Average Medicaid Office Visit Payments in Pittsboro, NC: $54.01
Avg. Paid
$54.01
Range
$21.73 – $121.03
Total Claims
27,019
Providers
30
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 Pittsboro, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert John Young
148 Tobacco Rd |
$45.97 | 5,372 | 4,607 |
|
Anna Josephine Welch
51 Mosaic Blvd Ste 100 |
$59.93 | 3,229 | 2,778 |
|
Lindsey Malcolm Miller
51 Mosaic Blvd Ste 100 |
$60.63 | 3,068 | 2,700 |
|
Tansy Jane Olio
100 Roundtree Way |
$54.44 | 2,196 | 1,947 |
|
Lunise Benjamin
51 Mosaic Blvd Ste 100 |
$46.43 | 1,715 | 1,401 |
|
Roger A Diaz
200 E Salisbury St |
$55.96 | 1,702 | 1,102 |
|
Latroshia Maree Palmer
75 Freedom Pkwy Ste C |
$45.91 | 1,042 | 850 |
|
Bryan William Krehnbrink
68 Fayetteville St |
$42.54 | 900 | 736 |
|
Julia Marie Mitchell Sargent
75 Freedom Pkwy Ste C |
$54.29 | 879 | 766 |
|
Brooke Dionne Walker
193 Lowes Dr # 102 |
$121.03 | 792 | 565 |
|
Debra Lynne Davis
398 Durham Bailey Ln |
$62.95 | 775 | 638 |
|
Hannah Dodson
75 Freedom Pkwy Ste C |
$47.09 | 773 | 675 |
|
Mary E Tolle
51 Mosaic Blvd Ste 100 |
$55.32 | 737 | 671 |
|
Ondrea Marie Miller
51 Mosaic Blvd Ste 100 |
$46.42 | 669 | 610 |
|
William Lynnewood Garlick
200 E Salisbury St |
$38.80 | 569 | 390 |
|
Michelle Jones
391 Arthur Alston Rd |
$53.19 | 544 | 493 |
|
Ann M Collins
75 Freedom Pkwy Ste C |
$49.23 | 341 | 293 |
|
Juliann Kury
75 Freedom Pkwy Ste C |
$57.59 | 334 | 324 |
|
Woodward Burgert
75 Freedom Pkwy Ste C |
$46.52 | 236 | 197 |
|
Dina B Eisinger
1006 Fearrington Post |
$25.53 | 224 | 191 |
|
John D Corey
75 Freedom Pkwy Ste C |
$42.44 | 221 | 192 |
|
Natalie Lena Allen
893 East St |
$59.25 | 206 | 184 |
|
Bailey Coy Allen
893 East St |
$66.49 | 134 | 123 |
|
James B Holt
75 Old Graham Rd |
$21.73 | 115 | 67 |
|
Amy Primorac
75 Freedom Pkwy Ste C |
$48.35 | 56 | 52 |
|
Joseph Louis Colosimo
75 Freedom Pkwy Ste C |
$75.42 | 50 | 42 |
|
Joe D Haines
75 Freedom Pkwy Ste C |
$54.41 | 47 | 40 |
|
Jillian Elizabeth Sylvester
75 Freedom Pkwy Ste D |
$54.39 | 32 | 31 |
|
Claire Marie Repine
200 E Salisbury St |
$64.25 | 31 | 26 |
|
Krista Civiletti
75 Freedom Pkwy Ste C |
$69.71 | 30 | 26 |
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 Pittsboro, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pittsboro, NC is $54.01 per claim, based on 27,019 claims from 30 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 Pittsboro, NC?
There are 30 Medicaid providers offering Office Visit related services in Pittsboro, NC according to public payment data.
What is the price range for Office Visit in Pittsboro, NC?
Medicaid reimbursement for Office Visit in Pittsboro, NC ranges from $21.73 to $121.03 per claim, with an average of $54.01. 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 Pittsboro, NC
Speech Therapy
Avg $60.20
48,768 claims
Personal Care Services
Avg $110.98
27,233 claims
Psychiatric Evaluation
Avg $76.61
20,462 claims
Case Management Services
Avg $93.93
8,768 claims
Dental Cleaning & Exam
Avg $31.52
8,459 claims
Emergency Room Visit
Avg $130.21
8,426 claims
Blood Work & Lab Tests
Avg $23.42
7,893 claims
Behavioral & Mental Health Therapy
Avg $81.80
6,659 claims