Average Medicaid Office Visit Payments in Lincolnton, NC: $55.97
Avg. Paid
$55.97
Range
$9.23 – $88.10
Total Claims
244,731
Providers
95
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 Lincolnton, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kimberly Robin Mills
212 Gamble Dr |
$22.22 | 13 | 13 |
|
Joseph Alfred Veneziano
441 Mcalister Rd |
$38.47 | 14 | 12 |
|
Staci Krisann Spake
441 Mcalister Rd, Ste 2400 |
$33.67 | 14 | 12 |
|
Burk Nash Schaible
447 Mcalister Rd |
$42.87 | 39 | 25 |
|
Joshua Trent Carpenter
447 Mcalister Rd Ste 2400 |
$88.10 | 50 | 47 |
|
Quiana Duncan
1470 E Gaston St |
$37.05 | 53 | 48 |
|
Neveen Maher Habashi
501 N Aspen St |
$23.51 | 59 | 49 |
|
Matthew James Zuber
447 Mcalister Rd |
$37.53 | 59 | 55 |
|
Alixandra Jillian Garic
447 Mcalister Rd Ste 3500 |
$76.34 | 66 | 60 |
|
Wayne Edward Lawing
931 N Aspen St |
$9.23 | 67 | 42 |
|
Kara Hawk Clemmer
433 Mcalister Rd |
$22.84 | 87 | 48 |
|
Lisa Renee Farley Ochoa
1403 E Main St # 3806 |
$30.71 | 87 | 55 |
|
Savannah Elmore Hensley
447 Mcalister Rd Ste 2400 |
$53.69 | 94 | 73 |
|
Amanda Kay Collier
1814 N Aspen St |
$46.93 | 102 | 73 |
|
Verano M. Hermida
1470 E Gaston St |
$39.05 | 124 | 101 |
|
Bailey Alicia Skubon
447 Mcalister Rd Ste 3500 |
$49.07 | 143 | 131 |
|
Derrick Kenneth Burno
441 Mcalister Rd |
$27.33 | 156 | 138 |
|
Robert Schneider
441 Mcalister Rd |
$19.35 | 167 | 163 |
|
Jane Gunter
1802 E Main St |
$74.38 | 167 | 160 |
|
Jason Batley
441 Mcalister Rd |
$35.62 | 169 | 126 |
|
Steven Michael Popper
447 Mcalister Rd |
$35.18 | 175 | 151 |
|
James Edward Needell
212 Gamble Dr |
$65.01 | 182 | 164 |
|
Alden Henry Reine
441 Mcalister Rd |
$38.28 | 200 | 185 |
|
Charlene H Guffey
1403 E Main St |
$39.90 | 231 | 217 |
|
Brenda Sue Willis
751 S Laurel St |
$60.91 | 276 | 243 |
|
Robert L. Reid
614 Center Dr |
$38.09 | 283 | 265 |
|
Lauren Nicole Winbourne
447 Mcalister Rd |
$48.95 | 320 | 293 |
|
Cynthia Brittain Throneburg
1403 E Main St |
$35.75 | 328 | 263 |
|
Duane Marvin Moise
441 Mcalister Rd |
$38.10 | 352 | 318 |
|
Mark David Heiner
447 Mcalister Rd |
$33.19 | 366 | 290 |
|
Flavia Brucia
447 Mcalister Rd |
$48.93 | 367 | 270 |
|
Ramon Martinez Anastacio
447 Mcalister Rd |
$43.48 | 386 | 366 |
|
Gabriela Meyer
607 S Generals Blvd |
$46.18 | 415 | 347 |
|
Madison Taylor Smith
447 Mcalister Rd |
$47.25 | 429 | 368 |
|
Jeremy Wade Sexton
1531 N Aspen St |
$47.80 | 484 | 407 |
|
Lori Elmore
1403 E Main St |
$39.22 | 550 | 418 |
|
Erika Kahan Vassil
441 Mcalister Rd |
$60.89 | 704 | 664 |
|
Talla Motakef Widelock
447 Mcalister Rd |
$38.29 | 707 | 569 |
|
Linda Jean Martin
3970 W Highway 27 |
$64.91 | 711 | 663 |
|
Meagan Miles
231 N Generals Blvd |
$24.25 | 771 | 420 |
|
Rebecca Alvey
1403 E Main St |
$49.74 | 784 | 740 |
|
Toma Radut
607 S. Generals Blvx |
$35.62 | 791 | 637 |
|
Lavonia Carter Womack
441 Mcalister Rd |
$54.46 | 804 | 699 |
|
Julie Woodside
441 Mcalister Rd |
$35.60 | 815 | 669 |
|
Denise Lepage
1470 E Gaston St |
$22.84 | 831 | 588 |
|
Lindsey Marshall Schenck
447 Mcalister Rd |
$26.74 | 851 | 635 |
|
Marcy Dickey
441 Mcalister Rd |
$36.53 | 911 | 827 |
|
Sergey Anatolievich Alentyev
441 Mcalister Rd |
$60.82 | 923 | 837 |
|
Edward Randal Walker Gallego
441 Mcalister Rd Ste 1100A |
$44.62 | 1,039 | 874 |
|
Scott Arnold Ajello
441 Mcalister Rd Ste 1100A |
$48.17 | 1,058 | 846 |
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 Lincolnton, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lincolnton, NC is $55.97 per claim, based on 244,731 claims from 95 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 Lincolnton, NC?
There are 95 Medicaid providers offering Office Visit related services in Lincolnton, NC according to public payment data.
What is the price range for Office Visit in Lincolnton, NC?
Medicaid reimbursement for Office Visit in Lincolnton, NC ranges from $9.23 to $88.10 per claim, with an average of $55.97. 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 Lincolnton, NC
Speech Therapy
Avg $45.36
125,879 claims
Vaccines & Immunizations
Avg $11.24
100,187 claims
Dental Cleaning & Exam
Avg $29.12
74,076 claims
Non-Emergency Medical Transportation
Avg $52.46
72,853 claims
Physical Therapy
Avg $68.10
54,935 claims
Blood Work & Lab Tests
Avg $7.11
54,431 claims
Emergency Room Visit
Avg $131.31
41,967 claims
Behavioral & Mental Health Therapy
Avg $234.53
31,333 claims