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 |
|---|---|---|---|
|
Thomas A Pezzi
401 Mulberry St Sw |
$10.01 | 28 | 25 |
|
Derek A Boyer
322 Mulberry St Sw Ste A |
$34.57 | 28 | 27 |
|
Vicki Thuss
212 Mulberry St Sw |
$36.11 | 32 | 32 |
|
Sarah Timberlake Seaver
902 Kirkwood Ave Nw |
$25.50 | 33 | 28 |
|
Thomas J Young
401 Mulberry Street, Sw |
$25.48 | 42 | 42 |
|
Cory Wiles
321 Mulberry St Sw |
$43.68 | 45 | 39 |
|
John H Edmunds
322 Mulberry Street, Sw |
$19.88 | 52 | 50 |
|
Travis Blake Adams
407 Mulberry St Sw |
$66.02 | 57 | 52 |
|
Derek Edward Bost
321 Mulberry St Sw |
$27.87 | 62 | 61 |
|
Haley Cheyenne Watson
1041 Morganton Blvd Sw Ste 100 |
$68.02 | 108 | 93 |
|
Shannon Kay Waters
322 Mulberry St Sw |
$34.44 | 119 | 114 |
|
Mykah Payne Wike
321 Mulberry St Sw |
$26.97 | 120 | 114 |
|
Laura Deanne Craig
902 Kirkwood Ave Nw |
$48.72 | 124 | 108 |
|
Christopher Thomas Rainville
407 Mulberry St Sw |
$6.35 | 131 | 112 |
|
Dejan Nikolic
401 Mulberry St Sw Ste 102 |
$34.84 | 140 | 129 |
|
Melissa Ann Hurst
810 Harper Ave Nw |
$9.12 | 150 | 112 |
|
April Curtis Jacob
1731 Connelly Springs Rd |
$63.27 | 175 | 165 |
|
Jena Wallace
322 Mulberry St Sw Ste A |
$31.84 | 183 | 163 |
|
David C Brendle
2651 Morganton Blvd Sw |
$50.44 | 195 | 161 |
|
Jessica Potter Wesson
212 Mulberry St Sw |
$29.84 | 271 | 240 |
|
Lori Michelle Kistler
407 Mulberry St Sw |
$53.12 | 273 | 186 |
|
Julia Kristina Catherine Sherrill
902 Kirkwood Ave Nw |
$41.33 | 316 | 260 |
|
Janis F Rowe
1766 Connelly Springs Rd |
$42.19 | 332 | 308 |
|
Carolyn Parsley Starnes
1731 Connelly Springs Rd |
$36.27 | 379 | 329 |
|
Sarah Livsey Buff
1041 Morganton Blvd Sw |
$44.12 | 390 | 326 |
|
James Edward Stanislaw
232 Sharon Ave Nw |
$47.57 | 419 | 303 |
|
Dustin Richard Kilpatrick
1208 Hickory Blvd Sw Ste 102 |
$99.71 | 447 | 404 |
|
Nancy E Morgan
1041 Morganton Blvd Sw |
$53.01 | 472 | 440 |
|
Natalie Penny Saunders
321 Mulberry St Sw |
$39.10 | 485 | 391 |
|
Karen Clarke
2345 Morganton Blvd Sw Ste A |
$41.68 | 527 | 431 |
|
Ralph H. Duckett
401 Mulberry St Sw Ste 210 |
$32.21 | 532 | 474 |
|
Ashley Beck Koerner
1208 Hickory Blvd Sw Ste 102 |
$48.12 | 534 | 465 |
|
Jeffrey Paul Keverline
232 Sharon Ave Nw |
$32.67 | 575 | 473 |
|
David O Cook
401 Mulberry St Sw Ste 210 |
$19.46 | 604 | 517 |
|
Kelli Kelley
602 Morganton Blvd Sw |
$54.65 | 643 | 456 |
|
Rod M Goncalves
401 Mulberry St Sw Ste 202 |
$18.38 | 650 | 499 |
|
Amy Abouzied
906 College Ave Sw Ste A |
$50.46 | 651 | 567 |
|
Jeffrey Emanuel Mozgala
321 Mulberry St Sw |
$58.41 | 675 | 631 |
|
John H Bowen
1041 Morganton Blvd Sw |
$54.91 | 708 | 679 |
|
Crystal Whitley Evans
1731 Connelly Springs Rd |
$40.21 | 709 | 556 |
|
Randal Paul Bast
1031 Morganton Blvd Sw |
$5.56 | 718 | 650 |
|
Edward O Reece
906 College Ave Sw Ste A |
$29.22 | 718 | 516 |
|
Dana Erin Maxwell
322 Mulberry St Sw Ste A |
$49.55 | 719 | 641 |
|
Michael Joseph Rewis
322 Mulberry St Sw Ste A |
$50.38 | 850 | 710 |
|
Newman M Lewis
1041 Morganton Blvd Sw Ste 100 |
$58.43 | 899 | 814 |
|
Ruihai Zhou
322 Mulberry St Sw |
$55.01 | 909 | 828 |
|
Kent Russell Edwards
401 Mulberry St Sw Ste 202 |
$24.87 | 925 | 632 |
|
Arlene Mathew Maliekal
1208 Hickory Blvd Sw Ste 102 |
$57.01 | 987 | 837 |
|
Jamie Millicent Boone
321 Mulberry St Sw |
$22.34 | 1,024 | 725 |
|
Evan Jacob Pogorelec
1208 Hickory Blvd Sw Ste 102 |
$61.31 | 1,030 | 885 |
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