Average Medicaid Office Visit Payments in Henderson, NC: $50.11
Avg. Paid
$50.11
Range
$0.00 – $97.17
Total Claims
248,397
Providers
78
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 Henderson, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert Frederick Noel
120 Charles Rollins Rd |
$17.43 | 53 | 38 |
|
Paul Hagan
120 Charles D Rollins Rd |
$49.87 | 59 | 57 |
|
Wana M Gulledge
480 Ruin Creek Rd |
$63.48 | 71 | 62 |
|
Colby Rip Wallace
566 Ruin Creek Rd |
$46.68 | 75 | 70 |
|
Cynthia Anne Hampton
451 Ruin Creek Rd |
$10.19 | 83 | 58 |
|
Hallie Rachel Murchison
100 W Parkview Dr |
$0.96 | 89 | 74 |
|
Alison Dawn Bartel
100 W Parkview Dr |
$0.00 | 98 | 95 |
|
Samantha Carole Pernell
511 Ruin Creek Rd |
$48.69 | 142 | 121 |
|
Sabana Pathan
480 Ruin Creek Road |
$36.22 | 145 | 112 |
|
Erin Gillies Bristow
100 W Parkview Dr |
$1.08 | 160 | 144 |
|
Celina Camille Ward
903 S Beckford Dr |
$61.03 | 167 | 148 |
|
Mark Anthony Dubinski
120 Charles D Rollins Rd |
$41.54 | 172 | 159 |
|
John Christopher Jaeger
560 Dabney Drive |
$16.47 | 193 | 117 |
|
Terri Mcdowell
568 Ruin Creek Rd |
$40.16 | 201 | 187 |
|
Victoria Mitchell Payne
943 W Andrews Ave Ste H |
$75.00 | 206 | 201 |
|
Frances Hayden Mulligan
381 Ruin Creek Rd |
$73.04 | 208 | 176 |
|
Crystal Young Kaplan
566 Ruin Creek Rd |
$20.53 | 212 | 163 |
|
Mary Blessing
480 Ruin Creek Rd |
$60.05 | 228 | 201 |
|
Bruce L Reese
1904 Graham Ave |
$26.35 | 235 | 152 |
|
Abigail Louise Avery
511 Ruin Creek Rd Ste 101 |
$9.34 | 262 | 208 |
|
Laura Ucik
100 W Parkview Dr |
$0.23 | 358 | 312 |
|
Diane Stegall Varnadore
120 Charles D Rollins Rd |
$29.74 | 403 | 294 |
|
Rural Health Group, Inc.
100 W Parkview Dr |
$0.00 | 545 | 488 |
|
Tina Marie Ouellette
903 S. Beckford Dr |
$53.69 | 604 | 571 |
|
Jennifer Lynn Stockwell
511 Ruin Creek Rd Ste 101 |
$29.27 | 605 | 479 |
|
Daymark Recovery Services Inc
943 West Andrews Ave |
$0.00 | 607 | 224 |
|
Lakshmi Kanth Chinappa Nagappa
120 Charles Rollins Rd |
$26.92 | 717 | 583 |
|
David James Coward
200 N Cooper Dr |
$35.60 | 729 | 644 |
|
Lawrence Anthony Dunn
943 W Andrews Ave Ste H |
$60.63 | 743 | 711 |
|
Scott Frederick Riley
120 Charles Rollins Rd Ste 102 |
$22.35 | 757 | 573 |
|
Benjamin Dao Dao
511 Ruin Creek Rd Ste 106 |
$24.59 | 841 | 555 |
|
Christen Elaine Gillis
381 Ruin Creek Rd |
$61.91 | 851 | 693 |
|
Celia S Brinker
480 Ruin Creek Rd |
$52.23 | 902 | 850 |
|
Martha C Nelson
451 Ruin Creek Rd |
$97.17 | 922 | 887 |
|
Krishna Reddy Bhaghayath
120 Charles Rollins Rd |
$22.23 | 993 | 859 |
|
Jessica Colleen Garcia Bitencourt
480 Ruin Creek Rd |
$51.84 | 1,031 | 895 |
|
William Austin Dennis
480 Ruin Creek Rd |
$44.69 | 1,074 | 943 |
|
Jerry N Ellington
560 Dabney Drive |
$21.50 | 1,350 | 832 |
|
Hernan John Jimenez-Medina
568 Ruin Creek Rd |
$23.49 | 1,353 | 1,081 |
|
Khanh Tuan Vu
381 Ruin Creek Rd |
$22.59 | 1,476 | 1,125 |
|
Gabrielle M Meadows
560 Dabney Dr Ste A |
$23.19 | 1,497 | 1,011 |
|
Sydney Glen Short
568 Ruin Creek Rd Ste 128 |
$30.01 | 1,565 | 1,237 |
|
Cheryl Harris Hester
511 Ruin Creek Rd Ste 101 |
$23.67 | 1,597 | 795 |
|
Neal Roberts
480 Ruin Creek Rd |
$46.46 | 1,604 | 1,465 |
|
Sandra E Reed
176 Beckford Drive |
$35.56 | 1,712 | 1,063 |
|
Tina Nnenna Ohuche
943 W Andrews Ave |
$92.55 | 1,820 | 1,431 |
|
Levina Kumar
943 W Andrews Ave |
$64.02 | 1,910 | 1,610 |
|
Willie James Sessions
568 Ruin Creek Rd |
$8.88 | 2,133 | 1,921 |
|
Tabitha Floyd Schilly
568 Ruin Creek Rd Ste 3 |
$17.18 | 2,272 | 1,795 |
|
Hope Diane Hall-Wilson
480 Ruin Creek Rd |
$39.79 | 2,287 | 2,139 |
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 Henderson, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Henderson, NC is $50.11 per claim, based on 248,397 claims from 78 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 Henderson, NC?
There are 78 Medicaid providers offering Office Visit related services in Henderson, NC according to public payment data.
What is the price range for Office Visit in Henderson, NC?
Medicaid reimbursement for Office Visit in Henderson, NC ranges from $0.00 to $97.17 per claim, with an average of $50.11. 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 Henderson, NC
Substance Abuse Treatment
Avg $51.81
223,793 claims
Vaccines & Immunizations
Avg $11.96
176,741 claims
Blood Work & Lab Tests
Avg $5.30
127,668 claims
Emergency Room Visit
Avg $101.00
112,702 claims
Dental Cleaning & Exam
Avg $26.92
108,846 claims
Durable Medical Equipment (DME)
Avg $24.67
69,649 claims
Urinalysis & Urine Tests
Avg $3.02
55,323 claims
Psychiatric Evaluation
Avg $68.01
47,814 claims