Average Medicaid Office Visit Payments in Nags Head, NC: $43.03
Avg. Paid
$43.03
Range
$0.00 – $68.03
Total Claims
21,259
Providers
19
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 Nags Head, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amanda C Austin
2522 S Croatan Hwy |
$51.87 | 14 | 12 |
|
Vern Arthur Metcalf
4810 S Croatan Hwy |
$42.41 | 15 | 15 |
|
Joy Kathryn Macmichael
4923 S Croatan Hwy |
$41.74 | 31 | 27 |
|
Daniel Patrick Dwyer
4810 S Croatan Hwy |
$39.19 | 45 | 39 |
|
Jonelle Ulep Haigh
4810 S Croatan Hwy Ste 100 |
$50.38 | 107 | 95 |
|
Rachel Stanford Johnson
4917 S Croatan Hwy Ste 1A |
$33.67 | 111 | 73 |
|
Thomas Jamel Ferguson
4917 S Croatan Hwy Ste 1A |
$30.58 | 114 | 72 |
|
Mark Stuart Worthen
4917 S Croatan Hwy Ste 1A |
$0.00 | 148 | 144 |
|
Hanna Zahira Molina-Parrilla
4810 S Croatan Hwy |
$40.86 | 176 | 142 |
|
Heather Brown
5002 S Croatan Hwy |
$57.02 | 282 | 259 |
|
Erin Kathryn Devanney
4711 S Croatan Hwy Ste 6B |
$32.73 | 519 | 426 |
|
Phillip Andrew Austin
2522 S Croatan Hwy Ste 1B |
$52.15 | 543 | 481 |
|
Leslie Schmidt Deligio
425 W Health Center Dr |
$33.25 | 1,025 | 673 |
|
Amanda Joyner Williams
4923 S Croatan Hwy |
$46.57 | 1,202 | 985 |
|
John Alberto Sanchez
5002 S Croatan Hwy Ste A |
$50.02 | 1,250 | 998 |
|
Jennifer Daugherty Halloran
100 E Dune St |
$68.03 | 1,466 | 1,308 |
|
Marina Igorevna Turner
5002 S Croatan Hwy Ste B |
$5.83 | 3,817 | 3,085 |
|
Philip A Keller
2808 S Croatan Hwy |
$47.67 | 4,609 | 4,181 |
|
Kerith Christina Elrod
2420 S Croatan Hwy Ste D |
$57.87 | 5,785 | 5,273 |
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 Nags Head, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Nags Head, NC is $43.03 per claim, based on 21,259 claims from 19 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 Nags Head, NC?
There are 19 Medicaid providers offering Office Visit related services in Nags Head, NC according to public payment data.
What is the price range for Office Visit in Nags Head, NC?
Medicaid reimbursement for Office Visit in Nags Head, NC ranges from $0.00 to $68.03 per claim, with an average of $43.03. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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Avg $81.86
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Avg $24.20
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Chicago, IL
Avg $30.31
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Other Procedures in Nags Head, NC
Emergency Room Visit
Avg $94.75
48,747 claims
Dental Cleaning & Exam
Avg $26.28
19,215 claims
Blood Work & Lab Tests
Avg $5.46
18,126 claims
Vaccines & Immunizations
Avg $12.25
12,225 claims
Nursing Facility Care
Avg $13.32
7,778 claims
EKG / ECG (Electrocardiogram)
Avg $12.42
5,886 claims
Psychiatric Evaluation
Avg $70.41
5,565 claims
Urinalysis & Urine Tests
Avg $2.82
3,753 claims