Average Medicaid Office Visit Payments in New Bern, NC: $53.40
Avg. Paid
$53.40
Range
$0.00 – $129.22
Total Claims
456,547
Providers
265
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 New Bern, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jared Matthew Laino
507 Pollock St Ste 2 |
$52.78 | 17,400 | 13,176 |
|
Charles Marston Crawford
703 Newman Rd |
$69.15 | 14,768 | 12,477 |
|
David Thomas Tayloe
703 Newman Rd |
$71.38 | 14,127 | 11,862 |
|
Rebecca C. H. Riley
2636 Dr Martin Luther King Jr Blvd |
$58.36 | 13,641 | 9,745 |
|
Gregory G. Gunsten
703 Newman Rd |
$68.73 | 12,259 | 10,406 |
|
Jessica Rae Friedlander
2636 Martin Luther King Jr Blvd |
$52.16 | 12,028 | 8,110 |
|
Leeann B Skladan
703 Newman Rd |
$70.73 | 11,785 | 10,187 |
|
Jennie Craig Mangun
2636 Dr Martin Luther King Jr Blvd |
$60.41 | 11,519 | 8,261 |
|
Lisa M Kafer
703 Newman Rd |
$70.06 | 11,147 | 9,673 |
|
Kristi D Gordin
2636 Dr Martin Luther King Jr Blvd |
$60.96 | 10,469 | 7,825 |
|
Marcus Craig Whaley
2636 Dr Martin Luther King Jr Blvd |
$60.20 | 9,694 | 7,297 |
|
Kyla Marie Berrier Beasley
703 Newman Rd |
$59.60 | 9,385 | 7,704 |
|
Jennifer Louise Smith
2636 Dr Martin Luther King Jr Blvd |
$77.67 | 9,384 | 6,623 |
|
Calvin G. Warren
703 Newman Road |
$62.51 | 9,309 | 8,182 |
|
Danielle Heaps
113 Portside Ln |
$68.87 | 8,865 | 7,362 |
|
Michael Creta
2604 Dr Martin Luther King Jr Blvd |
$50.56 | 8,213 | 6,658 |
|
Graham A Barden
703 Newman Road |
$72.65 | 7,696 | 6,803 |
|
Steven Mark Engel
1700 Neuse Blvd |
$81.70 | 7,630 | 5,656 |
|
Christopher Weston Harris
3252 Wellons Blvd |
$41.74 | 6,402 | 4,404 |
|
Hanna Marrett
1304 Commerce Dr |
$48.61 | 6,286 | 5,854 |
|
Melissa Lovette Hollifield
703 Newman Rd |
$54.75 | 6,253 | 5,077 |
|
Brittany Corbin Clemmons
1040 Medical Park Ave |
$68.15 | 6,180 | 5,221 |
|
Chelsea Elizabeth Fowler
703 Newman Rd |
$66.97 | 6,029 | 4,877 |
|
Virginia Hancock
4114 Dr M L King Jr Blvd |
$7.01 | 5,493 | 3,983 |
|
Kelly Renee Grove
703 Newman Rd |
$66.75 | 5,424 | 4,602 |
|
Koehler Waldrop
3252 Wellons Blvd |
$52.09 | 5,184 | 3,772 |
|
Stanton W Ezzell
703 Newman Rd |
$59.10 | 5,170 | 4,351 |
|
Christeanna Winslow Richardson
703 Newman Rd |
$60.90 | 4,393 | 3,493 |
|
Courtney Paul Herring
2111 Neuse Blvd Ste J |
$38.31 | 4,180 | 3,048 |
|
Derek Lloyd Mitchell
3110 Wellons Blvd |
$42.71 | 4,080 | 3,625 |
|
Ryan C Garbalosa
1001 Newman Rd |
$39.07 | 4,013 | 3,796 |
|
Michael Stanley Sullivan
2636 Dr Martin Luther King Jr Blvd |
$64.24 | 4,013 | 2,739 |
|
Samantha R Carlson
2020 Waterscape Way |
$49.76 | 3,841 | 2,879 |
|
Raymond Jordan Bradley
738 Newman Rd |
$48.59 | 3,808 | 2,936 |
|
Jeremy Matthew Belch
801 Mccarthy Blvd |
$35.62 | 3,754 | 3,056 |
|
Tyler K Hagan
612A Mccarthy Blvd |
$30.86 | 3,532 | 2,864 |
|
Colin Mark Evans
2636 Dr Martin Luther King Jr Blvd |
$73.31 | 3,321 | 2,792 |
|
Jennifer M Lipsky
2002 S Glenburnie Rd |
$50.81 | 3,280 | 2,300 |
|
Cierrea Rashonda Roach-Gerald
2000 Neuse Blvd |
$68.32 | 3,179 | 2,952 |
|
Todd Brandon Nelson
941 Newman Rd |
$30.66 | 3,039 | 2,237 |
|
Carolinaeast Medical Center
2000 Neuse Blvd |
$7.27 | 2,813 | 2,433 |
|
Kayla Noel Andrews
2007C Neuse Blvd |
$13.31 | 2,791 | 2,094 |
|
Lisa Gray Poole
2818 Neuse Blvd |
$48.26 | 2,775 | 1,978 |
|
Brent Richard Gill
2604 Dr Martin Luther King Jr Blvd |
$46.89 | 2,744 | 2,229 |
|
Jeanne Marie Damore Vacca
729 3Rd Avenue |
$49.01 | 2,615 | 2,135 |
|
Cathy Paparazo Doty
2805 Village Way |
$59.30 | 2,615 | 2,135 |
|
John M Cho
2000 Neuse Blvd |
$27.49 | 2,593 | 1,801 |
|
Taylor Nichole Woolard
2604 Dr Martin Luther King Jr Blvd |
$35.61 | 2,515 | 1,375 |
|
Barton Stevenson Arthur
738 Newman Rd |
$34.81 | 2,481 | 1,970 |
|
Brian John Battersby
612B Mccarthy Blvd |
$7.70 | 2,412 | 1,503 |
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 New Bern, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in New Bern, NC is $53.40 per claim, based on 456,547 claims from 265 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 New Bern, NC?
There are 265 Medicaid providers offering Office Visit related services in New Bern, NC according to public payment data.
What is the price range for Office Visit in New Bern, NC?
Medicaid reimbursement for Office Visit in New Bern, NC ranges from $0.00 to $129.22 per claim, with an average of $53.40. 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 New Bern, NC
Blood Work & Lab Tests
Avg $5.32
247,966 claims
Personal Care Services
Avg $79.85
218,364 claims
Vaccines & Immunizations
Avg $16.54
188,795 claims
Emergency Room Visit
Avg $104.92
183,032 claims
Substance Abuse Treatment
Avg $64.93
98,296 claims
Dental Cleaning & Exam
Avg $32.67
95,330 claims
Physical Therapy
Avg $62.91
88,269 claims
X-Ray
Avg $11.75
81,204 claims