Average Medicaid Office Visit Payments in Kernersville, NC: $63.68
Avg. Paid
$63.68
Range
$15.27 – $136.72
Total Claims
233,538
Providers
137
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 Kernersville, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sharon Denise Allen
815 Old Winston Rd |
$66.01 | 9,819 | 8,631 |
|
Rebecca P Ball
861 Old Winston Rd Ste 101 |
$65.13 | 9,108 | 7,580 |
|
Vanessa Kristen Ajizian
240 Broad St |
$81.30 | 9,054 | 7,478 |
|
Carmen Christina Mayo
975 Hwy 66 South |
$53.06 | 8,782 | 6,261 |
|
Margaret Stokes Alden
1471 Jag Branch Blvd Unit 101 |
$76.62 | 7,653 | 6,497 |
|
Amy Jo Wallace
861 Old Winston Rd Ste 101 |
$64.93 | 7,398 | 6,145 |
|
George Kirk Walker
240 Broad St |
$82.59 | 7,297 | 5,427 |
|
Jamie Lynn Szymarek
1730 Kernersville Medical Pkwy Ste 101 |
$43.77 | 7,234 | 5,786 |
|
Heather Garner Herring
240 Broad St |
$72.01 | 7,069 | 6,199 |
|
Ugonna Ada Anyanwu
1635 Highway 66 South |
$20.46 | 6,872 | 5,408 |
|
Bill Allen Ricketts
240 Broad St |
$73.06 | 6,801 | 5,972 |
|
Adnan A Javaid
771 Park Centre Dr Ste C |
$53.54 | 6,641 | 5,344 |
|
Jamila Annette Palmer
240 Broad St |
$73.75 | 6,288 | 5,334 |
|
Michael E. Albright
240 Broad St |
$83.97 | 5,833 | 4,474 |
|
Susan Huggins Grainger
240 Broad St |
$73.94 | 5,772 | 4,963 |
|
John Chadley Holland
794 S Main St Ste B |
$88.43 | 5,655 | 4,011 |
|
Cathy Marie Soldato-Couture
240 Broad St |
$71.71 | 5,649 | 4,569 |
|
Shelly Warren Darty
861 Old Winston Rd |
$59.49 | 5,454 | 4,618 |
|
Erin Katherine Raspet
291 Broad St |
$52.55 | 5,423 | 4,260 |
|
Brandi Foster Jordan
861 Old Winston Rd |
$61.29 | 4,702 | 3,941 |
|
Leslie Rierson Smith
861Old Winston Road |
$64.28 | 4,428 | 3,789 |
|
Heather Leigh Mcdaniel Koonts
240 Broad St |
$76.01 | 3,991 | 3,523 |
|
Kristin Lynn Dickson
111 Gateway Center Drive |
$81.32 | 3,954 | 3,274 |
|
Tammy Griffin Shimfessel
1471 Jag Branch Blvd Unit 101 |
$84.19 | 3,769 | 3,259 |
|
Shelley Rickman
861 Old Winston Rd Ste 103 |
$57.80 | 2,994 | 2,574 |
|
Kevin Bradford Walker
794 S Main St Ste B |
$52.67 | 2,763 | 2,000 |
|
Paula Plaster Wood
794 S Main St Ste B |
$76.52 | 2,560 | 2,243 |
|
Frank Joseph Colella
794 S Main St Ste B |
$50.53 | 2,376 | 2,090 |
|
Melissa Ann Ridings
240 Broad St |
$69.60 | 2,349 | 1,993 |
|
Amanda Allen Mounce
861 Old Winston Rd |
$59.77 | 2,343 | 1,993 |
|
Chere Elizabeth Graham
291 Broad St |
$50.75 | 2,298 | 2,023 |
|
Martha Mallary Clay
240 Broad St |
$74.27 | 2,235 | 2,069 |
|
Zelda Fleming
291 Broad St |
$32.57 | 2,163 | 1,771 |
|
Mary Patricia Moore
280 Broad St Ste E |
$81.16 | 2,122 | 1,875 |
|
Anatole Hounnou
1750 Kernersville Medical Pkwy |
$66.00 | 1,978 | 1,795 |
|
Caroline Cloud Jones
240 Broad St |
$62.43 | 1,842 | 1,709 |
|
Kristin Marie Hess
1730 Kernersville Medical Pkwy |
$58.50 | 1,796 | 1,537 |
|
Brandy L Embry
794 S Main St Ste B |
$57.96 | 1,761 | 1,382 |
|
James Dasher
1730 Kernersville Medical Pkwy Ste 101 |
$90.00 | 1,733 | 1,460 |
|
Whitney Leigh Crain
1635 Nc Highway 66 S Ste 210 |
$54.06 | 1,604 | 1,248 |
|
Kao Jalao Ly
1730 Kernersville Medical Pkwy Ste 204 |
$38.69 | 1,554 | 1,403 |
|
Jacqueline Huff
111 Gateway Center Dr |
$47.59 | 1,470 | 1,138 |
|
Katherine Goings
1695 Kernersville Medical Pkwy |
$49.88 | 1,393 | 1,061 |
|
Joseph Allen Mihalovich
1471 Jag Branch Blvd Unit 103 |
$26.96 | 1,328 | 1,174 |
|
Kari Tate Walker
500 Pineview Dr Ste 205 |
$70.09 | 1,147 | 1,060 |
|
Marissa Gaither Hite
1471 Jag Branch Blvd Ste 103 |
$66.10 | 1,138 | 952 |
|
Jon Andrew Secrest
291 Broad St |
$48.22 | 1,136 | 881 |
|
Meredith Paige Dunzweiler
510 Pineview Dr |
$68.65 | 1,104 | 1,021 |
|
Shauna Embler Jarrett
291 Broad St |
$48.83 | 1,093 | 971 |
|
Stephanie Tickerhoff
280 Broad St |
$63.40 | 1,083 | 923 |
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 Kernersville, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kernersville, NC is $63.68 per claim, based on 233,538 claims from 137 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 Kernersville, NC?
There are 137 Medicaid providers offering Office Visit related services in Kernersville, NC according to public payment data.
What is the price range for Office Visit in Kernersville, NC?
Medicaid reimbursement for Office Visit in Kernersville, NC ranges from $15.27 to $136.72 per claim, with an average of $63.68. 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 Kernersville, NC
Vaccines & Immunizations
Avg $19.46
90,448 claims
Physical Therapy
Avg $69.54
81,483 claims
Blood Work & Lab Tests
Avg $15.50
58,010 claims
Emergency Room Visit
Avg $105.05
45,476 claims
Psychiatric Evaluation
Avg $65.19
21,918 claims
Urinalysis & Urine Tests
Avg $4.63
20,575 claims
Hearing Test (Audiometry)
Avg $0.61
20,254 claims
Speech Therapy
Avg $62.86
18,546 claims