Average Medicaid Office Visit Payments in High Point, NC: $54.42
Avg. Paid
$54.42
Range
$0.00 – $114.79
Total Claims
673,251
Providers
351
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 High Point, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Patricia Kenney Doyle
810 N Lindsay St |
$56.73 | 12 | 12 |
|
Laura Kathryn Tastad
306 Westwood Ave Ste 401 |
$19.19 | 12 | 12 |
|
Randall Robert Mccafferty
1814 Westchester Dr Ste 401 |
$56.84 | 12 | 12 |
|
Edward Shiang-Lin Smith
4010 Mendenhall Oaks Pkwy |
$27.00 | 12 | 12 |
|
Darryl Alfred Kalil
306 Westwood Ave |
$25.97 | 12 | 12 |
|
Yulia V Radionchenko
307 Lindsay Street |
$70.64 | 13 | 13 |
|
Michael John Kalish
4515 Premier Dr |
$57.17 | 13 | 12 |
|
Emily Jeanette Lockridge
1814 Westchester Dr |
$23.48 | 13 | 12 |
|
Richard Lowman Orr
1814 Westchester Dr |
$15.68 | 13 | 12 |
|
John Christopher Mcfadden
905 Phillips Ave |
$61.18 | 13 | 12 |
|
Olivia Natalie Gilbert
306 Westwood Ave Ste 401 |
$85.60 | 14 | 12 |
|
Kinsley C Coley
1814 Westchester Dr |
$27.09 | 14 | 14 |
|
Madhulika Chandra
306 Westwood Ave Ste 401 |
$14.06 | 14 | 12 |
|
Judd Andrew Caudell
501 East Greene Street |
$34.16 | 15 | 15 |
|
Jennifer Lynne Barger
1565 N University Pkwy |
$40.94 | 15 | 12 |
|
Catherine Leigh Gold
4515 Premier Dr Ste 204 |
$13.20 | 15 | 14 |
|
Christine Marie Samuel
601 N Elm St |
$47.64 | 15 | 15 |
|
William Alfred Kremer
1720 Westchester Dr |
$62.82 | 15 | 13 |
|
Robert Tad Migliardi
4010 Mendenhall Oaks Pkwy |
$11.50 | 15 | 12 |
|
Mark Joseph Warburton
611 N Lindsay St |
$33.41 | 16 | 14 |
|
Sharon Mccrary Donn
306 Westwood Ave Ste 401 |
$21.51 | 16 | 14 |
|
Jared Daniel Latham
611 N Lindsay St |
$39.75 | 16 | 14 |
|
Equiena Nicole Scott
1814 Westchester Dr |
$70.91 | 18 | 18 |
|
Madina Aluat Joseph
1814 Westchester Dr Ste 301 |
$35.44 | 21 | 15 |
|
Manjunath C Mahadevappa
601 N Elm St |
$38.71 | 24 | 14 |
|
Heidi Ann Mandry
4510 Premier Dr Ste 102 |
$64.47 | 27 | 26 |
|
Joseph Anthony Accetta
5826 Samet Dr Ste 101 |
$98.76 | 27 | 27 |
|
Susan Monroe Payne
1814 Westchester Dr |
$37.59 | 27 | 26 |
|
Elizabeth Brooks Spangle
400 East Commerce Street |
$34.71 | 28 | 22 |
|
Barry R Seltzer
4515 Premier Dr |
$30.24 | 28 | 26 |
|
Clifford Daniel Hendrickson
1 University Pkwy |
$42.55 | 29 | 27 |
|
Douglas Ray Cline
601 N Elm St |
$21.40 | 30 | 26 |
|
Matthew Niels Hansen
4515 Premier Dr |
$31.63 | 30 | 27 |
|
Rashelle Rhonda Pearley
1226 Eastchester Dr Ste 200 |
$38.30 | 31 | 26 |
|
Hendren Akram Bajillan
1814 Westchester Dr Ste 301 |
$114.79 | 33 | 28 |
|
Cody Elias Matthews
6431 Old Plank Rd |
$66.62 | 33 | 25 |
|
Nicolas Cline West
1814 Westchester Dr Ste 101 |
$38.18 | 35 | 31 |
|
Samantha Alexander Haspel
405 Lindsay St |
$38.75 | 36 | 30 |
|
Allison Tiffany Adams
601 N Elm St |
$27.02 | 36 | 32 |
|
Suzann B Hedgecock
4510 Premier Dr |
$47.60 | 37 | 35 |
|
Chester C. Haworth
1814 Westchester Drive |
$21.03 | 40 | 38 |
|
Gayani Yahampath Dasanayaka
1814 Westchester Dr Ste 301 |
$63.94 | 41 | 39 |
|
Kristy Beal Le
1814 Westchester Dr Ste 301 |
$58.78 | 44 | 40 |
|
Robyn Kim Zanard
1838 Eastchester Dr |
$72.18 | 45 | 42 |
|
Elizabeth Anne Todd
4515 Premier Drive |
$67.29 | 47 | 46 |
|
Sally Shin Yee Ong
1565 N University Pkwy |
$24.63 | 54 | 46 |
|
Kevin Robert Henry
6425 Old Plank Rd |
$23.57 | 55 | 42 |
|
Matthew Eveland
1701 Westchester Dr |
$16.81 | 55 | 53 |
|
Carla Elizabeth Price
1814 Westchester Dr Ste 301 |
$28.26 | 56 | 43 |
|
Rajesh Gupta
2630 Willard Dairy Rd Ste 303 |
$30.07 | 58 | 51 |
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 High Point, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in High Point, NC is $54.42 per claim, based on 673,251 claims from 351 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 High Point, NC?
There are 351 Medicaid providers offering Office Visit related services in High Point, NC according to public payment data.
What is the price range for Office Visit in High Point, NC?
Medicaid reimbursement for Office Visit in High Point, NC ranges from $0.00 to $114.79 per claim, with an average of $54.42. 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 High Point, NC
Dental Cleaning & Exam
Avg $30.50
397,671 claims
Blood Work & Lab Tests
Avg $14.10
301,195 claims
Vaccines & Immunizations
Avg $15.41
197,282 claims
Tooth Extraction
Avg $125.76
182,138 claims
Substance Abuse Treatment
Avg $141.68
157,559 claims
Durable Medical Equipment (DME)
Avg $35.71
93,047 claims
Emergency Room Visit
Avg $141.41
92,261 claims
Psychiatric Evaluation
Avg $70.08
86,186 claims