Average Medicaid Office Visit Payments in Lexington, NC: $54.63
Avg. Paid
$54.63
Range
$0.00 – $101.29
Total Claims
234,434
Providers
86
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 Lexington, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James Michael Kidder
13 Medical Park Dr |
$65.88 | 16,565 | 14,352 |
|
Stephen S Hsieh
104 W Medical Park Dr |
$31.02 | 13,440 | 9,572 |
|
Sarah Kathryn Bolen
8 Medical Park Drive |
$71.64 | 13,287 | 12,901 |
|
Patricia Berrier Lookabill
13 Medical Park Dr |
$57.21 | 10,441 | 9,102 |
|
Heather Anderson Firebaugh
13 Medical Park Dr |
$65.21 | 10,090 | 8,800 |
|
Derrick Newkirk
114 W Medical Park Dr |
$50.61 | 10,027 | 6,689 |
|
David Brandon Chapman
106 W Medical Park Dr |
$38.49 | 9,469 | 8,548 |
|
Elizabeth Cherry Reichard
13 Medical Park Dr |
$61.22 | 9,359 | 8,297 |
|
Margaret Amanda Loda
8 Medical Park Dr |
$69.42 | 8,137 | 6,694 |
|
Sandra Lee Hipple
104 W Medical Park Dr |
$60.67 | 8,092 | 6,044 |
|
Michaela Elaine Renich
1926 Cotton Grove Rd |
$65.48 | 7,482 | 5,844 |
|
Laura Lee Vanderburg
4705 S Highway 150 Ste B&C |
$55.65 | 7,083 | 5,413 |
|
Phillip Barton Land
114 W Medical Park Dr |
$46.15 | 6,411 | 3,855 |
|
Roberts Edgar Timberlake
741 Vineyards Xing |
$78.66 | 6,161 | 5,115 |
|
Michael H Thorarinson
104 W Medical Park Dr |
$43.87 | 6,139 | 4,009 |
|
Loreen Morris
111 Carries Cove Ln |
$38.70 | 6,137 | 5,898 |
|
Roger Laverne Holt
1104A S Main St |
$37.02 | 5,954 | 4,857 |
|
Sara Daffron
101 W Medical Park Dr |
$73.87 | 5,118 | 4,195 |
|
Matthew David Bryant
104 W Medical Park Dr |
$44.67 | 4,902 | 3,325 |
|
Michael Osborne Brown
114 W Medical Park Dr |
$33.26 | 4,079 | 2,520 |
|
Carol A Bullard
13 Medical Park Dr |
$52.91 | 3,816 | 3,046 |
|
Ruffin Smith Morgan
102 West Medical Park Drive |
$50.84 | 3,773 | 3,123 |
|
Tod Randall Ward
1977 Cotton Grove Rd |
$58.07 | 3,706 | 3,392 |
|
Meagan Reynolds Wingler
101 W Medical Park Dr |
$74.84 | 3,066 | 2,472 |
|
Emily Grace Murray
1926 Cotton Grove Rd |
$60.99 | 2,881 | 2,601 |
|
Kaitlin Frankie Hoover Williamson
110 W Medical Park Dr |
$43.55 | 2,816 | 2,384 |
|
Penny Hare Taylor
901 E Center St |
$58.27 | 2,755 | 2,034 |
|
Cheryl Valerie Rozanov
1104A S Main St |
$82.11 | 2,703 | 2,313 |
|
Brittany Nicole Wall
104 W Medical Park Dr |
$59.98 | 2,426 | 1,813 |
|
Paul F Meyer
102 W Medical Park Dr |
$60.24 | 2,375 | 2,114 |
|
Paula Gangopadhyay
4 Medical Park Dr |
$37.00 | 2,370 | 2,040 |
|
Marie M. Dinges
105 Hospital Dr |
$31.56 | 2,349 | 2,168 |
|
Heather Dana Yates-Davis
110 W Medical Park Dr |
$37.73 | 2,217 | 1,900 |
|
Steven James Spivey
13 Medical Park Dr |
$47.17 | 2,188 | 2,000 |
|
James Otis Burke
741 Vineyards Xing |
$62.96 | 2,168 | 1,950 |
|
Courtney Ann Hindes
110 W Medical Park Dr |
$56.14 | 1,992 | 1,804 |
|
Lloyd D. Lohr
7 Medical Park Dr |
$32.82 | 1,860 | 1,405 |
|
Meaghan Margaret Aalto
108 W Medical Park Dr |
$29.93 | 1,569 | 1,285 |
|
Gina Murph Snider
110 W Medical Park Dr |
$46.26 | 1,417 | 1,212 |
|
William Curtis Richardson
1977 Cotton Grove Rd |
$67.57 | 1,333 | 1,206 |
|
Sophia Marie Godine
101 W Medical Park Dr |
$61.00 | 1,242 | 1,099 |
|
Kathryn Anne Zook
915 N Greensboro St |
$43.97 | 1,200 | 862 |
|
Nancy Perez
1977 Cotton Grove Rd |
$72.36 | 1,116 | 1,063 |
|
Jenna Hodgson
104 W Medical Park Dr |
$49.01 | 1,022 | 843 |
|
Jason S. Romblad
510 Emergency Dr |
$38.78 | 1,010 | 839 |
|
Mark Robert Weiser
110 W Medical Park Dr |
$42.81 | 982 | 769 |
|
Mallory Alexa Choplin
101 W Medical Park Dr |
$60.71 | 895 | 802 |
|
Benjamin Lewis Wilson
102 W Medical Park Dr |
$49.82 | 694 | 541 |
|
Geri L Snoke
1104A S Main St |
$32.53 | 673 | 646 |
|
Bernadette Hedwig Fedziuk
108 W Medical Park Dr |
$50.62 | 586 | 532 |
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 Lexington, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lexington, NC is $54.63 per claim, based on 234,434 claims from 86 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 Lexington, NC?
There are 86 Medicaid providers offering Office Visit related services in Lexington, NC according to public payment data.
What is the price range for Office Visit in Lexington, NC?
Medicaid reimbursement for Office Visit in Lexington, NC ranges from $0.00 to $101.29 per claim, with an average of $54.63. 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 Lexington, NC
Substance Abuse Treatment
Avg $37.79
559,581 claims
Speech Therapy
Avg $45.23
234,175 claims
Physical Therapy
Avg $74.35
136,856 claims
Vaccines & Immunizations
Avg $15.31
101,722 claims
Emergency Room Visit
Avg $114.36
71,313 claims
Dental Cleaning & Exam
Avg $27.87
70,455 claims
Blood Work & Lab Tests
Avg $14.46
58,709 claims
Durable Medical Equipment (DME)
Avg $24.50
47,939 claims