Average Medicaid Office Visit Payments in Reidsville, NC: $53.60
Avg. Paid
$53.60
Range
$0.00 – $93.76
Total Claims
124,013
Providers
74
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 Reidsville, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Margaret Bowen
1449 Freeway Dr Ste F |
$90.86 | 16,672 | 7,881 |
|
Richard M Dondiego
829 S Scales St |
$44.36 | 7,055 | 5,282 |
|
Joel Louis Gallagher
2509 Richardson Dr Ste C |
$93.76 | 6,833 | 5,779 |
|
Deborah Rosalie Ross
621 S Main St Ste 200 |
$51.19 | 6,337 | 5,105 |
|
Kofi Adeleke Doonquah
2509 Richardson Dr Ste A |
$40.66 | 6,119 | 4,921 |
|
Jennifer Apple Griffin
520 Maple Ave |
$38.63 | 4,673 | 3,883 |
|
Joseph Anthony Guarino
217 Turner Dr Ste A |
$74.73 | 4,537 | 3,367 |
|
Sreedhar Katragadda
618 S Main St |
$30.08 | 4,188 | 3,103 |
|
Scott Alfred Luking
520 Maple Ave |
$58.21 | 3,942 | 3,495 |
|
William Randall Lay
405 Nc 65 |
$39.40 | 3,726 | 3,297 |
|
Lawrence J Fusco
1818 Richardson Dr |
$40.86 | 3,600 | 2,707 |
|
Jessica Martinez
1560 Freeway Dr |
$44.41 | 3,418 | 2,492 |
|
Tesfaye Demissie Fanta
910 West Harrison Street |
$41.06 | 3,228 | 2,839 |
|
John Zachariah Hall
217 Turner Dr Ste F |
$42.89 | 3,097 | 1,997 |
|
Renee Lynn Adornetto
5150 Us 29 Business |
$46.85 | 2,503 | 1,794 |
|
Reina Hisada
621 S Main St Ste 200 |
$53.57 | 2,357 | 1,700 |
|
Gebreselassie W Nida
1107 S Main St |
$43.59 | 2,261 | 1,883 |
|
John C Golding
1818 Richardson Dr |
$49.55 | 2,249 | 1,623 |
|
Chelsa Boswell
621 S Main St Ste 100 |
$44.97 | 2,205 | 1,674 |
|
John Wayne Keeling
601 S Main St |
$29.57 | 2,151 | 1,597 |
|
Margaret Elizabeth Simpson
621 S Main St |
$26.43 | 2,133 | 1,265 |
|
William Stephen Luking
520 Maple Ave |
$60.81 | 2,016 | 1,856 |
|
Edward Lee Hawkins
406 Piedmont St |
$37.98 | 1,946 | 1,376 |
|
Cesar Nsumanganyi Kalombo
1123 S Main St |
$36.83 | 1,653 | 1,390 |
|
Luther Hayewood Eure
520 Maple Ave |
$38.16 | 1,412 | 1,049 |
|
Jonathan Franklin Branch
618 S Main St |
$35.34 | 1,409 | 1,236 |
|
Stanley Eugene Harrison
601 S Main St |
$33.70 | 1,292 | 1,049 |
|
Rutwik Kiritbhai Patel
621 S Main St |
$53.87 | 1,277 | 1,119 |
|
Stephen Dana Knowlton
601 W Harrison St |
$40.28 | 1,240 | 1,068 |
|
Gloria Zarwolo Bacchus
621 S Main St |
$50.57 | 1,225 | 1,085 |
|
Whitney J Reardon
1107 S Main St |
$39.20 | 1,177 | 907 |
|
Misty Ellen Stills
405 Nc Highway 65 |
$31.78 | 1,153 | 682 |
|
Kimberly Randall Booker
520 Maple Ave |
$42.17 | 964 | 758 |
|
Folashade Ruth Paseda
621 S Main St Ste 100 |
$42.88 | 847 | 751 |
|
Iliana Del Orbe Polanco
621 S Main St Ste 100 |
$31.36 | 815 | 557 |
|
Phillip Everett Dixon
621 S Main St Ste 100 |
$53.06 | 777 | 697 |
|
Alison Marshall
601 W Harrison St |
$29.76 | 744 | 551 |
|
Carolyn Chaney Hoskins
520 Maple Ave Ste B |
$48.85 | 742 | 682 |
|
Samuel Grainger Mcdowell
618 S Main St |
$31.83 | 706 | 638 |
|
Demissie H Solomon
910 W Harrison St |
$34.21 | 657 | 414 |
|
Julienne Annette Summerlin
621 S Main St Ste 100 |
$54.67 | 597 | 570 |
|
Yashika Amin
1427 Freeway Dr |
$73.58 | 588 | 464 |
|
Anna W. Boone
233 Gilmer St |
$44.41 | 577 | 499 |
|
Jojo Kienga Paka
1449 Freeway Dr Ste F |
$75.08 | 522 | 365 |
|
Mark Andrew Cairns
601 S Main St |
$51.44 | 469 | 369 |
|
Margaret Bowen Md Pllc
1449 Freeway Dr Ste F |
$86.36 | 421 | 229 |
|
Frances Hough Cresenzo-Dishmon
520 Maple Ave |
$43.08 | 420 | 360 |
|
Belayenh Befekadu
1352 W Harrison St |
$28.47 | 410 | 344 |
|
Rebekah Pennington
618 S Main St |
$23.06 | 397 | 364 |
|
Tina Lawson Allen
696 S Scales St |
$65.11 | 359 | 233 |
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 Reidsville, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Reidsville, NC is $53.60 per claim, based on 124,013 claims from 74 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 Reidsville, NC?
There are 74 Medicaid providers offering Office Visit related services in Reidsville, NC according to public payment data.
What is the price range for Office Visit in Reidsville, NC?
Medicaid reimbursement for Office Visit in Reidsville, NC ranges from $0.00 to $93.76 per claim, with an average of $53.60. 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 Reidsville, NC
Personal Care Services
Avg $121.35
268,738 claims
Non-Emergency Medical Transportation
Avg $116.67
130,855 claims
Case Management Services
Avg $116.22
74,270 claims
Substance Abuse Treatment
Avg $93.89
59,801 claims
Dental Cleaning & Exam
Avg $29.40
42,259 claims
Psychiatric Evaluation
Avg $67.97
37,942 claims
Ambulance Transport
Avg $86.92
31,081 claims
Behavioral & Mental Health Therapy
Avg $131.12
25,793 claims