Average Medicaid Office Visit Payments in Granite Falls, NC: $44.32
Avg. Paid
$44.32
Range
$25.52 – $77.29
Total Claims
105,555
Providers
24
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 Granite Falls, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael R Lewis
4355 Hickory Blvd |
$25.52 | 14 | 12 |
|
Jordan Logan Simpson
4355 Hickory Blvd Uppr Suite1 |
$76.05 | 56 | 55 |
|
Ana Cristina Nicholls
160 River Bend Dr Ste C |
$52.43 | 414 | 351 |
|
Michael Lawrence Fisher
4355 Hickory Blvd |
$29.25 | 608 | 407 |
|
Brittany Erby
4355 Hickory Blvd Ste 1 |
$35.92 | 786 | 629 |
|
Yvonne Harris Smith
106 Cypress Ln |
$77.29 | 960 | 753 |
|
Michael Joseph Kilby
160 River Bend Dr Ste A |
$37.30 | 1,015 | 923 |
|
Macy Johnson Dickson
160 River Bend Dr Ste A |
$41.21 | 1,070 | 819 |
|
April River Russell Jarrett
1 Trade St |
$48.42 | 1,490 | 1,216 |
|
Jill Johnson Price
4355 Hickory Blvd Ste 2 |
$60.51 | 1,839 | 1,570 |
|
Richelle C Miller
160 River Bend Drive |
$36.55 | 2,268 | 2,061 |
|
Kirsten Kerr
One Trade Street |
$36.79 | 2,739 | 1,727 |
|
Wendy Johnston Hartsoe
4355 Hickory Blvd |
$41.44 | 2,837 | 2,552 |
|
Edward James Bujold
4132 Hickory Blvd |
$39.49 | 3,261 | 2,523 |
|
Emily Blake Cook
4132 Hickory Blvd |
$55.47 | 4,719 | 3,597 |
|
Elizabeth Caldwell
4355 Hickory Blvd Ste 2 |
$42.52 | 4,841 | 4,085 |
|
Terry Clanton Dodds
4355 Hickory Blvd Ste 2 |
$45.53 | 5,111 | 4,742 |
|
Evan Blake Deboard
4355 Hickory Blvd Ste 2 |
$42.57 | 6,397 | 4,754 |
|
Jessica Berry Crouch
160 River Bend Dr Ste A |
$35.16 | 7,766 | 6,704 |
|
Jessica Oxidine
4355 Hickory Blvd Ste 2 |
$40.84 | 8,627 | 6,934 |
|
Jonathan C Mcmath
4355 Hickory Blvd Ste 2 |
$48.29 | 10,088 | 8,740 |
|
Angela Parker
160 River Bend Dr. |
$40.00 | 10,325 | 9,023 |
|
Lesley Macinnes
4355 Hickory Blvd Ste 2 |
$52.82 | 11,314 | 9,180 |
|
Holly Pruett Duncan
4355 Hickory Blvd Ste 3 |
$43.52 | 17,010 | 13,336 |
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 Granite Falls, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Granite Falls, NC is $44.32 per claim, based on 105,555 claims from 24 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 Granite Falls, NC?
There are 24 Medicaid providers offering Office Visit related services in Granite Falls, NC according to public payment data.
What is the price range for Office Visit in Granite Falls, NC?
Medicaid reimbursement for Office Visit in Granite Falls, NC ranges from $25.52 to $77.29 per claim, with an average of $44.32. 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 Granite Falls, NC
Personal Care Services
Avg $114.80
88,451 claims
Vaccines & Immunizations
Avg $19.91
28,883 claims
Speech Therapy
Avg $62.90
23,589 claims
Blood Work & Lab Tests
Avg $6.26
15,267 claims
Culture & Microbiology Tests
Avg $7.76
12,252 claims
Emergency Room Visit
Avg $104.38
11,832 claims
Psychiatric Evaluation
Avg $78.28
7,563 claims
Hearing Test (Audiometry)
Avg $6.34
7,540 claims