Average Medicaid Office Visit Payments in Jefferson, NC: $50.14
Avg. Paid
$50.14
Range
$0.00 – $72.80
Total Claims
59,028
Providers
41
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 Jefferson, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Melinda A Bogardus
413 Mcconnell St |
$72.80 | 15 | 15 |
|
Daymark Recovery Service Inc
101 Colvard St |
$0.00 | 31 | 16 |
|
Lindsey Erin Shapiro
151 Medical Park Dr |
$66.48 | 47 | 41 |
|
Douglas R. Turgeon
200 Hospital Ave |
$39.80 | 47 | 44 |
|
Lindsay Yount Lyall
151 Medical Park Dr |
$46.33 | 139 | 125 |
|
Daniel Landon Allen
327 E Main St |
$0.00 | 206 | 186 |
|
Nicholas Maddox
540 Waugh St |
$49.49 | 221 | 178 |
|
Robin Arlene Edwards
151 Medical Park Dr. |
$28.64 | 231 | 204 |
|
William Powell
413 Mcconnell St |
$43.98 | 232 | 181 |
|
Katherine A Averill
200 Hospital Ave |
$0.46 | 240 | 180 |
|
Cathy Griffitts Clark
200 Hospital Ave Ste 3 |
$38.93 | 283 | 210 |
|
Katherine Elizabeth Talwar
101 Colvard St Unit 1 |
$47.89 | 283 | 202 |
|
Ronald William Benfield
200 Hospital Ave |
$16.46 | 306 | 185 |
|
Stacy Johnson Gambill
413 Mcconnell St |
$28.62 | 321 | 258 |
|
Leslie Ackerman
540 Yaugh Street |
$26.64 | 326 | 292 |
|
Donald K Huffman
200 Hospital Ave |
$45.63 | 481 | 379 |
|
Michele Tidwell Cole
151 Medical Park Dr |
$53.75 | 526 | 512 |
|
Gregory S Hershner
151 Medical Park Dr |
$40.77 | 663 | 633 |
|
Emily Michelle Denny
413 Mcconnell St |
$57.39 | 724 | 609 |
|
Amanda Dancy Bundy
310 Hospital Avenue |
$31.70 | 742 | 461 |
|
Sharon Patricia Dilley
200 Hospital Ave |
$47.23 | 803 | 571 |
|
Jessica Shoemake Rupard
200 Hospital Ave |
$38.49 | 817 | 573 |
|
Robert S Grajewski
200 Hospital Ave |
$25.31 | 935 | 707 |
|
Jayne B Leonard
200 Hospital Ave Ste 7 |
$33.70 | 976 | 654 |
|
Christopher Darrell Campbell
200 Hospital Ave |
$28.77 | 1,056 | 744 |
|
Philip C Yount
151 Medical Park Drive |
$49.39 | 1,143 | 770 |
|
Kevin John Kurtz
200 Hospital Ave |
$42.00 | 1,389 | 1,005 |
|
Michael Avery Kepley
200 Hospital Ave |
$44.94 | 1,640 | 1,166 |
|
Rebecca Scoggin Clark
413 Mcconnell St |
$62.38 | 1,674 | 1,321 |
|
Charles B Jones
200 Hospital Ave |
$44.21 | 1,860 | 1,135 |
|
Elizabeth Leigh Bradley
200 Hospital Ave |
$38.73 | 2,109 | 1,581 |
|
Marilyn Martin Gamewell
310 Hospital Avenue |
$35.90 | 2,245 | 2,074 |
|
Ayla Kessler
200 Hospital Ave |
$34.10 | 2,801 | 2,399 |
|
Melinda Donelle Wonsick
200 Hospital Ave |
$49.39 | 2,993 | 2,138 |
|
Kathleen Miller
200 Hospital Ave |
$44.16 | 3,106 | 2,206 |
|
Elizabeth Jean Wynja
310 Hospital Avenue |
$54.39 | 3,151 | 2,078 |
|
Fabiola Coromoto Cardozo Gallagher
200 Hospital Ave |
$48.57 | 3,315 | 2,825 |
|
Kinsey Nance
151 Medical Park Dr |
$51.22 | 3,487 | 2,914 |
|
Leah Anderson
200 Hospital Ave |
$64.42 | 3,849 | 2,989 |
|
James Patrick Mortimer
200 Hospital Ave |
$67.24 | 6,071 | 5,601 |
|
Allie B Taylor
200 Hospital Ave |
$64.70 | 7,544 | 6,489 |
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 Jefferson, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Jefferson, NC is $50.14 per claim, based on 59,028 claims from 41 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 Jefferson, NC?
There are 41 Medicaid providers offering Office Visit related services in Jefferson, NC according to public payment data.
What is the price range for Office Visit in Jefferson, NC?
Medicaid reimbursement for Office Visit in Jefferson, NC ranges from $0.00 to $72.80 per claim, with an average of $50.14. 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 Jefferson, NC
Dental Cleaning & Exam
Avg $29.61
21,267 claims
Blood Work & Lab Tests
Avg $3.53
18,915 claims
Nursing Facility Care
Avg $8.52
15,313 claims
Personal Care Services
Avg $90.83
14,415 claims
Urinalysis & Urine Tests
Avg $2.93
7,389 claims
Vaccines & Immunizations
Avg $17.44
5,852 claims
Emergency Room Visit
Avg $59.28
5,323 claims
Case Management Services
Avg $136.20
4,962 claims