Average Medicaid Office Visit Payments in Kings Mountain, NC: $58.72
Avg. Paid
$58.72
Range
$0.00 – $456.24
Total Claims
87,994
Providers
31
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 Kings Mountain, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christopher M. Cerjan
2202 Carolina Pl |
$71.18 | 17,255 | 15,141 |
|
Temidayo A Adelekun
502 W King St |
$53.80 | 15,915 | 10,770 |
|
Anita Emefa Kpodo
2202 Carolina Pl |
$69.51 | 12,793 | 11,313 |
|
Scott David Thielbar
214 N. Cleveland Ave |
$52.27 | 9,303 | 6,922 |
|
Kelly Reyna Radford
2202 Carolina Pl |
$55.22 | 4,765 | 3,818 |
|
Charles Rouse Clover
502 W King St # Ll20 |
$13.13 | 4,219 | 2,715 |
|
Carleigh Whitaker Newell
2202 Carolina Pl |
$54.32 | 3,009 | 2,659 |
|
Kings Mountain Pediatric Clinic
108 Edgemont Dr |
$69.99 | 2,420 | 2,068 |
|
Courtney A Fussell
115 E Gold St Ste 518 |
$65.13 | 2,253 | 1,942 |
|
Julia K Saluke
214 Cleveland Ave |
$45.40 | 2,015 | 1,813 |
|
Jessica Marie Pineda
214 Cleveland Ave |
$53.87 | 2,011 | 1,626 |
|
Scott Daniel Adams
706 W King St |
$65.42 | 1,960 | 1,548 |
|
Laurence Michael Kish
2202 Carolina Pl |
$56.43 | 1,901 | 1,689 |
|
Stephanie Hammes Brown
706 W King St |
$72.42 | 1,682 | 1,538 |
|
James Mitchell Costner
214 Cleveland Ave |
$35.82 | 1,505 | 1,307 |
|
Rose I Onuoha
407 W King St |
$11.05 | 1,286 | 779 |
|
Mitsuko P. Shannon
706 W King St |
$95.81 | 1,107 | 1,064 |
|
Sandra Shuford Satterfield
500 Phifer Road |
$118.47 | 717 | 534 |
|
Lisa S. Sisk
821 E King St |
$62.91 | 440 | 329 |
|
John Allyn Cheshire
214 Cleveland Ave |
$33.10 | 302 | 242 |
|
Shaniqua Harris
821 E King St |
$46.21 | 295 | 281 |
|
Yvonne Andrea Valencia
812 W King St |
$39.68 | 230 | 205 |
|
Jeffrey P Carley
827 E King St |
$23.17 | 172 | 144 |
|
Everette B Thombs
711 W Mountain St |
$24.24 | 113 | 63 |
|
Lisa Beeler Huntsinger
812 W King St |
$7.48 | 112 | 54 |
|
Katay C Bouttamy
827 E King St |
$31.54 | 94 | 74 |
|
Daniel Morgan Raiford
706 West King St |
$456.24 | 43 | 41 |
|
Harmohan Singh
706 W Kings St |
$20.84 | 36 | 32 |
|
Sara Brie Dentel
827 E King St |
$58.54 | 15 | 13 |
|
Gaurang Manilal Palikh
407 W King St |
$30.43 | 14 | 12 |
|
Hazel Freida Mitchell
502 W King St |
$0.00 | 12 | 12 |
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 Kings Mountain, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kings Mountain, NC is $58.72 per claim, based on 87,994 claims from 31 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 Kings Mountain, NC?
There are 31 Medicaid providers offering Office Visit related services in Kings Mountain, NC according to public payment data.
What is the price range for Office Visit in Kings Mountain, NC?
Medicaid reimbursement for Office Visit in Kings Mountain, NC ranges from $0.00 to $456.24 per claim, with an average of $58.72. 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 Kings Mountain, NC
Speech Therapy
Avg $35.34
76,660 claims
Blood Work & Lab Tests
Avg $4.78
45,131 claims
Vaccines & Immunizations
Avg $12.82
41,252 claims
Physical Therapy
Avg $43.42
20,256 claims
Nursing Facility Care
Avg $11.63
14,840 claims
Dental Cleaning & Exam
Avg $31.77
8,479 claims
Hearing Test (Audiometry)
Avg $0.81
7,013 claims
Emergency Room Visit
Avg $88.01
6,469 claims