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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
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

Other Procedures in Pinehurst, NC