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
Johanna Hadley Sampson 600 Wade Ave Ste A	$83.41	12	12
Divya Phani Mallampati 4420 Lake Boone Trl	$0.00	12	12
Hannah Lisa Garehan 4207 Lake Boone Trl Ste 210	$40.30	12	12
Alfonza Teel 3100 Duraleigh Rd Ste 100	$26.67	12	12
Jaime Havah Eliana Michaels 13251 Falls Of Neuse Rd Ste 121	$78.03	12	12
Mallory Lake Mccoy 4601 Lake Boone Trl Ste 1B	$70.58	12	12
Rushi Kamlesh Nayak 3700 Barrett Dr Ste 200	$39.05	12	12
Melissa Strickland 2610 New Bern Ave	$55.32	12	12
Adeyemi Adekunle Lawal 3024 New Bern Ave	$25.32	12	12
Victoria Marie Poillucci 1540 Sunday Dr	$44.24	12	12
Michael Chester Comstock 3410 Executive Dr	$46.52	12	12
Sarah Elizabeth Kimberlin 200 Swinburne Street	$47.44	12	12
Robert Louis Wheeler 3009 New Bern Ave	$74.12	12	12
Margaretann B House 2800 Blue Ridge Rd Ste 400	$55.66	12	12
Jeffrey A Kuller 2406 Blue Ridge Rd	$66.60	12	12
Adrian Thomas Russell 13304 Leesville Church Rd	$0.00	12	12
Henry Leroy Cromartie 2901 Blue Ridge Rd Ste 203	$39.63	12	12
Guangbin Xia 3480 Wake Forest Rd Ste 310	$77.73	12	12
Caitlyn Mooneyham Gallagher 3480 Wake Forest Rd Ste 310	$29.72	12	12
Laura Caroline Jones 1401 Mordecai Dr	$24.96	12	12
Audra Helena Bovender 5920 Sandy Forks Rd Unit 200	$86.05	12	12
Syndee Givre 1520 Sunday Dr	$73.18	12	12
Daniel Noel Taylor 3000 New Bern Ave	$75.66	13	12
Kelly Karell Allen 3000 New Bern Ave	$38.87	13	13
Yelvertons Enrichment Services Inc 4805 Green Rd Ste 103	$0.00	13	13
Toni Michelle Czito 2930 Forestville Rd	$39.49	13	12
Leigh Wall 4325 Lake Boone Trl Ste 315	$34.45	13	12
Michael Holland 603 New Bern Ave	$81.82	13	13
Joel Pieper 3000 New Bern Ave	$80.38	13	13
Rajat R Fofaria 3000 New Bern Ave	$47.02	13	12
Brendan Goldup 11221 Galleria Ave Ste 101	$19.63	13	13
Georgina Danielle Doumit Ishak 815 Springfield Commons Dr	$67.66	13	12
Jeffrey A Huang 2605 Blue Ridge Rd Ste 300	$41.26	13	12
Christopher Daniel Young 2800 Blue Ridge Rd Ste 300	$38.77	13	12
Stephen R Tibbels 10010 Falls Of Neuse Rd	$51.99	13	12
Karyn Earle Barringer 3024 New Bern Ave	$45.51	13	13
Rhett Kendall Hallows 7850 Brier Creek Pkwy Ste 200	$41.38	14	13
Andrew William Buzan 3000 New Bern Ave	$19.81	14	12
Paul Tarangelo 5838 Six Forks Rd Ste 100	$29.00	14	12
Kelly Ann Ozbolt 3001 Edwards Mill Rd Ste 200	$68.83	14	12
Micheline Lataliza Epstein 4600 Lake Boone Trl Ste 200	$24.06	14	14
James Stewart Carr 10931 Raven Ridge Rd #113	$80.98	14	14
Janet R Dickmander 117 Sunnybrook Rd	$39.70	14	13
Sarah Anne Ralston 4420 Lake Boone Trl	$144.32	14	14
Dorine H Martin 727 W Hargett St Ste 103	$58.35	14	13
Darrin Robert Hursey 3024 New Bern Avenue	$49.89	14	12
Tracey Boykin Phillips 1520 Sunday Dr	$49.96	14	13
Matthew Stedman White 3000 New Bern Ave	$30.08	14	12
Netasha S Mclawhorn 3024 New Bern Ave	$52.19	14	12
Jyothi Chowdary Nannapaneni 4414 Lake Boone Trl Ste 308	$78.14	14	12

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