pl Ste 108A	$66.25	6,467	5,677
Michael Thomas Gaslin 2520 Aberdeen Blvd	$49.99	6,439	5,258
Jennifer A. Drovie 900 Cox Rd	$24.50	6,236	5,267
Angela Fisher 2544 Court Dr	$59.10	6,140	5,215
Johnathan Deleon Williams 640 Summit Crossing Pl	$62.17	6,045	5,203
Lourdes Jeanetee James 3320 Robinwood Rd	$56.70	5,730	4,383
Susan Paulette Payne 1723 Armstrong Park Dr	$56.23	5,671	3,908
Anna Marie Strackbein 1530 Union Rd Ste A	$65.41	5,536	3,228
Karen Lynn Cloninger 2544 Court Dr	$70.08	5,480	4,797
Yaw Adjei Owusu-Addo 640 Summit Crossing Pl	$62.76	5,186	4,257
Lawrence Bradford Hurst 2544 Court Dr	$63.62	5,167	4,584
Crystal Cornelia Maddox 1895 Hoffman Road	$44.25	5,119	4,098
Marty Allen Baker 705 Summit Crossing Pl	$55.19	5,117	4,304
Roberta J Hawk 649 N New Hope Rd	$52.94	5,111	3,776
Darrell R Elrod 640 Summit Crossing Place	$69.45	5,018	4,772
Timothy Beauford Hudson 2525B Court Dr	$64.57	5,013	3,676
Gregory Todd Milroy 991 W Hudson Blvd	$51.68	5,003	4,207
Jaime J Vanourny 959 Cox Rd	$61.85	4,962	3,971
Cornelius S Okonkwo 2101 W Franklin Blvd	$41.11	4,956	2,980

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 Gastonia, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gastonia, NC is $55.63 per claim, based on 914,198 claims from 433 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 Gastonia, NC?

There are 433 Medicaid providers offering Office Visit related services in Gastonia, NC according to public payment data.

What is the price range for Office Visit in Gastonia, NC?

Medicaid reimbursement for Office Visit in Gastonia, NC ranges from $0.00 to $250.92 per claim, with an average of $55.63. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Gastonia, NC: $55.63

Providers Offering Office Visit in Gastonia, NC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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