Average Medicaid Office Visit Payments in Hickory, NC: $54.64
Avg. Paid
$54.64
Range
$0.50 – $152.81
Total Claims
610,478
Providers
360
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 Hickory, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kelly B Bridgeman
240 18Th Street Cir Se |
$70.18 | 20,766 | 17,802 |
|
Joy Sigmon Lowry
240 18Th Street Cir Se |
$71.08 | 19,433 | 16,684 |
|
Robert Daniel Horner
2872 S Nc 127 Hwy |
$53.99 | 17,734 | 13,399 |
|
Kamlesh Krishna Mistri
3031 Tate Blvd Se |
$63.93 | 17,348 | 12,951 |
|
Kiran C Harrill
240 18Th Street Cir Se |
$66.04 | 14,753 | 12,724 |
|
Alyssa Henson
240 18Th Street Cir Se |
$66.62 | 13,722 | 11,679 |
|
Michaela Elder Mccall
2872 S Nc 127 Hwy |
$65.63 | 13,563 | 10,416 |
|
Angela M Frierson
1375 4Th Street Dr Nw |
$67.42 | 10,127 | 8,845 |
|
Brian M Bechtol
4129 Carriage Ln |
$56.57 | 9,723 | 7,476 |
|
Laura J Luckadoo
1455 25Th Avenue Dr Ne |
$68.28 | 9,299 | 8,283 |
|
Kenneth V Summer
1375 4Th Street Dr Nw |
$67.28 | 9,227 | 8,167 |
|
Dawn Lorraine Mcneely
327 1St Ave Nw |
$77.92 | 9,172 | 3,968 |
|
Deborah Tonnette Hicks
2165 Medical Park Dr |
$28.60 | 8,529 | 6,552 |
|
Joseph Thacher Inglefield
220 18Th Street Cir Se |
$72.40 | 8,237 | 6,931 |
|
Christopher Jacob Witke
221 13Th Avenue Pl Nw |
$49.02 | 8,027 | 6,602 |
|
Michael Christopher Desantis
608 46Th Avenue Dr Ne |
$53.98 | 7,478 | 5,522 |
|
Jamey Lynn Cost
304 10Th Ave Ne |
$65.82 | 7,463 | 6,077 |
|
Tatyana V Golub
1375 4Th Street Dr Nw |
$66.95 | 7,454 | 6,687 |
|
Mai Khou Vang
915 Tate Blvd Se |
$42.97 | 7,221 | 4,991 |
|
Francis Sterling Penland
327 1St Ave Nw |
$46.69 | 7,028 | 5,902 |
|
Mariely Castellanos Nouel
915 Tate Blvd Se |
$45.08 | 6,632 | 4,635 |
|
Christi Ann Lucus
212 29Th Ave Ne |
$44.42 | 6,558 | 5,333 |
|
Holly Capitano Desena
1781 Tate Blvd Se |
$112.69 | 6,538 | 5,290 |
|
Kristin A Teague
5905 W Nc 10 Hwy |
$63.74 | 6,500 | 4,975 |
|
Mary J. Britton
915 Tate Blvd Se Ste 186 |
$48.27 | 6,350 | 4,354 |
|
Ann Marie Adams
1455 25Th Avenue Dr Ne |
$63.14 | 6,349 | 5,449 |
|
Caitlin Renae Mckaraher
2810 16Th St Ne #200 |
$60.99 | 6,330 | 4,646 |
|
Rickey Dale Young
2872 S Nc 127 Hwy |
$57.23 | 6,300 | 5,281 |
|
Patricia F. Johnson
420 N Center St |
$58.05 | 6,178 | 5,509 |
|
Angela L. Anderson
250 18Th Street Cir Se |
$25.69 | 6,057 | 5,231 |
|
Dori L Hunt
1927 3Rd Avenue Ln Se |
$44.60 | 6,048 | 4,449 |
|
Leigh Diane Roth
2165 Medical Park Dr |
$32.68 | 5,792 | 5,154 |
|
Seth Abel
1455 25Th Avenue Dr Ne |
$67.01 | 5,710 | 5,017 |
|
Penny Wlliamson Mitchell
2165 Medical Park Dr |
$31.22 | 5,516 | 4,669 |
|
Anita James Gribble
2810 16Th St Ne |
$47.89 | 5,198 | 3,736 |
|
Sarbjeet Kaur Sran
912 2Nd St Ne |
$121.16 | 5,170 | 4,429 |
|
Melanie M Trado
810 Fairgrove Church Rd |
$34.93 | 5,114 | 4,437 |
|
Russell V Gilchrist
214 18Th St Se |
$30.12 | 5,089 | 3,905 |
|
David R. Duralia
2874 Nc Hwy 127 S |
$62.74 | 4,933 | 3,629 |
|
Charles S Johnson
315 19Th St Se |
$40.93 | 4,778 | 3,253 |
|
Jerry K Froedge
240 18Th Street Cir Se |
$62.03 | 4,646 | 4,306 |
|
Denise Niehues
1455 25Th Avenue Dr Ne |
$63.86 | 4,417 | 3,794 |
|
Amy R. Rich
116 3Rd St Nw Ste 102 |
$74.86 | 4,358 | 4,084 |
|
George Dimitri Magel
315 19Th St Se |
$51.65 | 4,221 | 3,479 |
|
Dawn E De Neef
304 10Th Ave Ne |
$56.45 | 3,967 | 3,111 |
|
Richard Orlowski
2406 Century Pl Se |
$49.51 | 3,931 | 2,939 |
|
Danielle Elsie Eades
2810 16Th St Ne # 200 |
$64.29 | 3,885 | 2,968 |
|
Benjamin Michael Thomas
1985 Tate Blvd Se Ste 600 |
$28.65 | 3,707 | 2,535 |
|
Anne Marie Monte-Parker
915 Tate Blvd Se Ste 186 |
$31.17 | 3,605 | 2,653 |
|
Vikki M Roberts
327 1St Ave Nw |
$52.69 | 3,581 | 3,140 |
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 Hickory, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hickory, NC is $54.64 per claim, based on 610,478 claims from 360 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 Hickory, NC?
There are 360 Medicaid providers offering Office Visit related services in Hickory, NC according to public payment data.
What is the price range for Office Visit in Hickory, NC?
Medicaid reimbursement for Office Visit in Hickory, NC ranges from $0.50 to $152.81 per claim, with an average of $54.64. 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 Hickory, NC
Dental Cleaning & Exam
Avg $31.06
261,640 claims
Blood Work & Lab Tests
Avg $7.78
201,448 claims
Physical Therapy
Avg $71.51
189,105 claims
Emergency Room Visit
Avg $109.35
183,410 claims
Substance Abuse Treatment
Avg $81.54
172,184 claims
Psychiatric Evaluation
Avg $71.47
146,568 claims
Speech Therapy
Avg $60.61
134,655 claims
Vaccines & Immunizations
Avg $15.72
133,416 claims