Average Medicaid Office Visit Payments in Greenville, NC: $53.22
Avg. Paid
$53.22
Range
$0.00 – $196.43
Total Claims
1,217,510
Providers
800
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 Greenville, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Billy Ray Smith
2245 Stantonsburg Rd Ste A |
$34.45 | 41,365 | 35,551 |
|
Candace Mendoza
2080 W Arlington Blvd Ste A |
$25.95 | 20,210 | 14,294 |
|
David L Fairbrother
1018 W H Smith Blvd |
$106.89 | 13,356 | 11,219 |
|
Amy Wood Howell
2609 West Arlington Blvd |
$110.63 | 11,870 | 9,982 |
|
Aaron Michael Carter
2430 Emerald Pl Ste 201 |
$22.29 | 11,055 | 7,564 |
|
Gary G. Leonhardt
203 Government Cir |
$79.91 | 10,983 | 9,935 |
|
Susan B Boutilier
2280 Hemby Ln |
$71.68 | 10,597 | 9,323 |
|
Shaundreal Desere'E Jamison
517 Moye Blvd |
$49.70 | 10,554 | 8,820 |
|
Paul David Mehlhop
2395 Hemby Ln. |
$86.60 | 10,453 | 8,913 |
|
Christine Marie Tangredi
2280 Hemby Ln |
$70.18 | 9,778 | 8,739 |
|
Benjamin Judson Copeland
600 Moye Blvd |
$68.09 | 9,517 | 8,562 |
|
Audy Grey Whitman
101 Heart Dr |
$41.03 | 9,396 | 7,514 |
|
Christy M Isler
600 Moye Blvd |
$47.41 | 8,831 | 5,876 |
|
Nina Jamie Verdino
600 Moye Blvd |
$73.77 | 8,794 | 8,011 |
|
Ernest O Sutton
300 Bethesda Dr |
$72.01 | 8,761 | 7,792 |
|
Thomas Edward Thielen
300 Bethesda Dr |
$73.47 | 8,744 | 7,700 |
|
Thomas H Clay
905 Johns Hopkins Dr |
$56.28 | 8,686 | 6,865 |
|
Christopher Louis Ozimek
1826 W Arlington Blvd |
$72.75 | 8,686 | 7,671 |
|
Christopher J Gauland
2140 W Arlington Blvd |
$18.17 | 8,173 | 4,318 |
|
Shannon Bivens Kinlaw
118 Oakmont Dr |
$72.99 | 8,080 | 6,935 |
|
John M Ogle
300 Bethesda Dr |
$64.86 | 7,827 | 6,974 |
|
Regina L Hathaway
2485D Hemby Ln |
$39.75 | 7,690 | 5,901 |
|
Timothy A Powell
517 Moye Blvd |
$61.11 | 7,681 | 6,615 |
|
Muna Rafi Mian
521 Moye Blvd |
$43.54 | 7,376 | 6,420 |
|
Hunter Allen Coore
521 Moye Blvd |
$42.18 | 7,078 | 6,167 |
|
John David Townsend
517 Moye Blvd |
$73.72 | 7,000 | 5,943 |
|
Timothy Vernon Clifton
2100 Stantonsburg Rd |
$76.64 | 6,976 | 6,024 |
|
Beverly S Smallwood
2080 W Arlington Blvd Ste A |
$26.80 | 6,724 | 5,434 |
|
Amy Smith Howard
2245 Stantonsburg Rd |
$51.59 | 6,597 | 5,619 |
|
Michael Christopher Lang
905 Johns Hopkins Dr |
$35.70 | 6,399 | 4,913 |
|
George Klein
507 Greenville Blvd Se |
$37.95 | 6,396 | 4,386 |
|
Heidi Kenefick
517 Moye Blvd |
$11.13 | 6,381 | 5,918 |
|
Delisha Renee Joyner
600 Moye Blvd |
$46.38 | 6,361 | 4,331 |
|
Tracey Lee Smith
1970-C West Arlington Blvd |
$43.38 | 6,187 | 4,903 |
|
Jonathan Carl O'Quinn
2140 W Arlington Blvd |
$24.50 | 6,141 | 4,178 |
|
Eric O Lindbeck
850 Johns Hopkins Dr |
$76.08 | 6,010 | 5,126 |
|
Kalyan Srinivas Muppavarapu
905 Johns Hopkins Dr |
$49.63 | 6,000 | 4,636 |
|
Jennifer E Crotty
517 Moye Blvd |
$69.78 | 5,861 | 5,332 |
|
Mariavittoria Pitzalis
115 Heart Dr |
$34.50 | 5,834 | 4,952 |
|
Rebecca S Coker
300 Bethesda Dr |
$67.82 | 5,821 | 5,223 |
|
Joanne Claire Morace
925 Conference Dr |
$93.77 | 5,717 | 4,983 |
|
Jennifer A. Sutter
2150 Herbert Ct |
$82.60 | 5,613 | 4,885 |
|
Evan Andrew Lutz
101 Heart Dr |
$48.42 | 5,611 | 4,739 |
|
Patricia Kaye Hill
2607 Forest Glen Dr |
$45.98 | 5,553 | 2,186 |
|
Sherif Hosny Taha
1150 E Arlington Blvd |
$95.39 | 5,539 | 4,844 |
|
Eric E Evans
150 E Arlington Blvd |
$79.50 | 5,430 | 4,926 |
|
Kenneth Y Rosenthal
2140 W Arlington Blvd Ste D |
$21.97 | 5,391 | 3,602 |
|
Stephen L Phillips
1901 Stonehenge Dr |
$66.33 | 5,370 | 4,571 |
|
Heather A Larsen
2210 Hemby Ln |
$24.75 | 5,344 | 3,409 |
|
Robert Franklin Mooring
810 W H Smith Blvd |
$43.99 | 5,318 | 4,248 |
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 Greenville, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Greenville, NC is $53.22 per claim, based on 1,217,510 claims from 800 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 Greenville, NC?
There are 800 Medicaid providers offering Office Visit related services in Greenville, NC according to public payment data.
What is the price range for Office Visit in Greenville, NC?
Medicaid reimbursement for Office Visit in Greenville, NC ranges from $0.00 to $196.43 per claim, with an average of $53.22. 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 Greenville, NC
Emergency Room Visit
Avg $107.71
785,186 claims
Blood Work & Lab Tests
Avg $13.41
594,589 claims
Speech Therapy
Avg $57.09
588,140 claims
X-Ray
Avg $8.38
545,468 claims
Dental Cleaning & Exam
Avg $29.65
503,899 claims
EKG / ECG (Electrocardiogram)
Avg $9.35
282,982 claims
Vaccines & Immunizations
Avg $18.10
279,580 claims
CT Scan (Computed Tomography)
Avg $39.21
229,908 claims