Average Medicaid Office Visit Payments in Lenoir, NC: $45.19
Avg. Paid
$45.19
Range
$5.56 – $121.69
Total Claims
254,696
Providers
112
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 Lenoir, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Mark Picton
2345 Morganton Blvd Sw Ste B |
$28.04 | 21,950 | 9,272 |
|
Christopher Randolph Clapp
3431 Morganton Blvd Sw |
$71.59 | 10,455 | 8,320 |
|
Emily Combs
322 Mulberry St Sw |
$36.56 | 10,016 | 8,654 |
|
Andra Godsoe Kunkle
906 College Ave Sw |
$55.02 | 8,911 | 7,544 |
|
Katrina Brookshire Bell
1731 Connelly Springs Rd |
$34.73 | 7,769 | 5,921 |
|
Jennifer Lynn Bennett Williams
321 Mulberry St Sw |
$69.64 | 7,723 | 5,363 |
|
Elizabeth Paige Darnell
906 College Ave Sw # C |
$58.95 | 7,151 | 6,094 |
|
Johnny Reyes Dy
639 Pennton Ave Sw |
$33.11 | 6,255 | 4,573 |
|
Robert Duggan
401 Mulberry St Sw Ste 102 |
$17.83 | 6,250 | 3,941 |
|
David Edward Propst
1208 Hickory Blvd Sw Ste 102 |
$39.67 | 6,092 | 5,221 |
|
Brian C Tyler
401 Mulberry St Sw |
$76.49 | 5,297 | 4,889 |
|
Stephanie B. Johnson
902 Kirkwood Ave Nw |
$30.62 | 5,220 | 4,488 |
|
Marc Peter Guerra
1766 Connelly Springs Rd |
$56.34 | 5,102 | 4,427 |
|
Marc F Guerra
1766 Connelly Springs Rd |
$51.99 | 4,851 | 4,098 |
|
Gary T Benitez
1766 Connelly Springs Rd |
$52.96 | 4,827 | 4,296 |
|
Bethany Gayle Wray
1731 Connelly Springs Rd |
$38.21 | 4,371 | 3,631 |
|
Lisa Rose Camacho
1766 Connelly Springs Rd |
$41.65 | 4,042 | 3,349 |
|
Philip Ross Jenkins
401 Mulberry St Sw Ste 102 |
$23.22 | 4,039 | 3,256 |
|
Tricia Kinsey Masters
906 College Ave Sw |
$65.53 | 4,021 | 3,565 |
|
Jill N Konkol
1766 Connelly Springs Rd |
$56.30 | 3,949 | 3,559 |
|
Timothy Scott Brisbin
314 Blowing Rock Blvd |
$62.64 | 3,630 | 2,834 |
|
Kirsten Seals
2651 Morganton Blvd Sw |
$35.25 | 3,455 | 2,876 |
|
Jonas Eric Dravland
401 Mulberry St Sw |
$46.87 | 3,416 | 3,200 |
|
Amanda Winkler Du Sablon
1041 Morganton Blvd Sw Ste 100 |
$56.30 | 3,401 | 2,549 |
|
Richard Lorenzo
2651 Morganton Blvd Sw |
$47.96 | 3,379 | 2,890 |
|
Aaron Steven Malles
906 College Ave Sw # C |
$59.72 | 3,331 | 2,829 |
|
Stephanie Shannon Morgan Alm
1041 Morganton Blvd Sw Ste 200 |
$58.73 | 3,322 | 2,926 |
|
Aaron Goodwin
322 Mulberry St Sw Ste A |
$39.08 | 3,266 | 2,671 |
|
Jesse Lovins Gullett
1041 Morganton Blvd Sw # 100 |
$41.61 | 3,078 | 2,081 |
|
Timothy Lee Clenney
322 Mulberry St Sw Ste C |
$41.51 | 2,989 | 2,567 |
|
Raven S Young
321 Mulberry St Sw |
$39.49 | 2,859 | 2,218 |
|
Lizabeth Herman
2345 Morganton Blvd Sw |
$36.92 | 2,653 | 2,370 |
|
Melissa A Carlton
2651 Morganton Blvd Sw |
$32.85 | 2,483 | 2,072 |
|
Jonathan Rowland Smith
322 Mulberry St Sw Ste C |
$31.58 | 2,460 | 1,982 |
|
Matthew Taylor Yelverton
232 Sharon Ave Nw |
$35.54 | 2,439 | 1,522 |
|
Scott Edward Fox
1041 Morganton Blvd Sw Ste 100 |
$54.92 | 2,388 | 1,961 |
|
Meredith Ward Dickson
401 Mulberry St Sw Ste 102 |
$13.50 | 2,362 | 1,518 |
|
Sarah Kemick
2415 Morganton Blvd Sw |
$121.69 | 2,356 | 1,531 |
|
Hallie Loiacono
906 College Ave Sw Ste C |
$42.69 | 2,287 | 1,759 |
|
Malorie Susan Crawford
322 Mulberry Street, Sw |
$28.33 | 2,272 | 1,853 |
|
Roger Lee Seagle
224 Sharon Ave Nw |
$18.84 | 2,096 | 1,102 |
|
Jenyung Andy Chiu
401 Mulberry St Sw Ste 207 |
$33.83 | 2,070 | 1,873 |
|
Tracie Wolfe
322 Mulberry St Sw |
$37.93 | 2,035 | 1,894 |
|
Roger Clifford Keever
2345 Morganton Blvd Sw |
$65.05 | 1,998 | 1,380 |
|
Bradley T Christoph
321 Mulberry St Sw |
$55.98 | 1,986 | 1,649 |
|
Laura M Clarke
906 College Ave Sw Ste A |
$30.46 | 1,953 | 1,542 |
|
Brian S Dodd
232 Sharon Ave Nw |
$44.33 | 1,918 | 1,597 |
|
Laura Caitlin Gerrald
1208 Hickory Blvd Sw Ste 102 |
$55.97 | 1,859 | 1,559 |
|
Kathleen M Lappin
1208 Hickory Blvd Sw Ste 102 |
$42.07 | 1,851 | 1,271 |
|
Sally Rae Soucy
1208 Hickory Blvd Sw Ste 102 |
$28.58 | 1,823 | 1,322 |
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 Lenoir, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lenoir, NC is $45.19 per claim, based on 254,696 claims from 112 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 Lenoir, NC?
There are 112 Medicaid providers offering Office Visit related services in Lenoir, NC according to public payment data.
What is the price range for Office Visit in Lenoir, NC?
Medicaid reimbursement for Office Visit in Lenoir, NC ranges from $5.56 to $121.69 per claim, with an average of $45.19. 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 Lenoir, NC
Substance Abuse Treatment
Avg $43.23
213,078 claims
Speech Therapy
Avg $36.21
112,693 claims
Personal Care Services
Avg $101.92
86,851 claims
Vaccines & Immunizations
Avg $13.33
83,571 claims
Behavioral & Mental Health Therapy
Avg $150.92
80,518 claims
Blood Work & Lab Tests
Avg $5.84
67,938 claims
Emergency Room Visit
Avg $120.83
62,663 claims
Dental Cleaning & Exam
Avg $31.96
61,803 claims