Based on public Medicaid payment data.

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
John Paul Hammer 3123 Sunset Avenue	$0.00	12	12
Evelyn Rudo Majachani 111 S Fairview Rd	$56.93	14	12
Karen B Brown 260 Albemarle Ave	$17.80	16	13
Victoria Lynn Rademacher 300 N Grace St	$11.13	16	16
Aristides Paul Assimacopoulos 2460 Curtis Ellis Dr	$53.71	16	14
Karen Johnson 200 Nash Medical Arts Mall	$49.40	18	17
Cristina Boston Summers 804 English Rd Ste 100	$28.27	19	12
Susan K Everette 4008 Capital Drive	$40.76	20	15
Agen J Herring 1525 Benvenue Rd	$28.27	22	19
Foot & Ankle Institute Of The Carolinas, Pa 3301 Sunset Ave	$33.15	23	13
Sheetal Patel 2460 Curtis Ellis Dr Ste 100	$80.39	26	25
Lisa C Nelson-Robinson 250 Nash Medical Arts Mall	$45.95	27	27
Amanpreet Singh Dhaliwal 300 N Grace St	$27.71	31	17
Laura L Jacimore 2450 Curtis Ellis Dr	$8.52	32	28
Thomas Adie Akers 3044 Sunset Ave	$22.10	35	15
Steven William Garzone 2460 Curtis Ellis Dr	$67.90	38	38
David R Braswell 819 Tiffany Blvd	$19.88	41	25
Reece Alkire 220 Nash Medical Arts Mall	$17.96	41	40
Michelle D Highsmith 90 Guardian Ct	$16.34	45	26
James Martin Hood 600 Nash Medical Arts Mall	$44.37	50	44
Charlotte A High 400 Nash Medical Arts Mall	$34.79	54	53
Yasmin Heater Williamson 804 English Rd Ste 100	$49.34	54	49
Maisha Pesante 111 S Fairview Rd	$23.21	56	37
Alyssa Budrys Franklin 1026 N Winstead Ave	$0.00	60	48
Tisa O Roberts 1041 Noell Ln	$9.85	61	60
Gladys Elena Viera 1041 Noell Ln	$0.84	68	61
Emily Maye Knight 300 N Grace St	$11.34	80	57
Tawana Hunter 2460 Curtis Ellis Dr	$35.98	86	82
John M Lucas 804 English Rd Ste 100	$37.61	93	74
Cordell Beaton 250 Nash Medical Arts Mall Ste D	$118.90	100	92
Sheila Locklear Hunt 90 Guardian Ct	$0.00	101	78
Olivia Talarico 111 S Fairview Rd	$1.64	104	101
Nivin Haroon 901 N Winstead Ave	$32.75	107	87
Pulkit Gandhi 901 N Winstead Ave	$27.54	109	106
Mark Wendell Anderson 901 N Winstead Ave	$14.80	111	105
Patti Greening Sperling 804 English Rd Ste 100	$28.29	112	76
Tracy Ann Schlosser 90 Guardian Ct	$40.27	118	97
Steven Ward Grant 220 Nash Medical Arts Mall	$35.20	120	107
Fauzia Naeem Rana 2460 Curtis Ellis Dr	$13.41	126	121
Clarisse Sornsay Muenyi 220 Nash Medical Arts Mall	$53.26	145	130
Joy Hinnant 300 N Grace St	$4.18	150	145
Margaret D. Mabie 505 Sunset Ave	$65.04	151	135
Kenneth R Adams 901 N Winstead Ave	$32.40	152	138
Donald W Bales 91 Enterprise Dr	$49.28	152	129
Kara Parker 250 Nash Medical Arts Mall Ste D	$46.08	154	144
Scott Mcclelland 114 Forest Hill Ave	$1.19	159	74
Mel Webster Fryar 200 Nash Medical Arts Mall	$29.44	166	124
Ruth Ann Meyer 1348 Fairway Ter	$0.00	169	162
Carissa Shanae Smith 804 English Rd Ste 100	$40.69	206	182
Rosario Guarino 901 N Winstead Ave	$27.59	219	142

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.

Average Medicaid Office Visit Payments in Rocky Mount, NC: $53.06

Providers Offering Office Visit in Rocky Mount, NC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Emergency Room Visit

Prescription Medications

Case Management Services

Urinalysis & Urine Tests