Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Shelby, NC: $53.83

Avg. Paid

$53.83

Range

$0.00 – $130.65

Total Claims

515,145

Providers

215

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 Shelby, NC

Provider	Avg. Paid	Claims	Patients
Steven K Brockman 1112 Yancey St	$28.62	27,394	24,503
Stephen W Jones 113 East Grover St	$42.09	16,386	12,067
Laurie D Horsley 709 N Dekalb St	$58.31	15,706	12,994
Joseph John Urash 935 Wyke Rd	$36.81	15,671	11,973
Rita Elaine Chen 709 N Dekalb St	$68.10	14,871	13,165
Nancy Moose Hendrix 709 N Dekalb St	$74.79	14,431	12,674
Elaine Anthonette Porter 709 N Dekalb St	$76.33	14,285	12,655
Jonathan I.C. Brownlee 709 N Dekalb St	$81.39	13,707	12,259
Morkor Newman 709 N Dekalb St	$74.74	13,453	11,846
Michelle Mcclain Calabro 709 N Dekalb St	$74.79	12,496	11,045
Casey Douglas Hankins 1010 E Dixon Blvd	$54.50	11,642	9,479
Shetul Ishverbhai Patel 709 N Dekalb St	$68.98	11,354	10,052
Patricia Wiegand Grinton 709 N Dekalb St	$71.36	10,755	9,261
Mark L. Binion 709 N Dekalb St	$69.05	10,596	9,429
Brian P. Benfield 709 N Dekalb St	$76.79	9,869	8,705
Teresa Ivester Mcswain 419 Earl Rd	$53.12	9,855	8,233
Cynthia Fay Bohacek 1010 E Dixon Blvd	$65.31	9,204	7,517
Larry Napolitano 105 Delta Park Dr	$53.48	8,885	7,328
Lauren Johnson Mcfarland 445 Earl Rd	$51.22	8,418	6,751
Ashley Triplett Navey 200 S Post Rd Ste 3	$59.15	8,180	6,375
Najla Ahmed 1019 N Lafayette St	$64.97	8,121	6,742
Colleen Alyse Toms 417 W Warren St	$28.76	6,796	4,837
Gracie Pitchford Crowder 709 N Dekalb St	$72.52	6,639	5,604
Matthew Troy Goodwin 419 Earl Rd	$52.53	6,418	4,671
Ashley Bartlette Larsen 1112 Yancey St	$29.33	5,859	3,899
Gina Snyder 618 N Morgan St	$42.84	5,321	4,443
David James Salter 1010 E Dixon Blvd	$65.04	5,268	4,185
Georgina Ramsey 520 N Dekalb St	$58.86	4,883	4,283
Muhammad Shah Alam 1019 N Lafayette St	$23.63	4,573	3,670
Alan Velez Jubane 808 Schenck St	$3.02	4,405	3,462
Rhonda Robinson 105 E College Ave	$84.19	4,115	3,271
Taylor Michelle Szucs 615 S Dekalb St	$37.09	4,113	2,899
Richard Joseph Cambareri 201 E Grover St	$42.22	3,828	3,058
Maelia Molina Stamey 200 E Grover St	$57.22	3,680	3,004
Ian Patrick Stamp 1413 N Lafayette St	$56.78	3,481	2,784
Amber Harden Brown 1010 E Dixon Blvd	$57.95	3,464	2,817
Christian Gyan Anderson 1124 N Washington St	$48.95	3,433	3,030
Amber Jade Justice 110 W Grover St	$41.50	3,401	2,602
Kimberly Jane Sinclair 305 W College Ave	$55.02	3,394	2,601
Kassidy Shea Blanton 113 E Grover St	$59.26	3,334	2,753
George Lee Bradley 615 S Dekalb St	$24.89	3,276	2,735
Karen Smith 709 N Dekalb St	$55.69	3,260	2,974
Christopher Marshal Denning 520 N. Dekalb St	$59.08	3,255	2,894
Walter James Rumfelt 101 Delta Park Dr	$54.38	3,140	2,458
Jill Hardin Knox 1124 N Washington St	$49.74	3,037	2,557
Haley Jones Rothrock 708 Mcbrayer Homestead Rd	$58.06	2,958	2,516
Tracy Lee Phelps 1124 N Washington St	$54.06	2,930	2,614
Michelle Evans Beaman 615 S Dekalb St	$38.56	2,832	2,312
Thomas Ryan Hollifield 101 Delta Park Dr	$49.72	2,814	2,261
Julia Kirsten Roos 520 N Dekalb St	$80.02	2,571	2,434

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 Shelby, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Shelby, NC is $53.83 per claim, based on 515,145 claims from 215 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 Shelby, NC?

There are 215 Medicaid providers offering Office Visit related services in Shelby, NC according to public payment data.

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

Medicaid reimbursement for Office Visit in Shelby, NC ranges from $0.00 to $130.65 per claim, with an average of $53.83. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Shelby, NC: $53.83

Providers Offering Office Visit in Shelby, NC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Emergency Room Visit

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Vaccines & Immunizations

Substance Abuse Treatment

Personal Care Services

Dental Cleaning & Exam

Urinalysis & Urine Tests