Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Hillsborough, NC: $67.62

Avg. Paid

$67.62

Range

$21.77 – $100.99

Total Claims

63,609

Providers

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 Hillsborough, NC

Provider	Avg. Paid	Claims	Patients
Brian Patrick Wall 209 Millstone Dr	$80.42	11,399	9,375
Kathleen Sandra Sisk 209 Millstone Dr	$63.68	10,328	8,071
Hansen Su 209 Millstone Dr	$68.77	10,001	7,252
Heather Lannette Dellinger 460 Waterstone Dr Fl 3	$68.32	8,282	5,504
Yaroslav Daniel Bodnar 210 S Cameron St	$71.26	2,044	1,761
Leanne Whaley Owens 267 S Churton St	$65.49	1,996	1,680
David Mendez 2800 Old Nc 86 Ste 100	$71.94	1,908	1,606
Orlando Conty 2800 Old Nc 86 Ste 105	$71.72	1,669	1,516
Claire Ramos 2201 Old Nc 86	$60.79	1,529	1,191
Elizabeth Wilson Harrison 209 Millstone Dr	$79.59	1,369	936
Christin Heverly Raymer 110 Boone Square St Ste 29A	$42.96	1,133	919
Keva Doreen Southwell 430 Waterstone Dr	$76.80	1,110	895
Christy M Bridges 300 W Tryon St	$72.03	965	792
Erin Peck 267 S Churton St	$63.18	964	915
Jasmyn Cao Mertes 267 S Churton St Ste 200	$68.37	884	759
Sarah J Ro 2800 Old Nc 86 Ste 105	$49.87	832	731
Mary Louise Passannante 210 S Cameron St	$49.81	748	702
Todd Shapley-Quinn 405 Meadowland Dr	$58.04	676	575
Philip A Price 210 S Cameron St	$48.69	627	585
Robert Joseph Eckensweiler 267 S Churton St	$54.53	527	398
Rashida Coleman 210 S Cameron St	$52.41	525	351
Delicia M White 430 Waterstone Dr	$22.21	433	376
Kate Gillian Farber 210 S Cameron St	$47.28	430	356
Jonathan W Weeks 267 S Churton St	$74.79	360	334
Chad Steven Mccain 2800 Old Nc 86 Ste 105	$54.33	353	317
Jane Satter 405 Meadowland Dr	$21.77	340	294
Allison Caroline Weis 2201 Old Nc Highway 86	$44.21	292	264
Dawn E Raymond 210 S Cameron St	$50.37	243	237
Randy Steven Adams 2701 Bartlett Cir	$44.00	196	185
Alyssia M Lloyd 110 Boone Square St Ste 25	$69.88	164	153
Jessica Knight Hairston 1022 Dimmocks Mill Rd	$100.99	143	136
Maria Paula Warren 267 S Churton St Ste 200	$61.88	135	125
Elena Atchley 2800 Old Nc 86 Ste 105	$67.96	134	121
Krysta Marie Lindley 267 S Churton St	$61.03	120	95
Zachary Michael Smith 267 S Churton St Ste 100	$54.97	113	101
Christie Ton 267 S Churton St	$48.18	106	88
Arthur Axelbank 210 S Cameron St	$65.40	88	77
Laura M Bowen 210 S Cameron St	$54.27	76	68
Sarah Ringel 405 Meadowlands Drive	$41.18	59	56
Dain Vines 400 Millstone Drive	$56.98	58	51
Cynthia Burns Weeks 210 S Cameron St	$60.28	45	37
Amanda Gabrielle Garrison 2201 Old Nc 86	$43.91	30	29
R Elizabeth Edwards 210 S Cameron St	$48.76	29	26
Carolyn Melinda Ziemer 460 Waterstone Dr	$62.43	27	26
Theresa Ramos 210 S Cameron St	$59.46	25	25
Daniel Crummett 405 Meadowlands Drive	$52.59	18	18
Amy Lauren Lantrip Walsh 210 S Cameron St	$35.93	18	12
Cynthia M Latta 300 W Tryon St	$43.65	17	17
Lauren Schiff 460 Waterstone Dr	$83.36	15	12
Anita Mary Skariah 210 S Cameron St	$50.03	14	13

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 Hillsborough, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hillsborough, NC is $67.62 per claim, based on 63,609 claims from 51 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 Hillsborough, NC?

There are 51 Medicaid providers offering Office Visit related services in Hillsborough, NC according to public payment data.

What is the price range for Office Visit in Hillsborough, NC?

Medicaid reimbursement for Office Visit in Hillsborough, NC ranges from $21.77 to $100.99 per claim, with an average of $67.62. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Hillsborough, NC: $67.62

Providers Offering Office Visit in Hillsborough, NC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Hillsborough, NC

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Physical Therapy

Psychiatric Evaluation

Dental Filling

Blood Work & Lab Tests