Average Medicaid Office Visit Payments in Siler City, NC: $59.26
Avg. Paid
$59.26
Range
$18.54 – $80.99
Total Claims
30,133
Providers
24
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 Siler City, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sarah Marie Allen
801 W 3Rd St |
$62.34 | 6,468 | 4,727 |
|
James E Schwankl
1002 W 3Rd St |
$74.15 | 3,614 | 2,976 |
|
Elyse Noelle Slabaugh
801 W 3Rd St |
$68.69 | 3,275 | 2,337 |
|
Emily Knight Dolleschel
163 Medical Park Dr Ste 210 |
$55.56 | 2,979 | 2,469 |
|
Donna Corinne Smith
163 Medical Park Dr |
$62.00 | 2,183 | 1,835 |
|
Devon Lynn Davis
163 Medical Park Dr Ste 210 |
$49.52 | 2,116 | 1,971 |
|
David E Gibson
163 Medical Park Dr Ste 210 |
$38.90 | 1,589 | 1,239 |
|
Margaret L Brewer
421 N Holly Ave |
$41.56 | 1,367 | 863 |
|
Jon Kyle Melvin
163 Medical Park Dr Ste 210 |
$56.16 | 1,274 | 1,075 |
|
Jennifer Raelyn Fay
163 Medical Park Dr |
$58.07 | 1,006 | 828 |
|
Rebecca Sue Hasmann
1040 E 3Rd St |
$62.19 | 913 | 724 |
|
Logan Brooks Sescilla
101 Walmart Supercenter |
$54.29 | 677 | 582 |
|
Kelly Lynne Pieh Holder
475 Progress Blvd |
$65.86 | 555 | 275 |
|
Rachel Mcinerney
1000 S 10Th Ave |
$80.99 | 534 | 443 |
|
Dory Ann Babi
1311 E 11Th St |
$34.39 | 308 | 300 |
|
Maria Gabriela Castro
224 S 10Th Ave |
$44.49 | 301 | 261 |
|
Byron J Hoffman
163 Medical Park Dr Ste 210 |
$36.79 | 231 | 191 |
|
James W Davis
163 Medical Park Dr Ste 210 |
$18.54 | 212 | 136 |
|
Annette Coble Willett
202 East Raleigh Street |
$51.20 | 194 | 168 |
|
Pamela Bard Lattimore
163 Medical Park Dr Ste 210 |
$37.79 | 178 | 151 |
|
Candra K Wooten
224 S 10Th Ave |
$65.84 | 90 | 45 |
|
Michaela Styrcula Mccuddy
224 S 10Th Ave |
$29.05 | 31 | 26 |
|
Katherine Arden Miller
163 Medical Park Dr Ste 210 |
$59.21 | 25 | 24 |
|
Cody Scott Deen
163 Medical Park Dr |
$33.16 | 13 | 12 |
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 Siler City, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Siler City, NC is $59.26 per claim, based on 30,133 claims from 24 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 Siler City, NC?
There are 24 Medicaid providers offering Office Visit related services in Siler City, NC according to public payment data.
What is the price range for Office Visit in Siler City, NC?
Medicaid reimbursement for Office Visit in Siler City, NC ranges from $18.54 to $80.99 per claim, with an average of $59.26. 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 Siler City, NC
Substance Abuse Treatment
Avg $34.83
133,182 claims
Vaccines & Immunizations
Avg $14.07
25,719 claims
Personal Care Services
Avg $100.80
21,371 claims
Emergency Room Visit
Avg $94.52
20,558 claims
Non-Emergency Medical Transportation
Avg $39.56
13,195 claims
Physical Therapy
Avg $41.60
12,227 claims
Blood Work & Lab Tests
Avg $11.11
10,271 claims
Psychiatric Evaluation
Avg $69.63
10,094 claims