Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Lexington, NC: $54.63

Avg. Paid

$54.63

Range

$0.00 – $101.29

Total Claims

234,434

Providers

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
County Of Davidson 915 N Greensboro St	$21.02	13	12
Barbara H. Evans 108 W Medical Park Dr	$38.60	15	12
Pir Saad 250 Hospital Dr	$98.58	26	24
Victor Byron Farrah 4705 S Highway 150 Ste B&C	$78.80	27	14
Alexandre W. Caillat 106 W Medical Park Dr Ste A	$25.11	33	24
Corey Roman 310 N Main St	$101.29	41	38
Marlene Ann Hnilica 1104 S Main St Ste A	$39.73	42	28
Meryl Jones Snow 420 N Salisbury St	$0.00	42	40
Michael Alan Bellamy 8 Medical Park Dr	$6.63	44	43
Spencer Talkington 915 N Greensboro St	$36.91	50	43
William Griffith Blackard 11 Medical Park Dr	$16.68	54	53
Faith Lockett Gardner 13 Medical Park Dr	$22.18	71	56
Gordon Charles Kammire 510 Emergency Dr	$25.61	75	66
Jasper Simmons Riggan 510 Emergency Dr	$34.00	79	63
Lindsey Rose Treacy 106 W Medical Park Dr Ste A	$48.73	79	78
Madison Parker Cave 106 W Medical Park Dr	$32.01	80	80
David H Wagner 250 Hospital Dr	$72.10	100	75
James Francis Slyman 2 Hospital Dr	$35.54	107	64
Michelle Lynn Lamacchia 108 W Medical Park Dr	$64.86	109	98
Kimberly Sharneice Davis 108 W Medical Park Dr	$51.44	127	118
Kristin Calpin 104 W Medical Park Dr	$58.40	136	98
Jasmine Mcentyre 420 N Salisbury St	$23.05	147	131
Fan Ye 144 Forest Hill Rd Ste 144&146	$76.37	210	177
Sundararajan Sundararajan 102 W Medical Park Dr	$54.05	248	220
Brian Christopher Griffin 107 W Medical Park Dr	$33.33	249	216
Terry V Arnold 901 E Center St	$38.73	281	183
Melissa Loftin Johnson 106 W Medical Park Dr	$52.78	319	278
Amanda Jo Robertson Shepherd 510 Emergency Dr	$26.06	365	313
Kimberly Renee Ragsdale 1926 Cotton Grove Rd	$38.36	381	279
Katie M Twomley 10 Medical Park Dr	$35.67	400	358
Taylor Marie Crum 4705 S Highway 150 Ste B&C	$70.21	403	371
Jonathan Cordell Hinson 110 W Medical Park Dr	$63.62	439	270
Thomas Calvin Freeman 14 Medical Park Dr	$75.03	487	313
Jimmarck Perel Castisimo Cuenta 144 Forest Hill Rd Ste 144&146	$59.84	501	421
Karl E Bolstad 510 Emergency Dr	$30.35	527	442
Penny Woodworth Jones 877 Hill Everhart Rd	$19.94	554	484
Bernadette Hedwig Fedziuk 108 W Medical Park Dr	$50.62	586	532
Geri L Snoke 1104A S Main St	$32.53	673	646
Benjamin Lewis Wilson 102 W Medical Park Dr	$49.82	694	541
Mallory Alexa Choplin 101 W Medical Park Dr	$60.71	895	802
Mark Robert Weiser 110 W Medical Park Dr	$42.81	982	769
Jason S. Romblad 510 Emergency Dr	$38.78	1,010	839
Jenna Hodgson 104 W Medical Park Dr	$49.01	1,022	843
Nancy Perez 1977 Cotton Grove Rd	$72.36	1,116	1,063
Kathryn Anne Zook 915 N Greensboro St	$43.97	1,200	862
Sophia Marie Godine 101 W Medical Park Dr	$61.00	1,242	1,099
William Curtis Richardson 1977 Cotton Grove Rd	$67.57	1,333	1,206
Gina Murph Snider 110 W Medical Park Dr	$46.26	1,417	1,212
Meaghan Margaret Aalto 108 W Medical Park Dr	$29.93	1,569	1,285
Lloyd D. Lohr 7 Medical Park Dr	$32.82	1,860	1,405

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.

Average Medicaid Office Visit Payments in Lexington, NC: $54.63

Providers Offering Office Visit in Lexington, NC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Durable Medical Equipment (DME)