Average Medicaid Office Visit Payments in Jonesville, NC: $45.36
Avg. Paid
$45.36
Range
$25.61 – $60.18
Total Claims
26,889
Providers
14
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 Jonesville, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Leslie Ann Arledge
546 Winston Rd |
$52.45 | 6,950 | 4,916 |
|
Christopher W Groner
112 N Swaim St |
$48.27 | 6,489 | 5,793 |
|
James E Hubbs
4000 S Swaim Street Ext |
$25.61 | 3,482 | 3,231 |
|
Todd Harold St. John
546 Winston Rd |
$27.51 | 2,847 | 2,671 |
|
Mary Louise Keller
4000 S Swaim Street Ext |
$58.90 | 2,442 | 2,136 |
|
Jennifer Dickerson Mcdonald
4000 S Swaim Street Ext |
$53.14 | 1,092 | 978 |
|
Tonya Geddes
526 Winston Road |
$33.39 | 860 | 841 |
|
William Evan Ballard
4000 S Swaim Street Ext |
$60.15 | 781 | 680 |
|
Mary Mcevilly Hedrick
546 Winston Rd |
$50.76 | 702 | 674 |
|
Lynn D. Killon
4000 S Swaim Street Ext |
$49.73 | 679 | 561 |
|
Eugene Wilson Griffin
4000 S Swaim Street Ext |
$49.87 | 308 | 291 |
|
Kim Marie Kinsley
4000 S Swaim Street Ext |
$60.18 | 95 | 87 |
|
Thomas M. Shelburne
4000 S Swaim Street Ext |
$42.14 | 89 | 76 |
|
Evan A Ballard
4000 S Swaim Street Ext |
$35.46 | 73 | 69 |
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 Jonesville, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Jonesville, NC is $45.36 per claim, based on 26,889 claims from 14 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 Jonesville, NC?
There are 14 Medicaid providers offering Office Visit related services in Jonesville, NC according to public payment data.
What is the price range for Office Visit in Jonesville, NC?
Medicaid reimbursement for Office Visit in Jonesville, NC ranges from $25.61 to $60.18 per claim, with an average of $45.36. 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 Jonesville, NC
Blood Work & Lab Tests
Avg $27.00
11,625 claims
Dental Cleaning & Exam
Avg $29.61
5,403 claims
Emergency Room Visit
Avg $81.38
4,887 claims
Psychiatric Evaluation
Avg $81.27
3,083 claims
Vaccines & Immunizations
Avg $10.18
1,406 claims
Urinalysis & Urine Tests
Avg $2.50
510 claims
X-Ray
Avg $21.75
469 claims
EKG / ECG (Electrocardiogram)
Avg $14.35
459 claims