Average Medicaid Office Visit Payments in Lumberton, NC: $51.56
Avg. Paid
$51.56
Range
$0.00 – $116.83
Total Claims
820,249
Providers
226
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 Lumberton, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ricardo Olaguivel Pojol
400 Liberty Hill Rd |
$64.16 | 37,833 | 30,611 |
|
Tracey R Moreno-Silva
2116 N Cedar St |
$45.77 | 33,152 | 11,779 |
|
Alese Hunt
400 Liberty Rd |
$64.97 | 32,354 | 25,566 |
|
David Roger Allen
404 Hatfield Ct |
$26.31 | 30,741 | 16,872 |
|
Adrian Deese
400 Liberty Hill Rd |
$65.22 | 20,513 | 16,462 |
|
Hanna Afeworki
400 Liberty Hill Rd |
$77.54 | 17,904 | 15,515 |
|
Michael Yvan Streahle
400 Liberty Hill Rd |
$62.50 | 17,360 | 14,498 |
|
Michelle Lin
400 Liberty Hill Rd |
$69.68 | 17,313 | 13,071 |
|
Victoria Locklear
3001 N Elm St |
$66.67 | 15,766 | 13,121 |
|
Christina Hardin Dial
400 Liberty Hill Rd |
$73.90 | 15,638 | 13,197 |
|
Eddy Wayne Akers
400 Liberty Hill Rd |
$63.03 | 15,072 | 13,163 |
|
Christie Hagan Lowery
400 Liberty Hill Rd |
$59.83 | 14,545 | 13,355 |
|
Candace Michelle Lowry
400 Liberty Hill Rd |
$58.12 | 13,995 | 12,114 |
|
Gauri Rahul Dalvi
400 Liberty Hill Rd |
$89.83 | 13,890 | 12,483 |
|
Randal Mclean
5080 Kahn Dr |
$53.82 | 13,600 | 11,382 |
|
Jacklynn Hunt Locklear
400 Liberty Hill Rd |
$60.26 | 13,014 | 10,566 |
|
Danielle Nicole Chavis
400 Liberty Hill Rd |
$59.75 | 12,159 | 10,511 |
|
Crystal Dee Hunt
400 Liberty Hill Rd |
$55.66 | 12,020 | 9,661 |
|
Kristie Collins Martin
460 Country Club Rd |
$61.95 | 11,850 | 10,236 |
|
Shannon Leslie Hershberger
2901 N Elm St |
$46.87 | 10,923 | 8,007 |
|
Barry Gerard Graham
2934 N Elm St |
$51.20 | 10,368 | 8,280 |
|
Brooke Howie Grooms
5070 Fayetteville Rd |
$36.59 | 10,109 | 6,386 |
|
Tonna Karenlyn Wyatt
5070 Fayetteville Rd |
$37.21 | 10,060 | 6,746 |
|
Scott Porter
400 Liberty Hill Rd |
$60.34 | 9,768 | 8,540 |
|
Victoria L Harness
300 W 27Th St |
$81.40 | 9,202 | 7,620 |
|
Katie Lowry
3001 N Elm St |
$67.57 | 9,143 | 7,803 |
|
Patrick J. Ricotta
815 Wesley Pines Rd. |
$17.60 | 8,472 | 6,465 |
|
Arbus E. Locklear
309 N Roberts Ave |
$34.24 | 8,467 | 5,761 |
|
Joseph Earl Roberts
3005 N Elm St |
$40.36 | 8,357 | 6,384 |
|
Amy Lacrest Locklear
4308 Ludgate St |
$77.66 | 7,767 | 5,735 |
|
Kwadwo Agyei-Gyamfi
4348 Fayetteville Rd |
$37.29 | 7,528 | 6,228 |
|
Jianfeng Zeng
4850 Fayetteville Rd |
$40.68 | 7,503 | 5,671 |
|
Indravadan Sakarlal Gatiwala
785 Oakridge Blvd |
$38.65 | 7,167 | 5,175 |
|
Karen Lynn Warwick
460 Country Club Rd |
$44.87 | 7,140 | 4,952 |
|
Ariel Devon Locklear
725 Oakridge Blvd Ste B2 |
$41.23 | 7,112 | 5,297 |
|
Joel M Hart
3005 N Elm St |
$44.97 | 6,741 | 5,457 |
|
Carolyn Brumm Mccormick
4308 Ludgate St |
$71.89 | 6,683 | 4,609 |
|
Robert William Johnson
404 Hatfield Ct |
$65.73 | 6,500 | 5,455 |
|
Samuel M Cummings
800 Oakridge Blvd |
$55.87 | 6,296 | 4,652 |
|
Cynthia Anne Clark
2934 N Elm St Ste B |
$39.94 | 6,079 | 5,027 |
|
Jessica Nicole Fairfax
400 Liberty Hill Rd |
$48.46 | 6,037 | 4,780 |
|
Matthew Scott Davis
4901 Dawn Dr |
$30.43 | 5,925 | 4,877 |
|
Charles M. Almond
730 Oakridge Blvd |
$43.96 | 5,870 | 4,568 |
|
Michelle Renee Muhammad
4901 Dawn Dr Ste 3300 |
$22.79 | 4,914 | 4,357 |
|
Stephen H. Royal
2610 N Elm St |
$38.82 | 4,892 | 3,696 |
|
Wanda Marie Faircloth
725 Oakridge Blvd Ste B2 |
$38.74 | 4,765 | 4,144 |
|
Mac Adolf Montilus
4314 Ludgate St |
$31.43 | 4,759 | 3,490 |
|
Donald Randolph Mckinley
4901 Dawn Dr Ste 3200 |
$46.77 | 4,509 | 3,012 |
|
Theresa Williamson
2003 Godwin Ave |
$45.60 | 4,283 | 3,207 |
|
April Hall Martin
5080 Kahn Dr Ste 120 |
$42.75 | 4,276 | 2,983 |
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 Lumberton, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lumberton, NC is $51.56 per claim, based on 820,249 claims from 226 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 Lumberton, NC?
There are 226 Medicaid providers offering Office Visit related services in Lumberton, NC according to public payment data.
What is the price range for Office Visit in Lumberton, NC?
Medicaid reimbursement for Office Visit in Lumberton, NC ranges from $0.00 to $116.83 per claim, with an average of $51.56. 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 Lumberton, NC
Substance Abuse Treatment
Avg $90.17
486,602 claims
Speech Therapy
Avg $64.14
484,137 claims
Personal Care Services
Avg $106.40
400,382 claims
Blood Work & Lab Tests
Avg $11.16
357,539 claims
Vaccines & Immunizations
Avg $14.27
342,183 claims
Emergency Room Visit
Avg $99.51
225,559 claims
Urinalysis & Urine Tests
Avg $3.77
141,788 claims
Ambulance Transport
Avg $41.00
103,481 claims