Average Medicaid Office Visit Payments in Lewisville, NC: $62.76
Avg. Paid
$62.76
Range
$12.77 – $88.56
Total Claims
10,842
Providers
13
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 Lewisville, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cornelio Roderick Ruperto
6620 Shallowford Rd |
$88.56 | 4,129 | 3,690 |
|
David Robb Holton
1225 Lewisville Clemmons Rd |
$47.68 | 1,530 | 1,264 |
|
Terry Douglas Hess
1225 Lewisville Clemmons Rd |
$48.88 | 1,387 | 1,095 |
|
Nicole Marie Trombetta
1225 Lewisville Clemmons Rd |
$64.29 | 1,365 | 1,156 |
|
Laura Beth Moraitis
165 Lowes Foods Dr |
$12.77 | 1,220 | 1,002 |
|
Kimberly Jean Lis
1225 Lewisville Clemmons Rd |
$65.82 | 489 | 422 |
|
William Cameron Williams
1225 Lewisville Clemmons Rd |
$34.71 | 165 | 154 |
|
Briana Bralley Holt
1225 Lewisville Clemmons Rd |
$56.86 | 164 | 157 |
|
Jennifer Amber League-Sobon
165 Lowes Foods Dr |
$48.85 | 108 | 93 |
|
Anabela Barreto
165 Lowes Foods Dr |
$62.59 | 106 | 93 |
|
Morgan Nicole Tucker
6630 Shallowford Rd |
$60.24 | 77 | 66 |
|
Rashmi Jyotsna Saincher
1225 Lewisville Clemmons Rd |
$67.93 | 75 | 75 |
|
Miranda J. Turner
6630 Shallowford Rd |
$66.31 | 27 | 24 |
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 Lewisville, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lewisville, NC is $62.76 per claim, based on 10,842 claims from 13 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 Lewisville, NC?
There are 13 Medicaid providers offering Office Visit related services in Lewisville, NC according to public payment data.
What is the price range for Office Visit in Lewisville, NC?
Medicaid reimbursement for Office Visit in Lewisville, NC ranges from $12.77 to $88.56 per claim, with an average of $62.76. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Lewisville, NC
Dental Cleaning & Exam
Avg $27.87
15,853 claims
Speech Therapy
Avg $65.99
4,986 claims
Psychiatric Evaluation
Avg $57.95
3,073 claims
Blood Work & Lab Tests
Avg $0.95
2,612 claims
Dental Filling
Avg $92.93
1,834 claims
Tooth Extraction
Avg $59.35
468 claims
Vaccines & Immunizations
Avg $31.56
30 claims