Average Medicaid Office Visit Payments in Marion, NC: $47.90
Avg. Paid
$47.90
Range
$0.00 – $143.34
Total Claims
61,114
Providers
42
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 Marion, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Dana
31 California Ave |
$26.04 | 12,340 | 8,433 |
|
Eric Thomas Roslonski
31 California Ave |
$34.34 | 5,553 | 4,212 |
|
Courtney Paden Morris Gardner
147 N Garden St |
$65.49 | 4,109 | 3,043 |
|
Joanna Marie Dymora
2293 S. Sterling Street |
$50.70 | 3,852 | 2,979 |
|
Kedron M Hendley
2293 Sugar Hill Rd Ste D |
$59.76 | 3,564 | 3,124 |
|
Jennifer Ann Schirner
2293 Sugar Hill Rd Ste D |
$53.32 | 3,476 | 2,973 |
|
Erik Frank Johanson
2293 Sugar Hill Rd Ste D |
$55.87 | 2,137 | 1,817 |
|
Ruth B Raffield
2293 Sugar Hill Rd Ste D |
$56.75 | 2,115 | 1,898 |
|
William Varn Fowler
2293 Sugar Hill Rd Ste D |
$67.13 | 1,911 | 1,725 |
|
Jessica Dawn Patrino
2293 Sugar Hill Rd Ste D |
$54.42 | 1,857 | 1,383 |
|
Angela J Bryan
2293 Sugar Hill Rd Ste D |
$60.39 | 1,823 | 1,703 |
|
Peter Jeffrey Bechtel
430 Rankin Dr |
$39.46 | 1,792 | 1,675 |
|
Allison Alexander
2845 Sugar Hill Rd |
$45.22 | 1,713 | 1,375 |
|
Jacqueline Nicole Wheeler
31 E Medical Ct Ste 1 |
$37.47 | 1,455 | 1,077 |
|
Kim Sylvia Johnson
486 Spaulding Rd Ste B |
$143.34 | 1,410 | 948 |
|
Angela R Allen-Helms
31 E Medical Ct Ste 2 |
$63.61 | 1,354 | 1,174 |
|
Adam Joseph Kinninger
20 S Medical Ct |
$30.33 | 1,351 | 1,049 |
|
Emily Heien
2293 Sugar Hill Rd Ste D |
$57.51 | 1,225 | 1,120 |
|
Mark W Burton
2293 Sugar Hill Rd Ste A |
$26.03 | 1,089 | 770 |
|
Benjamin Andrew Poteat
20 S Medical Ct |
$41.80 | 957 | 842 |
|
Elizabeth Merrill Mackinnon
2293 Sugar Hill Rd Ste D |
$46.67 | 943 | 852 |
|
Amy Smith Ende
2293 Sugar Hill Rd Ste D |
$64.88 | 929 | 861 |
|
Courtney Adair Setzer
2293 Sugar Hill Rd |
$57.65 | 780 | 656 |
|
James C. Weegar
630 American Thread Rd |
$48.54 | 777 | 722 |
|
Erin Madison Ward
20 S Medical Ct |
$53.64 | 654 | 601 |
|
Zed Alex Mansfield
2293 Sugar Hill Rd Ste D |
$50.72 | 510 | 494 |
|
Ann Marie Gardner Hammond
2293 Sugar Hill Rd Ste A |
$30.53 | 291 | 241 |
|
Pamela Kay Bartels
2293 Sugar Hill Rd Ste D |
$55.40 | 190 | 179 |
|
Jennifer Nicole Smith
5623 Us 221 S |
$15.83 | 169 | 138 |
|
Gregory Alan Simolke
2293 Sugar Hill Rd Ste C |
$42.22 | 147 | 116 |
|
Margaret Hancock Sullivan
1633 Sugar Hill Rd |
$62.98 | 146 | 100 |
|
Maura Jayne Turner
472 Rankin Dr Ste 4 |
$47.31 | 109 | 104 |
|
Edward L. St.Bernard
100 Spaulding Rd |
$0.00 | 91 | 82 |
|
Kimberly Anne Grugan
472 Rankin Dr |
$41.06 | 64 | 39 |
|
Benjamin Heyen
1633 Sugar Hill Rd |
$28.02 | 52 | 46 |
|
Rebecca G Fischer
472 Rankin Dr |
$37.11 | 33 | 19 |
|
Kelli Banner
61 Logan Street |
$55.00 | 31 | 28 |
|
Alison Brook Christopher
472 Rankin Dr |
$30.77 | 26 | 16 |
|
Wesley Adam Davenport
472 Rankin Dr |
$75.64 | 26 | 20 |
|
Hannah L Stillings
1633 Sugar Hill Rd |
$56.38 | 22 | 18 |
|
Alisa Katherine Eanes
1633 Sugar Hill Rd |
$57.93 | 21 | 12 |
|
Andrew M Ross
2293 Sugar Hill Rd Ste A |
$20.50 | 20 | 12 |
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 Marion, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Marion, NC is $47.90 per claim, based on 61,114 claims from 42 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 Marion, NC?
There are 42 Medicaid providers offering Office Visit related services in Marion, NC according to public payment data.
What is the price range for Office Visit in Marion, NC?
Medicaid reimbursement for Office Visit in Marion, NC ranges from $0.00 to $143.34 per claim, with an average of $47.90. 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 Marion, NC
Substance Abuse Treatment
Avg $47.18
142,388 claims
Dental Cleaning & Exam
Avg $30.16
80,225 claims
Blood Work & Lab Tests
Avg $9.63
54,416 claims
Personal Care Services
Avg $107.91
52,151 claims
Behavioral & Mental Health Therapy
Avg $120.83
52,043 claims
Speech Therapy
Avg $44.27
46,583 claims
Physical Therapy
Avg $37.82
36,721 claims
Dental Filling
Avg $100.03
25,758 claims