Average Medicaid Office Visit Payments in Morganton, NC: $50.60
Avg. Paid
$50.60
Range
$0.00 – $158.22
Total Claims
355,198
Providers
159
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 Morganton, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Debra Wulfhorst Byrd
145 W Parker Rd |
$141.83 | 12 | 12 |
|
Eddie Ray Taylor
2201 S Sterling St |
$88.73 | 12 | 12 |
|
Michael S Stutesman
607 E Parker Rd |
$40.97 | 13 | 13 |
|
Shivashanker Balasingham
2201 S Sterling St |
$65.97 | 14 | 14 |
|
Liel Jenny Erdedi
695 W Fleming Dr |
$54.50 | 14 | 14 |
|
Mark S Brazinski
503 E Parker Rd |
$36.39 | 17 | 12 |
|
Philene Michelle Krogel
2209 S Sterling St Ste 400 |
$53.05 | 17 | 13 |
|
Anna Edhegard
109 E Fleming Dr Ste 106 |
$70.60 | 17 | 13 |
|
James F Davidson
2209 S Sterling St Ste 600 |
$5.91 | 19 | 13 |
|
Mohammad Ali Esmaeil Pour
2201 S Sterling St |
$0.00 | 19 | 15 |
|
Aspire Psychiatry
107A Mica Ave |
$104.49 | 19 | 19 |
|
Regina Lee Whisnant Roper
126 Fiddlers Run Blvd |
$46.83 | 20 | 18 |
|
Zachary Allen Lindsey
335 E Parker Rd |
$82.86 | 29 | 29 |
|
Joshua Lee Blanton
335 E Parker Rd |
$33.85 | 31 | 25 |
|
Rhonda Annette Mcneely
2209 S Sterling St |
$39.15 | 32 | 29 |
|
Ryan Vern Miller
2209 S Sterling St Ste 530 |
$44.83 | 36 | 36 |
|
Lauren Sylvia Sparks
302 Pitts Street |
$17.60 | 37 | 31 |
|
Sidney Dupree
695 W Fleming Dr |
$46.09 | 45 | 45 |
|
Amy Hemstreet Evans
2209 S Sterling St Ste 400 |
$54.23 | 49 | 38 |
|
William Harold Walton
335 E Parker Rd |
$24.02 | 50 | 37 |
|
Ralph M. Daher
352 E Parker Rd Ste B |
$28.16 | 50 | 50 |
|
Kim D Edhegard
109 E Fleming Dr Ste 106 |
$52.04 | 60 | 52 |
|
Brandy Katrina Baker Torrence
107 Mica Ave # A |
$77.20 | 64 | 55 |
|
Nathaniel Ryan Krogel
2209 S Sterling St |
$87.17 | 66 | 57 |
|
Timothy Derrayle Withers
2201 S Sterling St |
$38.57 | 66 | 58 |
|
Donald Joseph Costic
350 E Parker Rd |
$33.99 | 81 | 78 |
|
Sara Minai Movaghar
111 Foothills Dr Ste B |
$37.86 | 86 | 83 |
|
Lisa Michelle Patton
1000 S Sterling St |
$58.96 | 91 | 82 |
|
David S Abernathy
607 E Parker Rd |
$46.87 | 93 | 88 |
|
Sharon Alene Welborn
619 W Union St |
$51.57 | 108 | 62 |
|
Suneel Mohammed
2209 S Sterling St Ste 200 |
$85.83 | 110 | 103 |
|
Elizabeth Browning
408 S Green St |
$158.22 | 121 | 102 |
|
Rachel Lowman Goossens
301 E Meeting St |
$2.21 | 123 | 109 |
|
Sosan Jaffar Alzibair Abdullah
352 E Parker Rd Ste B |
$40.41 | 130 | 126 |
|
Laurie Cox Robinson
103 Medical Heights Dr |
$48.32 | 141 | 118 |
|
Masood Mohiuddin
1000 S Sterling St |
$43.10 | 150 | 115 |
|
Mark Warren Mcmanus
6336 Us Highway 64 |
$52.19 | 157 | 117 |
|
Osborne Rainer Macguire
695 W Fleming Dr |
$37.40 | 162 | 124 |
|
Fernando A. De La Serna
2209 S Sterling St Ste 530 |
$40.63 | 164 | 149 |
|
Timothy J Nolan
301 E Meeting St Ste 101 |
$35.86 | 170 | 146 |
|
Indira R. Yoder
150 S Sterling St Ste 218B |
$68.07 | 195 | 172 |
|
David William Kirk
2209 S Sterling St |
$27.97 | 200 | 137 |
|
Rahul Sampath
111 Foothills Dr Ste B |
$48.83 | 204 | 185 |
|
Kenneth Robert Bonfield
335 E Parker Rd |
$27.93 | 207 | 156 |
|
Janice Sellars Macopson
2209 S Sterling St Ste 530 |
$40.93 | 259 | 241 |
|
Katherine Mclaren
301 Linville St |
$60.90 | 262 | 229 |
|
Jonathan Wade
335 E Parker Rd |
$43.25 | 308 | 244 |
|
Taylor Tysinger
103 N Green St |
$49.03 | 324 | 216 |
|
Erin Christine Breiner
2201 S Sterling St |
$34.06 | 331 | 298 |
|
Nicole Marie Moore
103 Medical Heights Dr |
$45.01 | 348 | 284 |
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 Morganton, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Morganton, NC is $50.60 per claim, based on 355,198 claims from 159 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 Morganton, NC?
There are 159 Medicaid providers offering Office Visit related services in Morganton, NC according to public payment data.
What is the price range for Office Visit in Morganton, NC?
Medicaid reimbursement for Office Visit in Morganton, NC ranges from $0.00 to $158.22 per claim, with an average of $50.60. 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 Morganton, NC
Speech Therapy
Avg $48.35
171,584 claims
Physical Therapy
Avg $69.56
143,526 claims
Dental Cleaning & Exam
Avg $29.87
119,487 claims
Vaccines & Immunizations
Avg $14.04
112,415 claims
Personal Care Services
Avg $110.06
105,475 claims
Case Management Services
Avg $77.11
104,763 claims
Psychiatric Evaluation
Avg $71.97
90,990 claims
Blood Work & Lab Tests
Avg $16.06
60,017 claims