Average Medicaid Office Visit Payments in Oak Ridge, NC: $73.92
Avg. Paid
$73.92
Range
$34.23 – $83.44
Total Claims
21,436
Providers
10
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 Oak Ridge, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stephen Cameron Kearns
2205 Oak Ridge Rd Ste Bb |
$83.33 | 6,059 | 5,018 |
|
Laurie Penhall Macdonald
2205 Oak Ridge Rd Ste Bb |
$83.44 | 3,919 | 3,322 |
|
Kip Alan Corrington
7607 Nc Highway 68 N Ste B |
$73.71 | 3,902 | 3,209 |
|
Marsha Lewis White
7607 Nc Highway 68 N Ste B |
$66.38 | 2,197 | 1,926 |
|
Lauren Miller Jones
2205 Oak Ridge Rd Ste Bb |
$69.69 | 1,870 | 1,571 |
|
Paige Marie Motsinger
2300 Oak Ridge Rd |
$34.23 | 1,557 | 1,049 |
|
Janice B Daniel
1510 Nc Highway 68 N |
$77.36 | 900 | 751 |
|
Courtney Still Keatts
7607 Nc Highway 68 N Ste B |
$61.48 | 524 | 456 |
|
Quyen Thuy Vo
2300 Oak Ridge Rd |
$69.36 | 395 | 294 |
|
Megan Genevea Bradley
7607 Nc Highway 68 N Ste B |
$56.21 | 113 | 107 |
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 Oak Ridge, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Oak Ridge, NC is $73.92 per claim, based on 21,436 claims from 10 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 Oak Ridge, NC?
There are 10 Medicaid providers offering Office Visit related services in Oak Ridge, NC according to public payment data.
What is the price range for Office Visit in Oak Ridge, NC?
Medicaid reimbursement for Office Visit in Oak Ridge, NC ranges from $34.23 to $83.44 per claim, with an average of $73.92. 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 Oak Ridge, NC
Speech Therapy
Avg $62.16
8,083 claims
Vaccines & Immunizations
Avg $24.18
6,806 claims
CT Scan (Computed Tomography)
Avg $49.81
3,311 claims
X-Ray
Avg $5.71
2,158 claims
Blood Work & Lab Tests
Avg $7.39
1,843 claims
Hearing Test (Audiometry)
Avg $0.36
781 claims
Nursing Facility Care
Avg $2.49
408 claims
Dental Cleaning & Exam
Avg $35.07
274 claims