Average Medicaid Office Visit Payments in Plymouth, NC: $54.70
Avg. Paid
$54.70
Range
$22.69 – $86.21
Total Claims
11,879
Providers
12
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 Plymouth, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Arlie Francis
198 Nc Highway 45 N |
$65.26 | 5,728 | 4,893 |
|
Beverly Ann Lewis
983 Us Highway 64 E |
$22.69 | 1,976 | 1,290 |
|
Tiffany Gray Moon
198 Nc Highway 45 N |
$53.42 | 1,507 | 1,334 |
|
Chrystie Lee Smith
958 Us Highway 64 E |
$68.57 | 1,229 | 1,149 |
|
Renea Swain Price
198 Nc Highway 45 N |
$41.12 | 747 | 648 |
|
Anne Elizabeth Charles
198 Nc Highway 45 N |
$49.09 | 395 | 295 |
|
Shawn Marie Zellmer
198 Nc Highway 45 N |
$52.05 | 203 | 139 |
|
Martin Tyrrell Washington District Health Department
198 Nc Highway 45 N |
$63.50 | 25 | 16 |
|
Angelica Formo Keech
198 Hwy 45 North |
$63.02 | 22 | 21 |
|
Centennial Housing & Community Services Corporation
958 Us Highway 64 E |
$38.63 | 19 | 18 |
|
Lois Joyce Roberson
1032 Us Highway 64 E |
$52.72 | 14 | 14 |
|
Martin Tyrrell Washington District Health Department
198 Nc Highway 45 N |
$86.21 | 14 | 13 |
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 Plymouth, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Plymouth, NC is $54.70 per claim, based on 11,879 claims from 12 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 Plymouth, NC?
There are 12 Medicaid providers offering Office Visit related services in Plymouth, NC according to public payment data.
What is the price range for Office Visit in Plymouth, NC?
Medicaid reimbursement for Office Visit in Plymouth, NC ranges from $22.69 to $86.21 per claim, with an average of $54.70. 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 Plymouth, NC
Substance Abuse Treatment
Avg $151.47
64,201 claims
Personal Care Services
Avg $100.91
53,964 claims
Emergency Room Visit
Avg $67.30
16,981 claims
Vaccines & Immunizations
Avg $10.53
11,774 claims
Blood Work & Lab Tests
Avg $2.73
10,214 claims
Ambulance Transport
Avg $54.22
9,894 claims
Case Management Services
Avg $175.39
7,205 claims
Urinalysis & Urine Tests
Avg $4.99
4,218 claims