Average Medicaid Office Visit Payments in Newton, NC: $61.47
Avg. Paid
$61.47
Range
$6.59 – $333.30
Total Claims
40,819
Providers
26
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 Newton, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shital S Patel
105 S Main Ave Ste B |
$58.53 | 5,013 | 4,325 |
|
Tonya Penland Manus
767 W 1St St |
$67.45 | 4,343 | 3,792 |
|
David Eric Peltzer
767 W 1St St |
$56.70 | 3,269 | 2,769 |
|
Shannon H. Sherfey
767 W 1St St |
$58.93 | 3,248 | 2,817 |
|
John Obinna Uche
1915 Fairgrove Church Rd |
$21.26 | 2,996 | 2,039 |
|
Dana Marie F Moretz
767 W 1St St |
$51.14 | 2,790 | 2,339 |
|
Ying Vang
767 W 1St St |
$58.12 | 2,767 | 2,368 |
|
Bartholomew Joseph Lopina
767 W 1St St |
$56.42 | 2,732 | 2,362 |
|
Alan Wade Story
767 W 1St St |
$57.87 | 2,697 | 2,331 |
|
Kelsey Yancey Kaylor
3975 Robinson Rd |
$41.24 | 2,441 | 2,026 |
|
Crystal Dawn Mosteller Hopson
767 W 1St St |
$51.00 | 1,752 | 1,392 |
|
Katherine Layne Laney
767 W 1St St |
$52.41 | 1,101 | 900 |
|
Jessica Story Brumley
767 W 1St St |
$50.61 | 1,092 | 863 |
|
Thomas Craig Harris
3975 Robinson Rd |
$333.30 | 1,042 | 790 |
|
Raymond Henry Osterer
2180 Northwest Blvd |
$55.09 | 794 | 679 |
|
Bill Jack Parker
3121 Plateau Rd |
$59.02 | 790 | 579 |
|
Hayley Bowman
3975 Robinson Rd |
$91.88 | 449 | 343 |
|
Janet Greer
2564 Highway 321S |
$48.64 | 433 | 345 |
|
Laura Brooke Lawrence Hata
3975 Robinson Rd |
$56.88 | 335 | 306 |
|
Angela Nichole Regalado
3975 Robinson Rd |
$77.26 | 319 | 307 |
|
Alan Gray Forshey
767 W 1St St |
$54.75 | 185 | 177 |
|
Gerri Fisher Morrison
105B N Main Ave |
$80.20 | 69 | 68 |
|
Patricia Cole Bortnick
3975 Robinson Rd |
$58.52 | 64 | 62 |
|
Leah Bost Leska
3975 Robinson Rd |
$20.48 | 40 | 38 |
|
Brittany Nicole Huggins
3975 Robinson Rd |
$45.34 | 33 | 29 |
|
Angela Featherston Rutherford
3975 Robinson Rd |
$6.59 | 25 | 14 |
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 Newton, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Newton, NC is $61.47 per claim, based on 40,819 claims from 26 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 Newton, NC?
There are 26 Medicaid providers offering Office Visit related services in Newton, NC according to public payment data.
What is the price range for Office Visit in Newton, NC?
Medicaid reimbursement for Office Visit in Newton, NC ranges from $6.59 to $333.30 per claim, with an average of $61.47. 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 Newton, NC
Speech Therapy
Avg $47.70
199,084 claims
Physical Therapy
Avg $59.44
70,379 claims
Ambulance Transport
Avg $87.04
38,776 claims
Behavioral & Mental Health Therapy
Avg $189.25
32,860 claims
Dental Cleaning & Exam
Avg $28.54
25,263 claims
Psychiatric Evaluation
Avg $14.79
24,436 claims
Nursing Facility Care
Avg $13.17
13,836 claims
Vaccines & Immunizations
Avg $15.40
9,231 claims