Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Sanford, NC: $56.54

Avg. Paid

$56.54

Range

$0.12 – $188.30

Total Claims

244,625

Providers

165

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 Sanford, NC

Provider	Avg. Paid	Claims	Patients
Ajay K Ajmani 111 Dennis Dr	$67.23	16,662	12,469
Tammy Lynn Morris Lloyd 1801 Doctors Dr	$78.63	12,690	10,598
Mindy Deason Marlowe 1801 Doctors Dr	$79.59	12,628	10,598
Cary Keifer 1801 Doctors Dr	$73.58	11,804	9,972
Mohan C Deochand 114 S. Gulf St	$33.83	8,093	6,989
Daphne Joan Cates 2412 Wilkins Dr	$39.46	7,534	4,946
Andrew Charles Caldwell 1125 Carthage St	$39.93	5,898	3,981
Cheri Walls Folk 1140 Carthage St Ste B	$39.05	5,476	3,371
Erik T Huffman 2919 Beechtree Dr Ste 1100	$58.31	5,197	4,197
Alfred Sidney B Bunao 409 Carthage St	$56.39	5,093	4,232
Julia Self Watkins 4300 Oak Park Rd	$73.43	4,597	4,115
Jasbir Dhaliwal 1303 Carthage St	$35.14	4,474	3,555
Krishna Prasad Bhat 1303 Carthage St	$30.82	4,250	3,327
Hannah D Rivard 555 Carthage St	$48.57	4,249	3,472
Russell Harrell 1135 Carthage St	$80.38	4,012	3,161
Mahmoud Khadir Atieh 110 Fields Dr	$34.56	3,891	2,988
Jessica Rakes Heyse 1135 Carthage St	$84.46	3,816	3,452
Sarah Wray Garwood 1125 Carthage St	$43.56	3,774	2,782
Tiffany Jones Petty 1801 Doctors Dr	$75.02	3,660	3,334
Robert Howard Mcconville 1125 Carthage St	$25.03	3,596	2,232
Vaishali Rahul Nadkarni 555 Carthage St	$53.01	3,572	2,941
Sherry Sedberry Ross 1301 Central Dr	$59.63	3,562	3,218
Lukas Jantac 110 Fields Dr	$38.97	3,185	2,567
Tara Renay Alin 1301 Central Dr	$62.28	3,023	2,561
Marcus Cox 724 S Horner Blvd	$30.35	3,018	2,802
Jennifer B Normann 555 Carthage St	$55.52	2,880	2,331
Hiromi Maruyama 2412 Wilkins Dr	$47.06	2,774	1,779
Ginger Ann Kenney 2000 S Horner Blvd	$48.28	2,719	1,879
Martha J Davis 4546 Nc Highway 87 S	$18.97	2,698	1,634
Andrew Panchenko Bush 1139 Carthage Street	$45.23	2,495	1,802
Kendra Nicole Brandt 555 Carthage St	$188.30	2,425	2,218
Dana Leann Garrett 125 Chatham St	$80.31	2,325	2,115
Jamal Porter 821 Woodland Ave	$58.11	2,185	1,725
June Cranford Peck 1125 Carthage St	$39.29	2,088	1,487
Leonard K Kovalick 1301 Central Dr	$87.30	2,037	1,798
Benjamin Keith Merritt 127 N Steele St	$28.19	2,019	1,478
Chaseton Nielsen 555 Carthage St	$54.99	1,923	1,484
Michael Joseph Gillespie 110 Fields Dr	$36.29	1,883	1,468
Murali Dhara Pisharody 555 Carthage St	$47.55	1,866	1,607
Shivani Bashiyan Kaushik 1816 Doctors Dr	$166.45	1,781	1,726
Parker Sarris Mcconville 1125 Carthage St	$36.11	1,685	1,086
Aliese Anahid Sarkissian 1301 Central Dr	$93.92	1,685	1,306
Elene Papakostas 821 S Horner Blvd	$29.54	1,654	1,185
Lisa Mccaskill Hall 2412 Wilkins Dr	$36.21	1,490	1,029
Candace Marin 827 S Horner Blvd	$88.13	1,469	1,260
Janice E Aton 1688 S Horner Blvd	$79.97	1,461	1,304
Cynthia Julich 2412 Wilkins Dr	$39.65	1,384	980
Gerard J O'Donnell 1139 Carthage St	$27.61	1,376	869
Lisa Llewellyn Jones 1140 Carthage St	$78.63	1,369	1,120
Molly Jean Crossman 1140 Carthage St	$33.85	1,362	913

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 Sanford, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sanford, NC is $56.54 per claim, based on 244,625 claims from 165 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 Sanford, NC?

There are 165 Medicaid providers offering Office Visit related services in Sanford, NC according to public payment data.

What is the price range for Office Visit in Sanford, NC?

Medicaid reimbursement for Office Visit in Sanford, NC ranges from $0.12 to $188.30 per claim, with an average of $56.54. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Sanford, NC: $56.54

Providers Offering Office Visit in Sanford, NC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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