Average Medicaid Office Visit Payments in Roxboro, NC: $55.43
Avg. Paid
$55.43
Range
$0.00 – $91.79
Total Claims
126,014
Providers
44
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 Roxboro, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Laurie W Lee
615 Ridge Rd |
$49.86 | 13 | 12 |
|
Gail Elizabeth Moore
3762 Durham Rd Ste A |
$11.29 | 16 | 12 |
|
Thomas D Long
783 Doctors Ct |
$4.06 | 26 | 12 |
|
Julie A Thompson
702 N Main St |
$0.00 | 35 | 14 |
|
Jessica Leigh Ketner
3762 Durham Rd Ste A |
$28.98 | 44 | 32 |
|
Mathew George
783 Doctors Ct |
$70.01 | 67 | 49 |
|
Scott A Strine
615 Ridge Rd |
$31.63 | 68 | 67 |
|
Rachel Nicole Miller
107 Weeks Dr |
$35.34 | 76 | 55 |
|
Vijay R Dhoopati
911 Ridge Rd |
$24.42 | 98 | 38 |
|
Kelcie Renae Thames
796 Doctors Ct |
$62.15 | 120 | 102 |
|
Freedom House Recovery Center, Inc.
355 S Madison Blvd |
$66.75 | 189 | 150 |
|
Caroline Hadley
796 Doctors Ct |
$74.43 | 250 | 212 |
|
Benjamin Dent Pierce
107 Weeks Dr |
$43.00 | 263 | 240 |
|
Pushpinder Gill
702 N Main St |
$91.79 | 378 | 230 |
|
Lisa Michelle Wilson
3762 Durham Rd |
$34.15 | 443 | 264 |
|
Elyse Bullock O'Connell
796 Doctors Ct |
$62.05 | 471 | 357 |
|
Alisa Paliy
702 N Main St |
$58.97 | 489 | 366 |
|
Melissa Roseann Dean-Appasu
3762 Durham Rd Ste A |
$48.57 | 490 | 423 |
|
John L Petersen
615 Ridge Rd |
$26.13 | 570 | 555 |
|
Tami Atkins Lee
107 Weeks Dr |
$46.83 | 776 | 629 |
|
Martin Andrew Senicki
3762 Durham Rd Ste B |
$18.69 | 779 | 663 |
|
Miguel A Pineiro
228 S Madison Blvd |
$44.67 | 816 | 634 |
|
Mark Louis Messmer
799 Doctors Ct |
$41.46 | 885 | 679 |
|
Elizabeth R Buno
107 Weeks Dr |
$36.21 | 1,023 | 827 |
|
Kristen Frey Cole
796 Doctors Ct |
$68.36 | 1,097 | 1,027 |
|
La Monica Hunter
796 Doctors Ct |
$53.47 | 1,231 | 1,008 |
|
Peter W. Hawkins
3762 Durham Rd Ste A |
$25.36 | 1,432 | 1,006 |
|
Laura Winslow
702 N Main St |
$23.16 | 1,580 | 864 |
|
Kimberly Fletcher Dorsey
615 Ridge Rd |
$68.35 | 1,597 | 1,487 |
|
William Bellamy Olds
757 Carver Dr |
$42.18 | 1,705 | 1,307 |
|
Adriana Michele Pollak
799 Doctors Ct |
$49.49 | 1,718 | 1,412 |
|
Person Family Medical Center Incorporated
702 North Main Street |
$0.01 | 2,017 | 1,614 |
|
Caitlin Elissa Seidler
910 N Madison Blvd Ste B |
$52.40 | 2,653 | 1,868 |
|
Carrie Albert Bowers
796 Doctors Ct |
$74.56 | 3,315 | 2,772 |
|
Sandra Kirkpatrick Thompson
355 S Madison Blvd Ste C |
$46.02 | 3,520 | 3,314 |
|
Michael J Godard
615 Ridge Rd |
$47.92 | 3,534 | 2,981 |
|
James Henry Feldman
910 N Madison Blvd |
$54.83 | 3,857 | 2,946 |
|
Noah J Wichman
107 Weeks Dr |
$43.80 | 4,007 | 3,190 |
|
Molly M Evans
107 Weeks Dr |
$54.04 | 5,232 | 4,343 |
|
Karr Farrell Johnson
615 Ridge Rd |
$58.42 | 6,970 | 4,982 |
|
Terri Bridges Cates
107 Weeks Dr |
$64.57 | 8,570 | 6,502 |
|
Demaura H Russell
702 N Main St |
$59.20 | 9,485 | 6,671 |
|
James Winn Short
796 Doctors Ct |
$80.37 | 10,921 | 7,186 |
|
Patrick L Godwin
609 Professional Dr |
$54.32 | 43,188 | 28,748 |
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 Roxboro, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Roxboro, NC is $55.43 per claim, based on 126,014 claims from 44 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 Roxboro, NC?
There are 44 Medicaid providers offering Office Visit related services in Roxboro, NC according to public payment data.
What is the price range for Office Visit in Roxboro, NC?
Medicaid reimbursement for Office Visit in Roxboro, NC ranges from $0.00 to $91.79 per claim, with an average of $55.43. 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 Roxboro, NC
Vaccines & Immunizations
Avg $11.30
50,580 claims
Substance Abuse Treatment
Avg $138.16
46,169 claims
Personal Care Services
Avg $99.75
44,584 claims
Emergency Room Visit
Avg $85.29
18,627 claims
Behavioral & Mental Health Therapy
Avg $101.15
16,505 claims
Speech Therapy
Avg $33.54
16,017 claims
Physical Therapy
Avg $39.07
14,180 claims
Dental Cleaning & Exam
Avg $28.22
10,099 claims