Average Medicaid Office Visit Payments in Louisburg, NC: $55.00
Avg. Paid
$55.00
Range
$24.85 – $114.49
Total Claims
43,047
Providers
19
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 Louisburg, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Louis David Allen
107 Industrial Dr |
$114.49 | 5,496 | 4,445 |
|
Phillip Earl Stover
1501 N Bickett Blvd |
$40.36 | 4,533 | 3,148 |
|
Loretta Mae Pearce
315 Franklin Plz |
$60.51 | 3,731 | 2,896 |
|
Lana J Cooper
107 Industrial Dr Ste C |
$55.58 | 3,613 | 3,004 |
|
Kelly Meagan Brewer Coker
315 Franklin Plz |
$62.14 | 3,483 | 2,968 |
|
Darius Jose Ayala Divina
1501 N Bickett Blvd Ste E |
$27.88 | 3,470 | 2,368 |
|
Dana Pernell Browning
315 Franklin Plz |
$54.77 | 3,228 | 2,562 |
|
Heather Montgomery Mitchell
315 Franklin Plz |
$41.60 | 2,878 | 2,096 |
|
Brittany Hicks Newell
315 Franklin Plz |
$50.70 | 2,631 | 2,145 |
|
Sasha Celeste Dunbar
205 Sandalwood Ave |
$24.85 | 2,223 | 1,862 |
|
Kennedy U. Onori
315 Franklin Plz |
$52.63 | 1,970 | 1,615 |
|
Andrew Clark Kronenberg
500 Redwood Ln |
$27.82 | 1,915 | 1,718 |
|
Gina Wynne Taylor
1501 N Bickett Blvd |
$27.14 | 911 | 724 |
|
Nilaben Patel
205 Sandalwood Ave Ste C |
$49.12 | 894 | 713 |
|
William A Sayles
601 N Bickett Blvd |
$75.08 | 845 | 672 |
|
Mamun Shahrier
626 N Bickett Blvd |
$30.07 | 680 | 473 |
|
Warren Allen Blackburn
205 Sandalwood Ave |
$41.20 | 245 | 203 |
|
David S Seaman
205 Sandalwood Ave |
$25.08 | 224 | 152 |
|
Altonette Monique Coney
100 Hospital Dr |
$68.85 | 77 | 70 |
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 Louisburg, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Louisburg, NC is $55.00 per claim, based on 43,047 claims from 19 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 Louisburg, NC?
There are 19 Medicaid providers offering Office Visit related services in Louisburg, NC according to public payment data.
What is the price range for Office Visit in Louisburg, NC?
Medicaid reimbursement for Office Visit in Louisburg, NC ranges from $24.85 to $114.49 per claim, with an average of $55.00. 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 Louisburg, NC
Personal Care Services
Avg $97.47
125,751 claims
Behavioral & Mental Health Therapy
Avg $79.53
51,644 claims
Substance Abuse Treatment
Avg $135.86
51,344 claims
Psychiatric Evaluation
Avg $80.07
29,068 claims
Speech Therapy
Avg $44.88
26,292 claims
Emergency Room Visit
Avg $100.33
25,602 claims
Blood Work & Lab Tests
Avg $5.62
22,535 claims
Vaccines & Immunizations
Avg $10.51
17,274 claims