Average Medicaid Office Visit Payments in Pineville, NC: $24.87
Avg. Paid
$24.87
Range
$0.00 – $99.66
Total Claims
9,947
Providers
21
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 Pineville, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Greta Eve Grant
9101 Pineville Matthews Rd Ste D |
$35.81 | 15 | 13 |
|
Tony James Connot
9101 Pineville Matthews Rd Ste D |
$69.23 | 15 | 13 |
|
John Phillip Ternes
9101 Pineville Matthews Rd Ste D |
$28.99 | 21 | 13 |
|
Alexandra Pietraszkiewicz
10405 Centrum Pkwy |
$43.17 | 29 | 28 |
|
Zena Al-Abed
11025 Carolina Place Pkwy |
$13.85 | 30 | 12 |
|
Divia L. Smith
11611 Stockdale Ct |
$2.28 | 35 | 32 |
|
Simone Antoinette Gordon
9101 Pineville Matthews Rd # C4 |
$44.12 | 51 | 43 |
|
Kati Berlin Kendrick
11940 Carolina Place Pkwy |
$0.00 | 71 | 39 |
|
Waseem Ghannam
9101 Pineville Matthews Rd Ste R |
$99.66 | 77 | 73 |
|
Lee Angelo Wiley
10405 Centrum Pkwy |
$37.63 | 80 | 58 |
|
Paul Richard Weaver
9101 Pineville Matthews Rd Ste D |
$33.85 | 83 | 78 |
|
Jaleesa Mariah Oset
9101 Pineville Matthews Rd Ste C4 |
$66.36 | 190 | 160 |
|
David Norris Dupuy
9101 Pineville Matthews Rd Ste D |
$77.23 | 362 | 344 |
|
Carlton Jeffrey Rausch
5216 Limous Ln |
$47.74 | 411 | 388 |
|
Scott Harvey
11940 Carolina Place Pkwy Ste 200 |
$1.47 | 416 | 215 |
|
Omolara Layeni
9101 Pineville Matthews Rd Ste C4 |
$53.58 | 545 | 375 |
|
Samantha Lynn Develli
11940 Carolina Place Pkwy |
$0.56 | 840 | 289 |
|
Payal Khanna
Mindpath Health |
$0.00 | 976 | 615 |
|
Mallory Barkes
11940 Carolina Place Pkwy Ste 200 |
$0.60 | 1,295 | 544 |
|
Taylor Nicole Price
11940 Carolina Place Pkwy Ste 201 |
$62.41 | 2,181 | 1,633 |
|
Jessica B Turchin
11940 Carolina Place Pkwy Ste 200 |
$0.17 | 2,224 | 899 |
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 Pineville, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pineville, NC is $24.87 per claim, based on 9,947 claims from 21 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 Pineville, NC?
There are 21 Medicaid providers offering Office Visit related services in Pineville, NC according to public payment data.
What is the price range for Office Visit in Pineville, NC?
Medicaid reimbursement for Office Visit in Pineville, NC ranges from $0.00 to $99.66 per claim, with an average of $24.87. 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 Pineville, NC
Physical Therapy
Avg $75.76
28,279 claims
Speech Therapy
Avg $61.36
14,351 claims
Tooth Extraction
Avg $145.19
7,868 claims
Nursing Facility Care
Avg $23.09
6,071 claims
Dental Cleaning & Exam
Avg $35.15
3,190 claims
Psychiatric Evaluation
Avg $95.50
648 claims
Home Health Visit
Avg $57.90
645 claims
Blood Work & Lab Tests
Avg $0.23
508 claims