Average Medicaid Office Visit Payments in Hope Mills, NC: $51.23
Avg. Paid
$51.23
Range
$0.00 – $84.48
Total Claims
108,030
Providers
19
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 Hope Mills, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Toby B Okons
3758 S Main St |
$31.61 | 27,203 | 14,553 |
|
Mytrang T Dang
3436 N Main St |
$70.55 | 18,933 | 15,491 |
|
Travis Sanders Ross
3622 N Main St |
$48.17 | 14,870 | 10,915 |
|
Manu Sharma
3436 N Main St |
$41.06 | 11,637 | 10,120 |
|
Swetha Lakshmi Natarajan
3436 N Main St |
$74.02 | 9,994 | 8,647 |
|
Jasna M Torrez
3436 N Main St |
$84.48 | 7,209 | 5,905 |
|
Johnnie Moultrie
4092 Professional Dr |
$35.86 | 6,916 | 5,667 |
|
Barbara Dust Keith
1249 Chicken Foot Rd |
$36.23 | 3,214 | 2,393 |
|
Maria Jeanette Watson
1249 Chicken Foot Rd |
$47.72 | 3,177 | 2,370 |
|
Julia Bianca Herring
3528 Holborn Dr |
$66.36 | 2,677 | 1,672 |
|
Honglian Jin
3436 N Main St |
$63.98 | 789 | 719 |
|
John Eric Raynor
3701 S Main St |
$26.49 | 651 | 520 |
|
Shahla Naz
1249 Chicken Foot Rd |
$52.80 | 538 | 408 |
|
Emily Raynor Davis
3701 S Main St |
$34.72 | 118 | 100 |
|
Esther Okons
3758 S Main St |
$0.00 | 39 | 27 |
|
Hope Mills Urgent Care & Medical Clinic, Pllc
3758 S Main St |
$0.00 | 21 | 21 |
|
Stephen Michael Delellis
3622 N Main St |
$45.96 | 20 | 17 |
|
Jennifer Smith
4092 Professional Dr |
$15.26 | 12 | 12 |
|
Robert Colee Naylor
3701 S Main St |
$50.35 | 12 | 12 |
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 Hope Mills, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hope Mills, NC is $51.23 per claim, based on 108,030 claims from 19 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 Hope Mills, NC?
There are 19 Medicaid providers offering Office Visit related services in Hope Mills, NC according to public payment data.
What is the price range for Office Visit in Hope Mills, NC?
Medicaid reimbursement for Office Visit in Hope Mills, NC ranges from $0.00 to $84.48 per claim, with an average of $51.23. 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 Hope Mills, NC
Vaccines & Immunizations
Avg $12.80
88,402 claims
Blood Work & Lab Tests
Avg $10.01
58,905 claims
Emergency Room Visit
Avg $129.30
34,086 claims
Dental Cleaning & Exam
Avg $29.25
28,451 claims
Urinalysis & Urine Tests
Avg $4.13
25,178 claims
Psychiatric Evaluation
Avg $78.44
22,231 claims
Hearing Test (Audiometry)
Avg $0.40
15,665 claims
EKG / ECG (Electrocardiogram)
Avg $11.41
6,711 claims