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
Michelle L Hernandez 1301 Central Dr	$76.86	12	12
Morgan Klokow 2807 S Homer Blvd	$25.99	13	13
Emily H Chang 1301 Central Dr	$58.26	13	12
Jeremiah Thomas 821 S Horner Blvd	$33.55	13	13
Madison Gray Cobb 1413 Greenway Ct	$48.02	13	12
Kandice Leigh Phifer 1911 K M Wicker Memorial Dr	$94.37	14	12
Tamara R. Love 1413 Greenway Ct	$35.63	16	13
Ronald Jones Powell 3072 S Horner Blvd	$127.34	16	14
Franklin Hargett 3072 S Horner Blvd	$45.14	19	12
Rebecca Wright Todd 1210 Central Dr	$64.94	21	15
Joshua Pawela 1135 Carthage St	$99.24	22	18
Stephanie Ferrin 1301 Central Dr	$76.74	23	19
Beth P Stanfield 1411 Greenway Ct	$46.89	31	26
James Leroy Deterding 1301 Central Dr	$29.91	32	26
Behnam Asgharian 110 Dennis Dr	$30.43	35	30
Jill Jimison Lambert 1411 Greenway Ct	$45.15	37	36
Bethany Frye Bibey 555 Carthage St	$49.35	41	39
Megan Elizabeth Silveus 1915 K M Wicker Memorial Dr	$71.59	43	40
Lakeesha Maria Christine Murphy-Spencer 1140 Carthage St	$30.64	43	33
Carlos De La Garza 2412 Wilkins Dr	$6.62	43	22
Rebecca Diana Martinez 110 Dennis Dr	$9.34	46	24
Holly Anne Drake 1135 Carthage St	$3.42	50	39
Joseph Stuart Rossi 1301 Central Dr	$33.68	56	54
Anastasia Dolgovskij 709 Wicker St Ste A	$77.61	59	58
Dawn Marie Stanley 1413 Greenway Ct	$31.71	59	55
Victor Manuel Tejada 130 Carbonton Rd	$66.83	71	70
Ronald Michael Talis 821 S Horner Blvd	$30.81	74	49
Francesco Robert Olivito 4546 Nc Highway 87 South	$41.92	75	49
Sara Routzahn 724 S Horner Blvd	$74.79	77	67
Jessica Brauner Sessoms 1411 Greenway Ct	$47.36	80	52
Richard Teye Kwao 724 S Horner Blvd	$58.10	82	74
Schuyler Karl Behnke 125 Chatham Street	$65.52	82	81
Saad Mohammed Shariff 1301 Central Dr	$42.00	84	74
Laura Malley 555 Carthage St	$59.06	84	71
Jessica Wright Burgert 1411 Greenway Ct	$31.68	87	69
Ryan Patrick Amely-Shannon 145 W Main St	$60.97	108	100
Sreejit Nair 821 S Horner Blvd	$21.82	130	128
Tiesha Renee Ward 1125 Carthage St	$3.31	155	135
Nirisha Kalakada 1411 Greenway Ct	$56.20	162	146
Dawn Elizabeth Kleinman 1911 K M Wicker Memorial Dr	$39.99	165	94
Vladim Bobrovnikov 1140 Carthage St	$27.47	166	118
Ana N Crow 1303 Carthage St	$4.74	167	150
Miles Warren Whitaker 1816 Doctors Dr	$14.79	170	122
Saritha Ravella 1212 Central Drive	$39.13	181	131
Jonathan Britt Goldston 1135 Carthage St	$52.89	191	157
Jane Allison Little 1301 Central Dr	$76.50	193	167
Wanda E Wazenegger 310 Court Sq	$79.99	196	189
Steven Michael Jurisich 1139 Carthage St	$14.57	200	120
Anna Renee Knowles 1139 Carthage St	$58.11	206	182
Monica Shukla-Udawatta 1301 Central Dr	$159.35	207	186

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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