Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Raleigh, NC: $59.24

Avg. Paid

$59.24

Range

$0.00 – $324.90

Total Claims

1,603,097

Providers

1,360

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 Raleigh, NC

Provider	Avg. Paid	Claims	Patients
Chawki A. Lahoud 4505 Fair Meadows Ln Ste 101	$58.91	24,374	17,981
Connie Fairley Hicks 3801 Lake Boone Trl	$75.48	20,698	12,859
Michael Sean Stephens 11200 Governor Manly Way Ste 309	$29.32	18,721	13,376
Chinenye Uchendu 123 Sunnybrook Road, Suite 140	$89.97	17,741	5,996
Eric Quentin Mizelle 3737 Glenwood Ave	$99.80	15,741	13,160
Elizabeth Bradley Cleland-Roberts 3024 New Bern Ave	$40.66	13,671	12,844
India F. Reid 4009 Barrett Dr Ste 100	$62.03	13,627	8,619
Myleme Ojina Harrison 8360 Six Forks Rd	$41.62	13,311	10,800
Selam Bullock 23 Sunnybrook Rd	$59.26	12,878	10,751
Susan Mary Kirwan 7205 Stonehenge Dr	$16.49	11,961	7,867
Carissa Marie Kicinski 4009 Barrett Dr Ste 100	$70.39	11,488	8,686
Kamini Patel 701 Exposition Pl Ste 202	$72.79	11,225	8,290
Kathleen Flynn 4551 New Bern Ave Ste 160	$84.25	10,975	10,222
Marie Cervellero Belanger 3064 Wake Forest Rd # 1271	$37.13	10,471	8,738
Rasheeda Taliaferro Monroe 3024 New Bern Ave	$38.02	10,434	9,908
Pamela Golden 7205 Stonehenge Dr	$59.46	10,117	4,921
Spencer E Simon 3000 New Bern Ave	$61.79	10,044	6,856
Sheryl L Leidecker 4109 Wake Forest Rd Ste 300	$69.33	9,697	8,422
Radha Chandana Guddati 2620 New Bern Ave	$82.16	8,851	6,701
Minuteclinic Diagnostic Of North Carolina Pc 2340 Spring Forest Rd	$25.38	8,774	6,070
Carl Lynwood Smith 11550 Common Oaks Dr	$36.95	8,545	7,194
Seung W. Kim 7780 Brier Creek Pkwy	$27.90	8,418	6,874
Lauren Meadows Heilman 4109 Wake Forest Rd Ste 300	$62.65	7,889	6,808
Priyanka Arora 10940 Raven Ridge Rd Ste 200	$61.12	7,702	5,858
Elizabeth Ann Briere 260 Horizon Dr	$97.04	7,666	6,949
Foot And Ankle Specialists Of The Mid-Atlantic, Llc 3801 Wake Forest Rd Ste 100	$15.23	7,580	6,431
Timothy Paul Bukowski 3821 Ed Dr	$74.31	7,570	5,254
Carrie Ann Dow-Smith 3024 New Bern Ave	$42.75	7,550	7,113
Brenna Anne Keane 3801 Computer Dr Ste 200	$65.98	7,470	6,939
Mackenzie Jeanne Davis 8841 Six Forks Rd # 102	$62.24	7,339	6,399
Kunjan Shakya 270 Horizon Dr	$81.75	7,294	6,551
Norman Henthorn 107 W Hargett St	$65.03	7,104	5,725
Kristina Kohuth 421 Fayetteville St Ste 1100	$77.53	7,003	4,804
Traci I Sheaffer 1520 Sunday Dr	$86.08	6,924	6,250
Dana Ann Williams 1321 Oberlin Rd Ste A	$68.90	6,898	5,000
Chelsea H Okane 3000 New Bern Ave	$70.02	6,760	5,908
Cristi M Finch 4109 Wake Forest Rd	$61.79	6,675	5,578
Ceyhun Ozturk 13200 Strickland Rd	$75.09	6,656	5,798
Daniel Bennett Whitesides 107 Sunnybrook Rd Ste 159	$12.41	6,521	4,446
Omobola Denise Gold 7780 Brier Creek Pkwy	$40.21	6,430	5,745
Donald Nelson Gardner 4530 Fayetteville Rd	$47.76	6,408	4,838
Larissa M. Saldana 4551 New Bern Ave	$84.73	6,392	5,879
Ernesto J F Graham 4420 Lake Boone Trl	$39.40	6,249	4,869
Hillary Houghton 10211 Alm St # 210	$79.06	6,208	5,368
James Gray Mcallister 521 E Jones St	$74.42	6,172	5,190
Theresa Mccarthy Flynn 10 Sunnybrook Rd	$62.72	6,022	5,614
Ashley Lynn Biggs-Holland 4009 Barrett Dr	$58.29	5,911	3,713
Marisa Danielle Smith 6026 Six Forks Rd	$104.92	5,908	3,077
John Michael Neidecker 11200 Governor Manly Way Ste 309	$82.91	5,865	4,649
Clifford Roberts Wheeless 11200 Governor Manly Way Ste 309	$23.14	5,800	4,004

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 Raleigh, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Raleigh, NC is $59.24 per claim, based on 1,603,097 claims from 1360 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 Raleigh, NC?

There are 1360 Medicaid providers offering Office Visit related services in Raleigh, NC according to public payment data.

What is the price range for Office Visit in Raleigh, NC?

Medicaid reimbursement for Office Visit in Raleigh, NC ranges from $0.00 to $324.90 per claim, with an average of $59.24. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Raleigh, NC: $59.24

Providers Offering Office Visit in Raleigh, NC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Raleigh, NC

Blood Work & Lab Tests

Emergency Room Visit

Dental Cleaning & Exam

Psychiatric Evaluation

Substance Abuse Treatment

Vaccines & Immunizations

Speech Therapy

X-Ray