Average Medicaid Office Visit Payments in Rocky Mount, NC: $53.06
Avg. Paid
$53.06
Range
$0.00 – $449.30
Total Claims
549,209
Providers
216
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 Rocky Mount, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Divya Jatinkumar Patel
230 N Winstead Ave |
$29.96 | 26,057 | 20,186 |
|
Monique Brown
154 Sw Main St |
$77.33 | 21,116 | 17,313 |
|
Suchita Bhalchandra Gade
91 Enterprise Dr |
$78.07 | 20,467 | 16,798 |
|
Sharon Denise Romney
210 E Thomas St |
$102.05 | 16,353 | 11,770 |
|
Lois Wilkinson
550 N Winstead Ave |
$82.62 | 15,605 | 14,152 |
|
Steven Migdon
2460 Curtis Ellis Dr |
$75.66 | 11,242 | 4,434 |
|
Charnette H Shade
91 Enterprise Dr |
$73.58 | 11,050 | 9,500 |
|
Cynthia Michele Chapman
921 N Winstead Ave |
$44.66 | 11,045 | 8,097 |
|
Lisha A Steed
121 Enterprise Dr |
$43.29 | 9,809 | 7,100 |
|
William Joseph Mayo
110 Patrick Ct |
$26.69 | 9,741 | 8,630 |
|
Charles D Hunter
1041 Noell Ln |
$34.50 | 8,289 | 7,264 |
|
Edward Allison Ramsey
91 Enterprise Dr |
$79.40 | 8,148 | 6,899 |
|
Lisa Bellofiore-Plonski
91 Enterprise Dr |
$84.06 | 8,092 | 6,954 |
|
Vasanth B Baliga
91 Enterprise Dr |
$83.24 | 8,019 | 6,831 |
|
Joseph Wellington Williams
110 Patrick Ct |
$35.89 | 8,002 | 6,856 |
|
Lisa Renee Green
90 Guardian Ct |
$85.51 | 7,501 | 5,866 |
|
Stephen Christopher Sorsby
921 N Winstead Ave |
$47.59 | 7,354 | 6,165 |
|
Glenn Edward Macnichol
110 Patrick Ct |
$16.45 | 6,879 | 5,941 |
|
Cynthia Lynn Sims
550 N Winstead Ave |
$58.87 | 6,523 | 5,006 |
|
James Gregory Nelson
600 Nash Medical Arts Mall |
$34.09 | 6,376 | 5,436 |
|
Sean M Epps
1041 Noell Ln |
$35.91 | 6,097 | 5,572 |
|
Tommy Ray Harris
140 N Englewood Drive |
$36.02 | 5,675 | 4,592 |
|
Tommy L Sims
550 N Winstead Ave |
$54.24 | 5,528 | 4,001 |
|
Nilay Desai
901 N Winstead Ave |
$29.37 | 5,452 | 4,473 |
|
Laura A Medlin
110 Patrick Ct |
$60.24 | 5,439 | 4,017 |
|
Linda Anne Bassett Shaftoe
901 N Winstead Ave |
$40.62 | 5,432 | 4,531 |
|
Michael Sieracki
400 Nash Medical Arts Mall |
$58.39 | 5,421 | 4,760 |
|
Alvin K Antony
3101 Zebulon Rd |
$4.11 | 5,166 | 3,292 |
|
Anna Marie Crist
104 Zebulon Ct |
$56.65 | 5,135 | 4,749 |
|
Rita-Kay Mabine Davis
300 N Grace St |
$86.06 | 5,036 | 4,474 |
|
Kaitlin Mize Ruffin
91 Enterprise Dr |
$66.55 | 4,891 | 4,429 |
|
Scott Michael Martin
3301 Sunset Ave |
$27.72 | 4,876 | 3,686 |
|
Nadine B Skinner
921 N Winstead Ave |
$61.59 | 4,809 | 4,003 |
|
David S Brantley
91 Enterprise Dr |
$79.56 | 4,761 | 4,114 |
|
Peter Michael Moyer
3301 Sunset Ave |
$24.04 | 4,683 | 3,619 |
|
Ashley Carpenter Hardee
901 N Winstead Ave |
$34.55 | 4,647 | 3,817 |
|
Cashena Shaunte Vann
921 N Winstead Ave |
$51.60 | 4,488 | 3,558 |
|
Joseph Walter Adams
804 English Rd Ste 100 |
$56.10 | 4,471 | 3,719 |
|
Matthew Till Collins
200 Nash Medical Arts Mall |
$38.14 | 4,410 | 3,410 |
|
Courtney Rae Boyd
921 N Winstead Ave |
$51.05 | 4,391 | 3,594 |
|
Charles T Phillips
250 Nash Medical Arts Mall |
$55.43 | 4,327 | 3,595 |
|
Eddie Keith Hasty
600 Nash Medical Arts Mall |
$56.67 | 4,273 | 3,583 |
|
Mary Allison Taylor
901 N Winstead Ave |
$43.22 | 4,171 | 3,643 |
|
Sheik Amat Tijan Faye
101 Foy Dr |
$38.67 | 4,127 | 2,419 |
|
Alfred Jenkins Covington
124 Foy Dr |
$74.56 | 3,951 | 3,434 |
|
Heidi Forte Bishop
1041 Noell Ln |
$64.56 | 3,921 | 3,129 |
|
Matthew Robert Paszek
180 Foy Dr |
$21.61 | 3,901 | 3,436 |
|
Caleb A Lesnoff
450 Jones Rd |
$53.58 | 3,878 | 3,311 |
|
Morgan Gray Miller
901 N Winstead Ave |
$32.68 | 3,859 | 3,117 |
|
Jeffrey M Suchniak
901 N Winstead Ave |
$52.92 | 3,827 | 3,068 |
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 Rocky Mount, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rocky Mount, NC is $53.06 per claim, based on 549,209 claims from 216 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 Rocky Mount, NC?
There are 216 Medicaid providers offering Office Visit related services in Rocky Mount, NC according to public payment data.
What is the price range for Office Visit in Rocky Mount, NC?
Medicaid reimbursement for Office Visit in Rocky Mount, NC ranges from $0.00 to $449.30 per claim, with an average of $53.06. 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 Rocky Mount, NC
Blood Work & Lab Tests
Avg $9.98
235,912 claims
Dental Cleaning & Exam
Avg $30.40
138,905 claims
Substance Abuse Treatment
Avg $35.29
134,569 claims
Vaccines & Immunizations
Avg $14.01
129,482 claims
Emergency Room Visit
Avg $114.71
100,682 claims
Prescription Medications
Avg $3.03
79,261 claims
Case Management Services
Avg $61.65
76,047 claims
Urinalysis & Urine Tests
Avg $3.53
69,373 claims