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
Michael Warren Alexander 1622 E Marion St	$13.28	13	12
Marie Darlene Lawson 335A W College Ave	$19.00	16	13
Baruh Bruck Mulat 808 N Washington St	$125.95	17	15
Paul Brent Ferrell 711 N Dekalb St	$23.52	17	13
Emily White Gantt 711 N Dekalb St	$37.65	18	13
Hamid Ehsan 201 E Grover St	$33.43	19	13
Fanny Sarah Alie-Cusson 111 W Grover St	$51.55	20	17
Tamera Beam Cox 200 W Grover St	$23.05	21	12
Jennifer Starnes Carraux 111 W Grover St	$43.56	27	25
Brian D. Smith 808 N Washington St	$23.06	28	27
Ian Kim 1895 E Dixon Blvd	$123.57	31	28
Maham Ali 1019 N Lafayette St Ste 1	$31.38	37	36
James Watkins Lowry 201 E Grover St	$44.44	37	32
Jessica Bivins Smith 111 W Grover St	$15.99	43	18
Gina Michelle Merritt 1010 E Dixon Blvd	$39.11	45	39
Regina Deviney Ledford 807 Schenck St	$44.35	46	39
Katie Lynn Love 111 W Grover St	$39.62	47	44
Ira Howard Rosenblum 807 Schenck St	$54.26	53	46
Elizabeth Diane Lemons 200 S Post Rd Ste 3	$67.61	54	44
Stephen Folger Grinton 1010 E Dixon Blvd	$24.63	58	52
Melanie Waters Ashe 315 E Grover St	$80.01	65	59
Amy Marie Shepherd 113 E Grover St	$38.51	72	67
Grace Susanne Hannon 110 W Grover St	$45.31	73	67
Charles Jefferson Mauney 707 N Morgan St	$25.20	76	58
Robert Peter Gossett 1001 N Washington St	$17.17	77	60
Karla Von 808 N Washington St	$50.49	84	79
Stephen Whitney Bryan 711 N Dekalb St	$40.92	85	76
Heather Marie Smith 419 Earl Rd	$0.00	99	91
Kierstin Nicole Webb 1760 E Dixon Blvd	$66.51	105	88
Daniel E. Davis 807 Schenck St	$41.77	108	100
Pamella Machado Yamada 110 W Grover St	$55.66	110	103
Kyle Anthony Aldinger 711 N Dekalb St	$17.46	126	61
Jose E.S. Eusebio 111 W Grover St	$28.62	130	117
Brian Garrett Heeke 111 W Grover St	$60.39	144	129
Nelson L. Jenkins 807 Schenck St	$88.76	198	176
Michael C. Dearment 1010 E Dixon Blvd	$41.07	202	172
Janice Parker Jolley 1001 N Washington St	$47.71	205	183
Calvin Leslie Caunt 807 Schenck St	$59.18	206	148
Syed Jawed Ahmed 1019 N Lafayette St	$25.34	233	225
Bernesta Charntel Williams 202 E Grover St	$89.70	234	225
Stephen Jonathan Von 200 W Grover St	$16.50	240	170
Michael Lynn Barringer 200 W Grover St	$8.22	252	192
Jimmy Lee Jones 1019 N Lafayette St	$27.04	257	203
Swachetan Singh Bajwa 201 E Grover St	$130.65	288	234
Melissa Ann Goldstein 1010 E Dixon Blvd	$77.89	296	277
Danaye Mokma Perez 1760 E Dixon Blvd	$73.81	300	237
Nelson Seen 111 W Grover St	$38.29	304	281
Richard Botelho 708 Mcbrayer Homestead Rd	$60.45	306	271
Paul A Claroni 808 Schenck St	$29.68	338	261
Carla Annette Gibson-Detering 201 E Grover St	$70.72	344	315

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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Substance Abuse Treatment

Personal Care Services

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Urinalysis & Urine Tests