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 |
|---|---|---|---|
|
Jason Evan Davis
2934 N Elm St Ste E |
$68.91 | 12 | 12 |
|
Southeastern Integrated Care
105 Farm Brook Dr |
$13.56 | 12 | 12 |
|
William Rowell Burleson
815 Oakridge Blvd |
$26.62 | 12 | 12 |
|
Mandesa Malika Smith
4300 Fayetteville Rd |
$60.84 | 12 | 12 |
|
Andrew J Doorey
2610 N Elm St |
$73.19 | 13 | 12 |
|
Hiondy Polanco Morillo
395 W 27Th St |
$116.83 | 14 | 13 |
|
Charles Azubuike Anene
300 W 27Th St |
$10.64 | 14 | 12 |
|
Meagan Denise Deese
2934 N Elm St Ste B |
$43.32 | 15 | 15 |
|
Sandhya Thomas-Montilus
4320 Fayetteville Rd |
$57.07 | 15 | 14 |
|
Brock Drapkin
300 W 27Th St |
$90.00 | 17 | 12 |
|
Heather Joan Jacobs
815 Oakridge Blvd |
$7.42 | 22 | 13 |
|
Ishtiaque Hossain Mohiuddin
2936 N Elm St Ste 102 |
$15.12 | 24 | 14 |
|
Keith P Poindexter
4811 Fayetteville Rd |
$30.02 | 26 | 12 |
|
Robeson Family Healthcare, Pc
220 Wintergreen Dr |
$0.00 | 28 | 28 |
|
Uma Bhargavi Pendem
730 Oakridge Blvd |
$59.09 | 29 | 28 |
|
Trevor Augustus Jolly
1200 Pine Run Dr |
$40.32 | 31 | 26 |
|
Susan Marie Pereira
300 W 27Th St |
$82.46 | 39 | 39 |
|
Stephanie Britt
460 Country Club Rd |
$34.55 | 41 | 28 |
|
Rushad Darius Shroff
402 N Pine St |
$29.24 | 42 | 38 |
|
Jessica Velissa Watts
2901 N Elm St |
$67.12 | 45 | 42 |
|
Taren Oxendine Hunt
2934 N Elm St Ste B |
$65.15 | 55 | 55 |
|
Heather Bryan
300 W 27Th St |
$50.14 | 64 | 63 |
|
Vicki E Clark
460 Country Club Rd |
$80.02 | 67 | 53 |
|
Bolanle O Onime
2936 N Elm St Ste 102 |
$60.04 | 77 | 69 |
|
Keira Donaldson
2936 N Elm St Ste 102 |
$37.80 | 78 | 72 |
|
Amber Eddy
1003 Woodridge Dr |
$34.48 | 82 | 57 |
|
Karen Y Robinson
400 Liberty Hill Rd |
$71.06 | 83 | 79 |
|
Santhosh Augustine
101 W 27Th St |
$102.49 | 84 | 68 |
|
Ariana Brooke Tsalamandris
2936 N Elm St Ste 102 |
$25.89 | 88 | 81 |
|
Joshua Ruiz
300 West 27Th Street |
$55.38 | 93 | 77 |
|
Lisa Michelle Walker
2604 N Elm St |
$64.02 | 103 | 97 |
|
Mary Katherine Gray Altman
400 Liberty Hill Rd |
$59.15 | 112 | 111 |
|
Jordan Michael Andrews
4843 Pinedale Blvd |
$9.81 | 118 | 64 |
|
Thomas Lorenzo Walden
1200 Pine Run Dr |
$17.04 | 123 | 105 |
|
Alissa Natalie Binford
2936 N Elm St |
$25.34 | 156 | 125 |
|
Jeffrey Slabe
300 W 27Th St |
$25.90 | 156 | 149 |
|
Grace Davis
1011 Woodridge Dr |
$21.20 | 159 | 89 |
|
Renae Owens Taylor
2934 N Elm St Ste B |
$40.73 | 169 | 159 |
|
Samuel E Britt
2934 N Elm St |
$36.00 | 179 | 147 |
|
Deanna Rasmussen Stephens
2936 N Elm St Ste 102 |
$25.26 | 186 | 177 |
|
Temitope E Adebayo
300 W 27Th St |
$53.20 | 205 | 196 |
|
John C Rozier
295 W 27Th St |
$43.05 | 229 | 192 |
|
Matthew Thompson
4850 Fayetteville Rd |
$14.67 | 233 | 192 |
|
Parshotam Lal
395 W 27Th St |
$55.61 | 246 | 220 |
|
Jayme Emil Mcarthur-Herder
2934 N Elm St Ste E |
$46.76 | 262 | 243 |
|
Somnath Narayan Naik
4384 Fayetteville Rd |
$28.55 | 303 | 251 |
|
Heather Douglas
4303 Ludgate St |
$56.89 | 309 | 281 |
|
Xiuxian Alan Zhu
2936 N Elm St Ste 102 |
$29.91 | 313 | 281 |
|
Neelema Neelkanth Patel
400 Liberty Hill Rd |
$46.93 | 319 | 239 |
|
George William Mozingo
815 Oakridge Blvd |
$17.38 | 341 | 285 |
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