Average Medicaid Office Visit Payments in Monroe, NC: $61.13
Avg. Paid
$61.13
Range
$0.00 – $99.37
Total Claims
453,263
Providers
212
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 Monroe, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Benedict O Okwara
404 South Sutherland Ave. |
$65.48 | 73,169 | 57,908 |
|
Paul N Erckman
1307B East Franklin St |
$66.68 | 13,775 | 11,187 |
|
Mary Elizabeth Sale Rukenbrod
1224 W Roosevelt Blvd |
$63.74 | 12,720 | 8,982 |
|
Kenneth H Prushik
1994 Wellness Blvd Ste 110 |
$83.83 | 10,979 | 9,496 |
|
George P Thevaos
1994 Wellness Blvd |
$81.20 | 10,362 | 9,094 |
|
Mary L Lindsay-Barber
1994 Wellness Blvd Ste 110 |
$82.71 | 10,319 | 8,819 |
|
Anika Latonya Surratt
3193 W Highway 74 |
$65.86 | 10,169 | 8,918 |
|
Leslie Carol Stanfield
3173 W Highway 74 |
$71.91 | 9,623 | 8,456 |
|
Garnet D Maharajh
1994 Wellness Blvd |
$92.47 | 9,387 | 7,904 |
|
Chock Tsering
1414 Ellen St |
$25.19 | 9,263 | 7,659 |
|
Adanma Mbadinuju Okwara
404 S Sutherland Ave |
$63.12 | 9,113 | 7,580 |
|
Connie S Kim
404 S Sutherland Ave |
$60.52 | 8,150 | 7,008 |
|
Chin Ho Pak
1190 W Roosevelt Blvd |
$44.11 | 7,509 | 6,992 |
|
Michelle Marie Kerr
3193 W Highway 74 |
$70.78 | 7,067 | 6,002 |
|
Erin Lee Washburn
1994 Wellness Blvd Ste 110 |
$83.92 | 6,414 | 5,517 |
|
Dakeya D Logan
3193 W Highway 74 |
$80.70 | 6,402 | 5,555 |
|
Cyril Gerbett Varlack
613 E Roosevelt Blvd |
$55.09 | 6,399 | 5,291 |
|
Awawu Ekinadoese Igbinadolor
701 E Roosevelt Blvd Ste 800A |
$35.96 | 6,108 | 4,141 |
|
Jeffrey Kiser
600 Hospital Dr |
$50.08 | 6,106 | 5,633 |
|
Heather Ann Hapeman
3193 W Highway 74 |
$57.70 | 5,914 | 4,458 |
|
Antoine Jermel Carey
613 E Roosevelt Blvd |
$58.41 | 5,859 | 4,811 |
|
Philip Antoninus D'Avilar
613 E Roosevelt Blvd |
$63.39 | 5,176 | 4,491 |
|
Lori Michelle Yanchik
1994 Wellness Blvd |
$74.98 | 4,898 | 4,301 |
|
Ross Adam Udoff
1632 E Roosevelt Blvd |
$60.98 | 4,397 | 3,868 |
|
Richard Arriviello
3007 Wesley Chapel Stouts Rd Ste B |
$60.67 | 4,394 | 3,133 |
|
Devendra C. Shah
1190 W Roosevelt Blvd |
$64.57 | 4,158 | 3,273 |
|
Adam Dean Mickey
2242 W Roosevelt Blvd Ste A |
$65.59 | 3,724 | 3,063 |
|
Christopher John Vieau
1106 Reynolds St |
$61.25 | 3,701 | 3,217 |
|
Karen Greene
1107 Reynolds St |
$51.60 | 3,675 | 2,803 |
|
Valencia Tellis-Odom
1106 Reynolds St |
$60.05 | 3,546 | 3,120 |
|
Rachel Nichole Eves
3173 W Highway 74 |
$56.09 | 3,413 | 3,054 |
|
Lynn Joanne Hernandez
1224 W Roosevelt Blvd |
$60.92 | 3,331 | 2,811 |
|
Laura Taylor Pridemore
1994 Wellness Blvd Ste 110 |
$73.92 | 3,328 | 2,982 |
|
Mallory Nicole Neff
613 E Roosevelt Blvd |
$77.56 | 3,191 | 2,745 |
|
Elizabeth Landru Sherrill
1423 E Franklin St |
$49.95 | 3,178 | 2,654 |
|
Brittany Amber Jackson
404 S Sutherland Ave |
$50.83 | 3,163 | 2,562 |
|
Michelle Lynette Foster
1995 Wellness Blvd Ste 110&210 |
$47.56 | 3,121 | 2,818 |
|
Jennifer Ann Haines
613 E Roosevelt Blvd |
$61.05 | 3,099 | 2,783 |
|
Tanu Shree Chandra
1550 Faulk St |
$54.45 | 3,089 | 2,556 |
|
Matthew Don Gillihan
1107 Reynolds St |
$91.12 | 3,079 | 2,957 |
|
Deborah Queen
1994 Wellness Blvd |
$78.15 | 3,021 | 2,500 |
|
Dawn Marie Coulthurst Mason
1190 W Roosevelt Blvd |
$73.23 | 2,981 | 2,638 |
|
Hope Elizabeth Molinelli
1643 Campus Park Dr Ste C |
$71.45 | 2,949 | 2,480 |
|
Kaitlyn Anne Schmid
600 Hospital Dr |
$59.19 | 2,910 | 2,075 |
|
Shanila Patel Fields
404 S Sutherland Ave |
$49.56 | 2,894 | 2,449 |
|
Adam W Fosnaugh
808 Circle Dr |
$49.92 | 2,691 | 2,151 |
|
Ronald Dean Butler
1550 Faulk St |
$34.75 | 2,682 | 2,008 |
|
Stephen Stephenson
1663 Campus Park Dr |
$36.85 | 2,589 | 1,795 |
|
Gregory Michael Brouse
1550 Faulk St |
$32.18 | 2,587 | 1,815 |
|
Jennifer P Deese
1994 Wellness Blvd |
$73.72 | 2,520 | 2,377 |
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 Monroe, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Monroe, NC is $61.13 per claim, based on 453,263 claims from 212 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 Monroe, NC?
There are 212 Medicaid providers offering Office Visit related services in Monroe, NC according to public payment data.
What is the price range for Office Visit in Monroe, NC?
Medicaid reimbursement for Office Visit in Monroe, NC ranges from $0.00 to $99.37 per claim, with an average of $61.13. 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 Monroe, NC
Personal Care Services
Avg $112.87
687,096 claims
Substance Abuse Treatment
Avg $116.93
221,774 claims
Dental Cleaning & Exam
Avg $30.11
221,490 claims
Blood Work & Lab Tests
Avg $15.70
197,366 claims
Speech Therapy
Avg $45.93
165,750 claims
Vaccines & Immunizations
Avg $14.88
146,257 claims
Physical Therapy
Avg $71.14
122,404 claims
Emergency Room Visit
Avg $86.44
120,795 claims