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 |
|---|---|---|---|
|
Arun Thoppe Subramanian
1635 Nc Highway 66 S Ste 155 |
$115.60 | 12 | 12 |
|
Holly Lain Humphrey
1695 Kernersville Medical Pkwy |
$68.23 | 12 | 12 |
|
David B Massey
111 Gateway Center Dr |
$136.72 | 14 | 12 |
|
Eboni Danielle Pullen Ogunbekun
1730 Kernersville Medical Pkwy Ste 104 |
$44.09 | 15 | 14 |
|
David Dillon Parks
851 Old Winston Rd |
$20.05 | 16 | 13 |
|
Kimberly Dawn Ward
861 Old Winston Rd Ste 101 |
$53.46 | 17 | 12 |
|
Sherry M Ryter-Brown
490 Pineview Dr |
$63.93 | 23 | 15 |
|
Aaron Michael Boals
291 Broad St |
$69.06 | 25 | 14 |
|
Catherine Denise Metheney
1617 Highway 66 South |
$60.94 | 26 | 25 |
|
Brianna Lee Garrison
1730 Kernersville Medical Pkwy Ste 303 |
$41.45 | 27 | 24 |
|
John Christopher Morris
1730 Kernersville Medical Pkwy Ste 203 |
$124.04 | 36 | 29 |
|
Thomas Scott Steele
1730 Kernersville Medical Pkwy Ste 204 |
$56.22 | 43 | 31 |
|
Natalie Hatcher Rochester
1730 Kernersville Medical Pkwy Ste 104 |
$45.74 | 45 | 41 |
|
Judith O Hopkins
1710 Kernersville Medical Pkwy Ste 116 |
$22.64 | 49 | 38 |
|
Shannon Elizabeth Zona
1730 Kernersville Medical Pkwy Ste 104 |
$38.61 | 50 | 45 |
|
Laura Cole
1101 S Main St |
$60.62 | 53 | 48 |
|
Jennifer Susanne Harvey
1730 Kernersville Medical Pkwy Ste 204 |
$101.19 | 76 | 67 |
|
Arian Minton Robinson
291 Broad St |
$68.47 | 78 | 75 |
|
Erica Amburgy Cox
420 W Mountain St |
$51.69 | 79 | 70 |
|
Julie Ann Conklin
291 Broad St |
$39.58 | 87 | 86 |
|
Amy Michelle Mcentarfer
291 Broad St |
$42.34 | 89 | 78 |
|
Davis L Cloward
291 Broad St |
$37.93 | 96 | 91 |
|
Snow Brenner Daws
1730 Kernersville Medical Pkwy Ste 204 |
$49.39 | 97 | 90 |
|
Brian Andrew Laughey
1710 Kernersville Medical Pkwy Ste 205 |
$48.06 | 99 | 93 |
|
Kellie Frazier
1471 Jag Branch Blvd Unit 105 |
$62.12 | 111 | 93 |
|
Christopher Scott Brumfield
280 Broad St Ste B |
$57.05 | 121 | 105 |
|
Sandy B Adcock
500 Pineview Dr Ste 101 |
$49.82 | 124 | 92 |
|
Melissa Stout Davies
1730 Kernersville Medical Pkwy Ste 104 |
$32.52 | 135 | 78 |
|
Emily Aiken Anderson
445 Pineview Dr |
$66.68 | 135 | 122 |
|
Richard Edward Herrick
280 Broad St Ste E |
$73.58 | 137 | 123 |
|
Taylor Bailey Beck
1635 Nc Highway 66 S Ste 210 |
$42.78 | 137 | 123 |
|
Daniel Justin Bryan-Ledwell
900 Old Winston Rd |
$49.19 | 139 | 133 |
|
Barbara Ann Beck
1730 Kernersville Medical Pkwy Ste 101 |
$45.10 | 145 | 89 |
|
Janet Lynn Thacker
1101 S Main St |
$15.27 | 152 | 75 |
|
Joshua Lee Mcdaniel
1730 Kernersville Medical Pkwy Ste 203 |
$70.71 | 156 | 151 |
|
Michelle Lynn Worley
490 Pineview Dr Ste A |
$56.86 | 161 | 142 |
|
Carly Michelle Larson
861 Old Winston Rd |
$32.28 | 174 | 149 |
|
Elana J Ratliff
1101 S Main St |
$32.33 | 190 | 142 |
|
Safoa Afua Addo
1695 Kernersville Medical Pkwy |
$38.99 | 196 | 186 |
|
Jennifer Yoojin Mullen
500 Pineview Dr Ste 101 |
$44.10 | 249 | 231 |
|
Tami Jo Bruggeman
1730 Kernersville Medical Pkwy Ste 201 |
$60.60 | 258 | 242 |
|
Rebecca Dyan Cono
1730 Kernersville Medical Pkwy Ste 204 |
$45.83 | 271 | 253 |
|
Elaine Alspaugh Fox
1471 Jag Branch Blvd Ste 105 |
$57.15 | 275 | 228 |
|
Joy Lynn Jessup
1635 Nc Highway 66 S |
$34.40 | 288 | 259 |
|
Alexei Radiontchenko
291 Broad St |
$50.94 | 294 | 254 |
|
Jade Leigh Breeback
1635 Nc Highway 66 S |
$43.47 | 303 | 242 |
|
Pawan Kc
1730 Kernersville Medical Pkwy Ste 201 |
$69.12 | 303 | 280 |
|
Katy Demanigold Danford
1380 Old Salem Rd |
$55.70 | 308 | 254 |
|
Bartley Anderson Weaver
861 Old Winston Rd Ste 103 |
$59.86 | 310 | 252 |
|
Mishi Kavon Jackson
1471 Jag Branch Blvd Unit 103 |
$63.89 | 329 | 222 |
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