Based on public Medicaid payment data.

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
Michael Alan Millard 205 Page Rd	$40.55	12	12
John Harold Chadwick 15 Regional Dr	$12.24	12	12
Wesley C Greene 155 Memorial Dr	$2.57	12	12
Nathan Knapp 5 First Village Dr	$110.60	13	13
Edward William Hoehn-Saric 293 Olmsted Blvd Ste 7	$15.99	13	12
Heidi Swygard 155 Memorial Dr	$36.35	13	12
Eric Raymond Frizzell 15 Regional Drive	$36.20	15	13
Pallavi Sindhu 155 Memorial Dr	$19.30	15	12
Brandon Martin Williams 205 Page Rd	$36.28	15	14
Glen David Subin 25 Mccaskill Rd W	$27.87	15	12
Katie Swan Hickey 15 Regional Dr	$47.39	15	14
Matthew Scarlotta 205 Page Rd	$73.74	16	14
Olufunsho Adamolekun 5 Firstvillage Drive	$1.78	16	14
Bobby R Maynor 15 Regional Dr	$14.96	16	13
Matthew Chute Kuhn 7 Regional Cir	$58.88	16	14
Stephen Lombardi 205 Page Rd	$34.41	16	14
Skyler W Rogers 205 Page Rd	$23.11	16	14
Joseph F Hakas 205 Page Rd	$13.99	17	16
William Lawrence Harris 7 Regional Cir	$32.17	17	12
Jennifer Kate Stoddard 293 Olmsted Blvd	$52.32	17	12
Michelle Jennifer Moore 5 Firstvillage Drive	$20.14	17	13
Janet S Kozel 35 Memorial Dr	$13.52	19	14
Peter A Tucich 108 Sakonnet Trl	$24.93	20	13
John W Jameson 10 Aviemore Dr	$8.69	22	13
Douglas E Lam 10 Aviemore Dr	$25.75	24	12
Bailey Sanders 5 First Village Dr	$21.83	27	24
Julie Meredith Thomas 15 Regional Dr	$44.14	28	25
Laura Hanson 220 Page Road	$56.40	28	27
Patrick John Feron 10 Aviemore Dr	$32.86	29	27
Sun Moon Kim 155 Memorial Dr	$57.70	29	26
Adam Richard Belanger 205 Page Rd	$50.28	29	24
Greg M Blakely 15 Regional Dr	$28.58	31	28
Joseph Watts 7 Regional Cir	$34.01	31	26
Stephanie M Garner 205 Page Rd	$13.78	31	26
James Vincent Winkley 155 Memorial Dr	$6.40	31	30
Alexandra Jade Chenault 15 Regional Dr	$60.10	32	29
Holly Mcguirk 205 Page Rd	$34.12	32	26
Reynold Carter Grine 185 Page Road	$43.71	33	15
Gary Edward Means 5 First Village Dr	$49.32	34	27
Jonathan Christopher Kearns 120 Applecross Rd	$89.61	34	33
Tiffany Earle Bonnecaze 205 Page Rd	$35.17	35	30
Samuel Allen Heathcote 5 First Village Dr	$51.74	35	26
Patrick J Simpson 205 Page Rd	$6.16	36	35
John Thomas Verrilli 155 Memorial Drive	$41.64	38	38
Rachana Adhikari 7 Regional Cir	$30.13	39	39
Abigail R Peterson 15 Regional Dr	$26.37	41	39
Laura Rae Kauffman 205 Page Rd	$15.21	42	36
Laura Jean Kaufman 15 Regional Dr	$29.62	44	38
Eduvigis Carrera 69 Greyabbey Dr	$26.24	46	43
Lourdes Castano 145 Applecross Rd	$44.84	53	43

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.

Average Medicaid Office Visit Payments in Pinehurst, NC: $43.51

Providers Offering Office Visit in Pinehurst, NC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Pinehurst, NC

Blood Work & Lab Tests

Substance Abuse Treatment

Emergency Room Visit

Case Management Services

X-Ray

Ambulance Transport

Urinalysis & Urine Tests

EKG / ECG (Electrocardiogram)