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
Pamela Jean Burshop Pritchett 1895 Hoffman Rd Ste B	$49.49	12	12
Anna Wenger Jones 2544 Court Dr Ste G	$64.30	12	12
Abhijeet Shripad Nadkarni 2711 X Ray Dr	$38.42	13	13
Pavan Isanaka 2555 Court Dr Ste 200	$135.25	13	12
Jasmine Sicilia Stone 2525 Court Dr	$37.88	13	12
Parag Butala 959 Cox Rd	$34.81	14	12
Natalie Lee Walz 2525 Court Dr	$56.97	14	12
Kathryn Claffee 1896 Remount Rd	$28.07	14	12
Thuy Thi Huong Ho 111 E 3Rd Ave	$34.61	15	13
Ashley Ann Drew 811 Cox Rd	$63.49	15	12
Aseem Gautam Kaul 2555 Court Dr Ste 270	$85.82	16	15
Pratik Ashvin Patel 2555 Court Dr Ste 200	$91.11	17	13
Daniel Oliver Robertson 2555 Court Dr Ste 450	$23.79	17	12
Linh Nguyen O'Connor 2555 Court Dr Ste 450	$42.10	17	13
Debra Jackson Safrit 2664 Court Drive	$31.49	17	13
Susan Gwyn Kresmeyer 991 W Hudson Blvd	$122.13	18	14
Hazel Thornton Maston 2505B Court Dr	$0.00	18	16
William J Caddick 2544 Court Dr	$30.36	18	14
Katherine Elizabeth Barton 1867 Remount Rd	$39.45	19	12
Gary Scott Schenk 1381 E Garrison Blvd	$23.58	19	13
Anya-Faye Roa Pacleb 2555 Court Dr	$31.30	20	19
Beverly Lee 1337 E Garrison Blvd	$168.86	22	19
Andrea Howe Sparr 937 Cox Rd	$25.67	23	13
Sam Wilcox 1225 E Garrison Blvd	$53.04	27	24
Michael William Walker 870 Summit Crossing Pl	$65.44	27	24
Kimberly W Hamm 991 W Hudson Blvd	$75.85	28	27
Nicole Clark-Ward 201 W 2Nd Ave Ste A	$119.79	28	27
Richard Ankrah 609 N Highland St	$11.98	29	25
Kelly Marie Whalen 2610 Aberdeen Blvd	$38.21	30	29
David Russell Kirlin 251 Wilmot Dr	$3.59	30	25
Inderjeet Singh 2555 Court Dr	$61.96	30	25
Harpreet Singh Bhalla 2555 Court Dr	$35.83	31	27
Theresa C. Fogarty 1225 E Garrison Blvd	$51.77	31	25
Jabreal Lea Barnes 1056 X Ray Dr	$34.58	32	28
Chen Shi 811 Cox Rd	$44.09	34	30
Darryl Hector Pearson 991 West Hudson Blvd.	$108.93	34	23
Amanda Leigh Mosteller 2555 Court Dr Ste 200	$71.98	35	24
Sandra L Farnham 640 Summit Crossing Pl	$23.66	36	18
Heidi Davies Chappell 2555 Court Dr Ste 200	$44.37	36	26
Kelly Davis Harris 2555 Court Dr	$30.44	37	31
Sairah Khadija 2544 Court Dr Ste A	$89.66	37	34
Samuel Needleman 2610 Aberdeen Blvd	$14.80	37	14
Carolina Therapeutic Services, Inc 1528 Union Rd	$0.00	38	27
Pavel Alexandrovich Rybin 2520 Aberdeen Blvd	$24.88	39	33
Rodger W Lefler 660 Summit Crossing Pl Ste 301	$34.57	40	27
Courtney Manion Evangelista 2555 Court Dr	$39.16	41	39
Evan Nicholas Hayden 1337 E Garrison Blvd	$53.31	43	36
L'Anita R Newby 1075 E Hudson Blvd	$26.46	46	38
Zoe Hayes Feliciano 2345 Court Dr	$45.59	47	42
Kenneth David Burgess 3845 South New Hope Road	$15.56	48	43

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

Office Visit in Other Cities

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