Average Medicaid Office Visit Payments in Rutherfordton, NC: $51.35
Avg. Paid
$51.35
Range
$7.76 – $113.14
Total Claims
77,998
Providers
29
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 Rutherfordton, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gregory Blake Goode
141 Tryon Rd |
$68.54 | 14,018 | 12,044 |
|
Anita Hill Powell
141 Tryon Rd |
$71.05 | 10,757 | 9,237 |
|
Jason Phillip Glover
139 Doctor Henry Norris Dr |
$25.52 | 7,256 | 4,794 |
|
Brian Lee Pienkos
139 Doctor Henry Norris Dr |
$37.85 | 5,958 | 4,344 |
|
Jerald Albert Delagarza
288 S Ridgecrest Ave |
$57.99 | 4,501 | 4,123 |
|
Annie M Jackson
153 W Court St |
$40.14 | 4,375 | 3,683 |
|
Charles Dana Bond
139 Doctor Henry Norris Dr |
$31.06 | 3,695 | 2,650 |
|
David Clayton Billue
288 S Ridgecrest Ave Ste 1 |
$51.96 | 3,531 | 1,944 |
|
Cassandra Marie Graeff
141 Tryon Rd |
$113.14 | 3,491 | 3,204 |
|
Michael William Roberts
139 Doctor Henry Norris Dr |
$26.47 | 3,114 | 2,087 |
|
Mary Katherine Duran
288 S Ridgecrest Ave |
$62.49 | 2,948 | 2,878 |
|
Keith Todd Hill
139 Doctor Henry Norris Dr |
$32.75 | 2,021 | 1,450 |
|
Tina Marie Almas Hill
139 Doctor Henry Norris Dr |
$26.46 | 1,835 | 1,297 |
|
Terry Wayne Kersey
128 Dr Henry Norris Dr |
$32.44 | 1,816 | 1,321 |
|
Alan D Ancillotti
128 Doctor Henry Norris Dr |
$30.27 | 1,682 | 1,174 |
|
Faith Hislop
131 W 2Nd St |
$7.76 | 1,417 | 1,172 |
|
Michael George Miller
288 S Ridgecrest Ave |
$57.84 | 1,101 | 1,041 |
|
Robert Scott Lawrence
444 Nc 108 Hwy |
$31.43 | 857 | 845 |
|
Troy Nathaniel Tevis
337 N Main St |
$51.45 | 679 | 568 |
|
Willie Edward Hester
288 S Ridgecrest Ave |
$35.19 | 664 | 523 |
|
Katherina K Johnson
128 Dr Henry Norris Dr |
$46.05 | 653 | 549 |
|
Michael Barry Couser
444 Nc 108 Hwy |
$39.90 | 466 | 356 |
|
Megan Moore Bumgarner
444 Nc Hwy 108 |
$42.65 | 466 | 404 |
|
William Stewart Powell
141 Tryon Rd |
$14.26 | 305 | 268 |
|
Rebecca Ruppe
131 W 2Nd St |
$44.22 | 126 | 105 |
|
Andrew Demeusy
330 Nc 108 Hwy |
$22.79 | 115 | 90 |
|
Laura Elizabeth Wittwer
330 Nc Hwy 108 |
$50.39 | 108 | 90 |
|
Emily Jordan Baldwin
446 Nc 108 Hwy |
$53.13 | 29 | 29 |
|
Hannah Bennett Beam
330 Nc Hwy 108 |
$47.48 | 14 | 13 |
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 Rutherfordton, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rutherfordton, NC is $51.35 per claim, based on 77,998 claims from 29 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 Rutherfordton, NC?
There are 29 Medicaid providers offering Office Visit related services in Rutherfordton, NC according to public payment data.
What is the price range for Office Visit in Rutherfordton, NC?
Medicaid reimbursement for Office Visit in Rutherfordton, NC ranges from $7.76 to $113.14 per claim, with an average of $51.35. 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 Rutherfordton, NC
Vaccines & Immunizations
Avg $12.49
59,389 claims
Emergency Room Visit
Avg $69.15
20,352 claims
Blood Work & Lab Tests
Avg $9.51
19,705 claims
X-Ray
Avg $5.23
19,534 claims
Psychiatric Evaluation
Avg $61.54
17,720 claims
Pathology & Lab Services
Avg $35.29
14,589 claims
Personal Care Services
Avg $132.94
13,619 claims
Urinalysis & Urine Tests
Avg $3.46
8,110 claims