Average Medicaid Office Visit Payments in Kenansville, NC: $50.60
Avg. Paid
$50.60
Range
$0.00 – $68.44
Total Claims
26,942
Providers
20
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 Kenansville, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joseph Litton Cooper
149 Limestone Rd |
$66.00 | 7,231 | 5,518 |
|
Jeanette Lillian Bourne
340 Seminary St |
$40.87 | 5,053 | 3,283 |
|
Elizabeth Ivey Blair
417 N Main St |
$64.97 | 4,385 | 3,848 |
|
Kelsey Parrish Novicki
417 N Main St |
$52.80 | 1,918 | 1,531 |
|
Andrew Warren Simpson
211 Duplin Street |
$34.55 | 1,733 | 1,458 |
|
Sri Lakshmi Jasthy
401 N Main St |
$32.72 | 1,703 | 1,272 |
|
Teresa Ann Holland
140 Limestone Rd |
$6.50 | 1,205 | 1,002 |
|
Susan Elizabeth Fawcett
144 Liberty Square Shopping Center |
$65.28 | 902 | 837 |
|
Carie M Brown
102 N Main Street |
$42.24 | 635 | 526 |
|
John Steven Mason
304 N Main St |
$26.69 | 529 | 482 |
|
Dieter Tetatah Wefuan
401 N Main St |
$61.11 | 327 | 295 |
|
Elizabeth Jane Griffin
340 Seminary St |
$68.44 | 313 | 285 |
|
Eric Morgan Yopp
304 N Main St |
$29.93 | 299 | 265 |
|
Emmanuel Pafos
417 N Main St |
$43.14 | 237 | 190 |
|
Vincent Kilmer Cheek
401 N Main St |
$28.22 | 140 | 129 |
|
Enrique J Tomeu
212 Duplin St. |
$0.00 | 116 | 98 |
|
Amanda Ward Isbell
417 N Main St |
$39.59 | 109 | 100 |
|
Felice Noel Carlton
340 Seminary St |
$0.00 | 59 | 42 |
|
Keith A Kreitz
211 Duplin Street |
$53.00 | 25 | 24 |
|
Lecia Wooten Reardon
340 Seminary St |
$0.00 | 23 | 14 |
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 Kenansville, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kenansville, NC is $50.60 per claim, based on 26,942 claims from 20 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 Kenansville, NC?
There are 20 Medicaid providers offering Office Visit related services in Kenansville, NC according to public payment data.
What is the price range for Office Visit in Kenansville, NC?
Medicaid reimbursement for Office Visit in Kenansville, NC ranges from $0.00 to $68.44 per claim, with an average of $50.60. 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 Kenansville, NC
Dental Cleaning & Exam
Avg $28.11
119,728 claims
Emergency Room Visit
Avg $89.79
59,048 claims
Dental Filling
Avg $93.17
46,833 claims
Ambulance Transport
Avg $65.13
31,921 claims
Blood Work & Lab Tests
Avg $13.14
28,479 claims
Vaccines & Immunizations
Avg $14.70
20,010 claims
Urinalysis & Urine Tests
Avg $4.09
12,427 claims
Tooth Extraction
Avg $60.94
11,751 claims