Average Medicaid Office Visit Payments in Lillington, NC: $51.35
Avg. Paid
$51.35
Range
$2.33 – $83.76
Total Claims
255,320
Providers
55
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 Lillington, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rodolfo C Reyes
100 S 10Th St |
$54.29 | 81,089 | 57,723 |
|
Bianca L Goo
350 Pine State St |
$39.29 | 18,956 | 16,353 |
|
Misty Dawn White
350 Pine State St |
$40.39 | 15,353 | 12,893 |
|
Robert Goldbach
100 S 10Th St |
$81.03 | 14,821 | 11,559 |
|
Samantha Joelle Rushton
100 S 10Th St Ste B |
$70.71 | 14,113 | 11,274 |
|
Neema Dave
350 Pine State St |
$40.00 | 10,406 | 9,053 |
|
Nailesh D Dave
350 Pine State St |
$51.10 | 10,044 | 8,426 |
|
David Merlin Paulson
350 Pinestate St |
$33.34 | 9,813 | 8,572 |
|
Julie Page Burnell
350 Pine State St |
$38.63 | 8,284 | 7,188 |
|
Brandy Norris Mountcastle
701 S Main St |
$39.73 | 7,148 | 5,969 |
|
Larry Blaine Mahood
100 S 10Th St |
$39.42 | 5,013 | 3,587 |
|
John L Briggs
7 East Duncan St |
$30.32 | 4,495 | 3,893 |
|
Christine Han
100 S 1Oth St |
$41.81 | 4,398 | 3,242 |
|
Sheley Butler Eldridge
307 W Cornelius Harnett Blvd |
$83.76 | 4,037 | 2,740 |
|
Melissa Beth Turner
307 W Cornelius Harnett Blvd |
$73.27 | 3,740 | 3,067 |
|
Wyatt Wheeler Thompson
100 S 10Th St |
$38.54 | 3,463 | 2,539 |
|
Paul Mark Kocsis
5841 Us 421 S |
$49.72 | 3,349 | 2,987 |
|
Alison Lee Vurnakes
716 S 10Th St |
$64.53 | 3,026 | 2,702 |
|
Jamie L Speight
350 Pine State St |
$52.11 | 2,923 | 2,231 |
|
Emily Catherine Hale
350 Pine State St |
$51.10 | 2,522 | 2,397 |
|
Madhuri V Vithala
215 Brightwater Dr Ste 1221 |
$34.84 | 2,491 | 1,931 |
|
Asif Zia
7 E Duncan St |
$46.38 | 2,484 | 2,038 |
|
Treston Grant Clark-Larue
4350 Us 421 S |
$66.62 | 2,359 | 1,865 |
|
Anne Price
100 S 10Th St |
$50.33 | 1,966 | 1,556 |
|
Carla Hamilton Brown
100 S 10Th St |
$46.51 | 1,632 | 1,466 |
|
Melissa Blakely Beitzel
7 East Duncan St |
$72.43 | 1,431 | 1,332 |
|
Susan Claire Gucciardi Anderson
214 Saddle Ln |
$51.16 | 1,341 | 1,197 |
|
Jo'Ann Todd
104 S Main St |
$26.53 | 1,207 | 1,004 |
|
Kaitlyn Mae Rexroat
4350 Us 421 S |
$44.54 | 1,015 | 757 |
|
Grace Glass
4350 Us 421 S |
$62.78 | 996 | 775 |
|
Kristy Anne Pope
7 E Duncan St |
$44.27 | 920 | 719 |
|
Melissa J Mclamb
307 W Cornelius Harnett Blvd |
$76.14 | 887 | 789 |
|
Aubrey Lenore Wilson
100 S 10Th St |
$37.20 | 860 | 788 |
|
Olivia Del Valle
7 E Duncan St |
$51.65 | 774 | 620 |
|
Aaron Bishop Glass
104 S Main St |
$35.70 | 764 | 458 |
|
Sydney Rowan
100 S 10Th St |
$46.37 | 664 | 580 |
|
Bikramjit Singh Grewal
716 S 10Th St |
$35.46 | 606 | 486 |
|
Amanda Adele Freeman
100 S 10Th St |
$66.99 | 603 | 554 |
|
Julia Anna Lyn Gumpert
4610 Spring Hill Church Rd |
$42.08 | 602 | 369 |
|
Zachary Anton Nevolo
215 Brightwater Dr |
$48.84 | 578 | 431 |
|
Christina Phan Nguyen
100 S 10Th St |
$44.05 | 523 | 435 |
|
Madison June Dunn Schlieman
716 S 10Th St |
$57.01 | 462 | 424 |
|
Valerie Wawira Kivuti
350 Pine State St |
$41.03 | 436 | 352 |
|
Logan Mock
215 Brightwater Dr |
$26.59 | 409 | 363 |
|
Monique Torres
1231 N Main St |
$51.30 | 406 | 298 |
|
Michelle D Deblaquiere
716 N Tenth St. |
$59.65 | 396 | 293 |
|
Sara Moody
4350 Us 421 S |
$65.04 | 368 | 334 |
|
Dania Mahmoud Farawi
40 Autumn Fern Trl |
$43.19 | 304 | 243 |
|
Jacques Maurice Villien
215 Brightwater Dr |
$2.33 | 292 | 243 |
|
Norah Adeyemi
40 Autumn Fern Trl |
$4.01 | 117 | 116 |
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 Lillington, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lillington, NC is $51.35 per claim, based on 255,320 claims from 55 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 Lillington, NC?
There are 55 Medicaid providers offering Office Visit related services in Lillington, NC according to public payment data.
What is the price range for Office Visit in Lillington, NC?
Medicaid reimbursement for Office Visit in Lillington, NC ranges from $2.33 to $83.76 per claim, with an average of $51.35. 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 Lillington, NC
Vaccines & Immunizations
Avg $12.83
67,841 claims
Ambulance Transport
Avg $97.66
62,520 claims
Blood Work & Lab Tests
Avg $24.71
44,519 claims
Speech Therapy
Avg $35.23
39,230 claims
Urinalysis & Urine Tests
Avg $2.66
25,601 claims
Dental Cleaning & Exam
Avg $29.93
23,121 claims
Behavioral & Mental Health Therapy
Avg $67.92
18,684 claims
Case Management Services
Avg $159.69
17,799 claims