Average Medicaid Office Visit Payments in King, NC: $63.21
Avg. Paid
$63.21
Range
$20.16 – $107.26
Total Claims
100,481
Providers
42
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 King, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michelle Chidester Linkous
167 Moore Rd Ste 201 |
$75.25 | 10,801 | 8,597 |
|
James Edward Jewell
216 Moore Rd |
$66.67 | 8,756 | 7,401 |
|
Katherine Blackmon Haymore
167 Moore Rd Ste 201 |
$68.12 | 7,778 | 6,646 |
|
Michele Mariano Lizano
167 Moore Rd Ste 206 |
$56.58 | 7,081 | 5,550 |
|
Deborah Jackson James
167 Moore Rd Ste 206 |
$64.71 | 5,373 | 4,669 |
|
Renee Childress Haynes
167 Moore Rd Ste 206 |
$69.60 | 4,157 | 3,636 |
|
Leilani Cezar Jumawid
167 Moore Rd Ste 206 |
$62.51 | 4,067 | 3,611 |
|
Mary Jean Zimmer
216 Moore Rd |
$79.64 | 3,948 | 3,362 |
|
Benjamin Welton Warner
132 S Main St |
$69.62 | 3,840 | 3,113 |
|
Jennifer Ann Law Martin
167 Moore Rd Ste 206 |
$69.51 | 3,530 | 3,212 |
|
Jaden Moore Miethe
167 Moore Rd Ste 201 |
$61.46 | 3,133 | 2,551 |
|
Caroline Yates Harbour
167 Moore Rd Ste 201 |
$78.52 | 2,770 | 2,162 |
|
Laurie Reynolds Bowles
216 Moore Rd |
$55.88 | 2,381 | 2,185 |
|
Emily Marion Fischer
216 Moore Rd |
$49.95 | 2,365 | 2,126 |
|
Heidi C Marlowe-Rogers
216 Moore Rd |
$49.27 | 2,254 | 2,039 |
|
Ashton Mckinney
607 S Main St Unit E |
$47.52 | 2,197 | 1,564 |
|
Joshua Stewart Long
216 Moore Rd |
$59.89 | 2,115 | 1,800 |
|
Sean Peter Reynolds
216 Moore Rd |
$52.26 | 1,984 | 1,770 |
|
William Alexander Graham
216 Moore Rd |
$58.67 | 1,950 | 1,618 |
|
Judy Hawks Grove
167 Moore Rd Ste 206 |
$60.54 | 1,789 | 1,628 |
|
Samuel Carl Newsome
304 Mountain View Rd |
$49.46 | 1,712 | 1,389 |
|
Sarah Voss Berwanger
216 Moore Rd |
$46.16 | 1,705 | 1,554 |
|
Eboni Malkia Ellis Farabee
216 Moore Rd |
$57.26 | 1,409 | 1,209 |
|
Jonathan Walton Walker
216 Moore Rd |
$52.71 | 1,356 | 1,190 |
|
Brittany Bell Everett
216 Moore Rd |
$51.90 | 1,317 | 1,203 |
|
Ashlee Perkinson Laughey
216 Moore Rd |
$63.76 | 1,298 | 1,202 |
|
Ashley Nicole Holder
216 Moore Rd |
$54.53 | 1,071 | 913 |
|
Julie S Gupton
607 S Main St Unit E |
$33.46 | 1,067 | 758 |
|
Joseph Edward Sandusky
402 West King Street |
$20.16 | 862 | 549 |
|
Amber Moser Hairford
216 Moore Rd |
$56.93 | 811 | 705 |
|
Jessica Agatha Edwards
202 Scenic Dr |
$97.14 | 790 | 578 |
|
Tiffany Shante Gibson
216 Moore Rd |
$52.53 | 739 | 701 |
|
Dana D Stiles
232 Newsome Rd |
$77.62 | 684 | 672 |
|
Rebecca Keener Mckinnon
216 Moore Rd |
$68.41 | 676 | 561 |
|
Tiffany Danielle Miller
607 S Main St Unit E |
$44.53 | 638 | 465 |
|
Gregory Ray Dunkelberger
216 Moore Rd |
$37.51 | 632 | 608 |
|
Lindsay Beth Spainhour
216 Moore Rd |
$56.51 | 490 | 445 |
|
Alessandra Hardigan Brown
216 Moore Rd |
$61.39 | 292 | 286 |
|
Heather Pullium
216 Moore Rd |
$47.60 | 226 | 170 |
|
Candice Puckett Key
Newsome Family Practice |
$30.08 | 225 | 128 |
|
Rpg Associates Pllc
607 S Main St Unit E |
$107.26 | 191 | 149 |
|
Alexa Moorefield Pope
216 Moore Rd |
$48.48 | 21 | 20 |
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 King, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in King, NC is $63.21 per claim, based on 100,481 claims from 42 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 King, NC?
There are 42 Medicaid providers offering Office Visit related services in King, NC according to public payment data.
What is the price range for Office Visit in King, NC?
Medicaid reimbursement for Office Visit in King, NC ranges from $20.16 to $107.26 per claim, with an average of $63.21. 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 King, NC
Vaccines & Immunizations
Avg $18.72
28,847 claims
Dental Cleaning & Exam
Avg $33.79
11,343 claims
Psychiatric Evaluation
Avg $59.81
7,560 claims
Behavioral & Mental Health Therapy
Avg $280.30
5,835 claims
Dental Filling
Avg $94.88
5,680 claims
Hearing Test (Audiometry)
Avg $0.86
5,153 claims
Case Management Services
Avg $111.61
4,775 claims
Emergency Room Visit
Avg $107.80
4,207 claims