Average Medicaid Office Visit Payments in Hendersonville, NC: $56.83
Avg. Paid
$56.83
Range
$0.00 – $569.86
Total Claims
408,760
Providers
259
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 Hendersonville, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Regan Robert Sheeley
212A Thompson St |
$38.42 | 38,253 | 33,140 |
|
Derek W Moss
600 Beverly Hanks Ctr |
$85.01 | 18,446 | 15,841 |
|
Robert Thomas Duffey
600 Beverly Hanks Ctr |
$80.76 | 17,241 | 14,748 |
|
Dustin Alderson
600 Beverly Hanks Ctr |
$83.86 | 16,554 | 14,161 |
|
Anna Quinn Harrelson
800 N Justice St |
$92.22 | 14,256 | 12,886 |
|
Katherine Swain
600 Beverly Hanks Center |
$84.86 | 13,600 | 11,825 |
|
Anne Smith
600 Beverly Hanks Ctr |
$79.19 | 13,066 | 11,388 |
|
Veresa T Myers
600 Beverly Hanks Ctr |
$83.47 | 12,637 | 10,719 |
|
Charlotte Riddle
50 Hospital Drive |
$50.73 | 11,505 | 9,786 |
|
Ora J Wells
600 Beverly Hanks Ctr |
$78.88 | 8,939 | 7,949 |
|
Andrew J Grein
100 Hospital Dr |
$58.64 | 8,604 | 7,727 |
|
Nancy Ann Witcher
110 Chadwick Square Ct Ste A |
$28.87 | 8,397 | 6,636 |
|
Barbara Frances Melvin
50 Hospital Dr |
$45.34 | 7,292 | 6,176 |
|
Mary Anne Kiessling-Uritis
50 Hospital Dr |
$51.49 | 6,970 | 6,106 |
|
Ronald Wayne Buell
600 Beverly Hanks Ctr |
$66.70 | 6,451 | 5,304 |
|
Peggy M Bintz
558 Fleming St |
$32.34 | 6,395 | 4,114 |
|
Michael Allen Moziak
800 N Justice St |
$28.29 | 6,195 | 4,265 |
|
Jonathan Schwartzman
212 Thompson St Ste A |
$105.41 | 5,945 | 4,850 |
|
Sarah Marie Anderson
600 Beverly Hanks Ctr |
$80.55 | 5,890 | 4,774 |
|
Darden Carroll Swords
600 Beverly Hanks Ctr |
$90.43 | 5,205 | 4,509 |
|
Alaina English Arnold
50 Hospital Dr Ste 5D |
$74.25 | 4,955 | 4,108 |
|
David Powell
212 Thompson Street |
$55.04 | 4,517 | 3,427 |
|
David Carl Thomas
110 Chadwick Square Ct Ste A |
$0.50 | 4,512 | 4,181 |
|
Kristina Hornsby
110 Chadwick Square Ct Ste A |
$0.30 | 4,408 | 4,138 |
|
John Fitzgerald Rice
800 N Justice St |
$50.94 | 4,346 | 3,404 |
|
Melisa G Harrington
50 Hospital Dr |
$8.10 | 4,287 | 2,818 |
|
Kathy Marie Motes
317 N King St Ste A |
$31.32 | 4,074 | 3,043 |
|
James Lawrence Horwitz
110 Chadwick Square Ct Ste A |
$0.91 | 3,976 | 3,733 |
|
Andre Nicolas Gay
800 N Justice St |
$127.01 | 3,733 | 3,423 |
|
Werner C Brooks
800 Fleming St |
$23.40 | 3,603 | 2,892 |
|
Nicole Kristine Groves
50 Hospital Drive Ste 5D |
$47.01 | 3,471 | 2,833 |
|
Patrick Tate Maddox
80 Doctors Dr Ste 2 |
$41.20 | 3,387 | 2,783 |
|
Marian Chopelas Chadwick
1200 Spartanburg Hwy Ste 100 |
$72.09 | 3,073 | 2,508 |
|
Justin A Towle
50 Hospital Dr |
$27.06 | 3,002 | 2,142 |
|
Charles Gibbs Maker
643 5Th Ave W |
$46.95 | 2,996 | 1,786 |
|
Erin Alycia Moore
800 N Justice St |
$23.80 | 2,806 | 2,279 |
|
Christopher Upton
709 N Justice St Ste B |
$61.24 | 2,803 | 2,641 |
|
David Nicholas Lamond
317 N King St Ste A |
$58.88 | 2,733 | 1,684 |
|
Victoria A Power
1200 Spartanburg Hwy Ste 100 |
$93.66 | 2,575 | 1,895 |
|
Rachel Rosenberg Harris
317 N King St Ste A |
$56.18 | 2,437 | 1,529 |
|
Kathryn J Schnell
212 Thompson St Ste A |
$38.53 | 2,423 | 2,239 |
|
Emily Ann Eichhorn
2579 Chimney Rock Rd |
$175.61 | 2,351 | 1,969 |
|
Erin Lindsey-Day Walker
212 Thompson St Ste A |
$56.07 | 2,287 | 1,835 |
|
Nichole Michelle Onash
2579 Chimney Rock Rd |
$70.99 | 2,271 | 1,779 |
|
Meredith Anne Harding-Bremner
722 5Th Ave W |
$81.57 | 2,248 | 1,906 |
|
Lauren Elizabeth Demo Gomez
800 Fleming St |
$19.63 | 2,207 | 1,530 |
|
Thomas Rein Lugus
207 Linda Vista Dr |
$18.23 | 2,074 | 1,149 |
|
Karen M Mcgraw
1032 Fleming Street |
$19.18 | 1,913 | 844 |
|
Mariah Whitney Cassum
709 N Justice St Ste B |
$128.81 | 1,774 | 1,617 |
|
Brady J Schroer
800 N Justice St |
$40.37 | 1,591 | 1,112 |
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 Hendersonville, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hendersonville, NC is $56.83 per claim, based on 408,760 claims from 259 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 Hendersonville, NC?
There are 259 Medicaid providers offering Office Visit related services in Hendersonville, NC according to public payment data.
What is the price range for Office Visit in Hendersonville, NC?
Medicaid reimbursement for Office Visit in Hendersonville, NC ranges from $0.00 to $569.86 per claim, with an average of $56.83. 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 Hendersonville, NC
Vaccines & Immunizations
Avg $13.58
153,782 claims
Substance Abuse Treatment
Avg $37.44
142,199 claims
Blood Work & Lab Tests
Avg $6.94
92,249 claims
Physical Therapy
Avg $51.68
92,168 claims
Emergency Room Visit
Avg $113.03
87,381 claims
Nursing Facility Care
Avg $18.89
73,686 claims
Case Management Services
Avg $68.84
68,810 claims
Dental Cleaning & Exam
Avg $28.92
64,930 claims