Average Medicaid Office Visit Payments in Pembroke, NC: $46.88
Avg. Paid
$46.88
Range
$15.93 – $77.64
Total Claims
165,890
Providers
31
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 Pembroke, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ginger Nichole Locklear
812 Candy Park Rd |
$58.84 | 30,983 | 24,608 |
|
Millicent Joy Locklear
10461 Hwy 711 |
$53.08 | 17,101 | 13,899 |
|
Helena Smith Emanuel
923 W 3Rd St Ste C |
$37.23 | 12,507 | 8,112 |
|
Tyler Elliott Dial
923 W 3Rd St |
$32.47 | 10,339 | 5,602 |
|
Suzette Renee Oxendine
307 E Wardell Dr |
$58.12 | 9,590 | 8,493 |
|
Ella Olehonna Lynch
773 Old Main Rd |
$52.53 | 8,187 | 6,824 |
|
Kayla Jacobs
812 Candy Park Rd |
$55.57 | 7,819 | 6,299 |
|
Natalie Pierce Locklear
17 Livermore Dr |
$32.77 | 7,498 | 4,835 |
|
Jodella Locklear
17 Livermore Dr |
$32.55 | 7,079 | 4,393 |
|
Utpal K Patel
812 Candy Park Rd Ste 6103 |
$23.99 | 6,950 | 4,525 |
|
Danny L West
102 Livermore Dr |
$36.36 | 6,860 | 5,153 |
|
Katara S Chavis
205 W 3Rd St |
$44.92 | 6,465 | 5,139 |
|
Toni Chagolla Oxendine
923 W 3Rd St |
$40.38 | 5,222 | 3,973 |
|
Kaleena Sampson Cummings
923 W 3Rd St Ste C |
$49.41 | 4,838 | 4,133 |
|
Sean Buckley
923 W 3Rd St |
$50.65 | 3,907 | 3,414 |
|
William Joshua Johnson
812 Candy Park Rd Ste 6101-A |
$63.66 | 3,611 | 2,512 |
|
Denene P. Smith
923 W 3Rd St |
$31.56 | 2,911 | 2,074 |
|
Zena Cummings
2757 Union Chapel Road |
$33.92 | 2,646 | 2,448 |
|
Scot A Hunt
413 Faith Rd |
$52.16 | 2,474 | 2,269 |
|
Jessica Locklear Norris
812 Candy Park Rd |
$52.83 | 2,448 | 2,143 |
|
Leanna Jacobs
812 Candy Park Rd |
$70.31 | 1,177 | 1,146 |
|
Ramanda Ann Hunt
923 W 3Rd St Ste B |
$35.55 | 1,160 | 1,014 |
|
Karen Rose Betz
102 Livermore Dr |
$30.94 | 911 | 748 |
|
Gloria Hunt
412 S Jones St |
$40.65 | 809 | 443 |
|
Naveisha Tanette Thompson
310 E Wardell Dr |
$58.17 | 688 | 654 |
|
Jennifer Carol Pickens
412 S Jones St |
$55.59 | 604 | 546 |
|
Brittany Nichole Gray
86 Three Hunts Dr |
$61.36 | 424 | 393 |
|
Cari Susann Mayers
307 E Wardell Dr |
$56.40 | 415 | 313 |
|
Triva Posey Fridley
923 W 3Rd St Ste C |
$77.64 | 138 | 114 |
|
Brittany Meagan Lowery
17 Livermore Dr |
$38.08 | 91 | 69 |
|
Sandra Kaye Locklear
204 Union Chapel Rd |
$15.93 | 38 | 36 |
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 Pembroke, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pembroke, NC is $46.88 per claim, based on 165,890 claims from 31 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 Pembroke, NC?
There are 31 Medicaid providers offering Office Visit related services in Pembroke, NC according to public payment data.
What is the price range for Office Visit in Pembroke, NC?
Medicaid reimbursement for Office Visit in Pembroke, NC ranges from $15.93 to $77.64 per claim, with an average of $46.88. 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 Pembroke, NC
Personal Care Services
Avg $110.90
343,365 claims
Case Management Services
Avg $127.49
241,990 claims
Psychiatric Evaluation
Avg $68.75
55,336 claims
Vaccines & Immunizations
Avg $14.11
51,445 claims
Dental Cleaning & Exam
Avg $30.42
43,457 claims
Speech Therapy
Avg $62.01
43,039 claims
Behavioral & Mental Health Therapy
Avg $76.45
38,541 claims
Blood Work & Lab Tests
Avg $10.14
25,352 claims