Average Medicaid Office Visit Payments in Pinehurst, NC: $43.51
Avg. Paid
$43.51
Range
$0.00 – $454.95
Total Claims
311,769
Providers
256
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 Pinehurst, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amy Marie Bell
285 Olmsted Blvd |
$53.16 | 15,713 | 11,355 |
|
Shalandria Tavise Knight
165 Turnberry Way |
$40.89 | 12,844 | 9,973 |
|
David Manning
285 Olmsted Blvd Ste 1 |
$52.82 | 12,570 | 9,667 |
|
Jessica T Bustos
285 Olmsted Blvd |
$48.10 | 10,037 | 6,853 |
|
Sugaree Ganzman
2 Apawamis Pl |
$61.39 | 9,717 | 7,615 |
|
Scott Erik Olson
5 Firstvillage Drive |
$46.61 | 7,227 | 5,473 |
|
Tracy Overton Pritchard
35 Memorial Dr |
$40.66 | 7,080 | 6,238 |
|
Andrea Lynn Burns
285 Olmsted Blvd Ste 1 |
$21.78 | 7,021 | 4,822 |
|
James Edwin Rice
4 Braemar Court |
$36.24 | 6,680 | 5,780 |
|
Lisa Oxendine
285 Olmsted Blvd Ste 1 |
$55.04 | 6,575 | 4,405 |
|
Francis Charles Corrigan
285 Olmsted Blvd. |
$47.44 | 5,870 | 4,020 |
|
Philip S Perrotta
6 Regional Dr |
$30.27 | 5,674 | 3,630 |
|
Kevin Thomas Slater
5 First Village Drive |
$33.11 | 5,623 | 3,868 |
|
Robert Lee Thomas
35 Memorial Dr |
$18.52 | 5,462 | 4,647 |
|
Kondie Lee Lykins
35 Memorial Dr |
$45.21 | 5,446 | 4,686 |
|
Kurt Patrick Wohlrab
5 First Village Dr |
$27.90 | 5,085 | 3,661 |
|
Cecelia Marie Glaubitz
165 Turnberry Way |
$39.59 | 4,839 | 3,636 |
|
Matthew Ryan Grafenberg
5 Firstvillage Drive |
$51.36 | 4,631 | 3,835 |
|
Steven Brian Collins
35 Memorial Dr |
$20.77 | 4,316 | 3,558 |
|
Carl W Berk
5 Firstvillage Drive |
$60.39 | 4,126 | 3,648 |
|
Neil A Conti
5 First Village Drive |
$22.89 | 3,901 | 2,971 |
|
Diane Krane Laber
14 Regional Dr |
$103.98 | 3,772 | 3,289 |
|
Mark Earl Brenner
5 Firstvillage Drive |
$26.25 | 3,497 | 2,744 |
|
William Vereen Terry
5 Firstvillage Drive |
$55.21 | 3,471 | 2,578 |
|
Emily Michelle Jordan
15 Regional Dr |
$29.00 | 3,282 | 2,799 |
|
Matthew T Manzo
10 Aviemore Drive |
$45.92 | 3,258 | 2,776 |
|
Wyman Thomas Mcguirt
5 First Village Drive |
$51.56 | 3,091 | 2,480 |
|
Amy Marie Scribben
35 Memorial Dr |
$55.49 | 3,005 | 2,085 |
|
Kristin A Blatz
5 First Village Drive |
$50.87 | 2,991 | 2,398 |
|
Waldemar L Riefkohl
5 First Village Dr |
$70.41 | 2,744 | 2,290 |
|
Amanda Jean Fraser
14 Regional Dr |
$69.58 | 2,666 | 2,270 |
|
Ashraf Kobeissi
150 Ivey Ln Ste A |
$54.00 | 2,549 | 2,215 |
|
Stephen Anthony Szabo
5 Firstvillage Drive |
$48.32 | 2,537 | 2,009 |
|
Robert A Fleury
289 Olmsted Blvd |
$81.43 | 2,517 | 1,997 |
|
Michael A Williamson
15 Regional Dr |
$51.24 | 2,450 | 2,036 |
|
Ryan Britton Nance
5 First Village Dr |
$54.48 | 2,353 | 1,850 |
|
Olin Mckay Fox
289 Olmsted Blvd |
$52.00 | 2,339 | 1,692 |
|
Janine B Hepler
8 Regional Cir |
$48.91 | 2,268 | 1,979 |
|
Carolyn Green Kellaway
5 Firstvillage Drive |
$26.15 | 2,140 | 1,864 |
|
David E Strom
5 Firstvillage Drive |
$30.61 | 2,071 | 1,617 |
|
Brianne Hendrick Evans
293 Olmstead Blve |
$42.12 | 2,068 | 1,669 |
|
Daniel Mark Williams
5 First Village Dr |
$24.90 | 2,055 | 1,753 |
|
Amy E Gonzales
10 Page Dr |
$33.55 | 2,011 | 1,569 |
|
Jens Kersten Palmer
293 Olmsted Blvd |
$20.44 | 1,927 | 1,603 |
|
Lauren Alexa Williams
35 Memorial Dr |
$31.55 | 1,843 | 1,608 |
|
Daniel Ray Barnes
35 Memorial Dr |
$17.94 | 1,809 | 1,356 |
|
Matthew David Cuthrell
5 Firstvillage Drive |
$41.86 | 1,807 | 1,272 |
|
Robert D Snyder
1 Page Rd |
$13.92 | 1,771 | 1,300 |
|
Misty L Sinclair
1 Page Rd |
$15.63 | 1,762 | 1,255 |
|
Peter Joseph Kauffman
205 Page Rd |
$28.61 | 1,725 | 1,491 |
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 Pinehurst, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pinehurst, NC is $43.51 per claim, based on 311,769 claims from 256 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 Pinehurst, NC?
There are 256 Medicaid providers offering Office Visit related services in Pinehurst, NC according to public payment data.
What is the price range for Office Visit in Pinehurst, NC?
Medicaid reimbursement for Office Visit in Pinehurst, NC ranges from $0.00 to $454.95 per claim, with an average of $43.51. 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 Pinehurst, NC
Blood Work & Lab Tests
Avg $11.86
397,455 claims
Substance Abuse Treatment
Avg $23.95
305,476 claims
Emergency Room Visit
Avg $63.27
305,300 claims
Case Management Services
Avg $57.69
202,094 claims
X-Ray
Avg $23.62
122,786 claims
Ambulance Transport
Avg $27.07
111,530 claims
Urinalysis & Urine Tests
Avg $4.42
106,592 claims
EKG / ECG (Electrocardiogram)
Avg $8.22
83,965 claims