Average Medicaid Office Visit Payments in Smithfield, NC: $60.65
Avg. Paid
$60.65
Range
$0.00 – $106.01
Total Claims
425,345
Providers
146
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 Smithfield, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kimberly D Fox
1519 E Booker Dairy Rd |
$93.74 | 89,995 | 67,464 |
|
Joseph Michael Wilkinson
3516 Us Highway 301 S |
$65.41 | 20,400 | 15,101 |
|
Siamak Marzbani
520 North St |
$49.54 | 17,787 | 11,839 |
|
Kimberly A Johnson
521 N Brightleaf Blvd |
$25.26 | 16,270 | 12,606 |
|
Jana Tomara Soward
11 Berkshire Rd |
$67.29 | 15,418 | 13,529 |
|
Nichole Parker Wilson
226 Venture Dr |
$70.31 | 14,976 | 11,777 |
|
Franklin Charles Wefald
101 E Market St |
$38.81 | 14,747 | 9,387 |
|
Russell Anderson
514 North Brightleaf Blvd Suite 1100 |
$18.93 | 8,736 | 6,150 |
|
Michael Chet Jernigan
1319 N Brightleaf Blvd Ste F |
$85.48 | 7,975 | 6,244 |
|
Mateen Akhtar
910 Berkshire Rd |
$45.53 | 7,357 | 6,464 |
|
Lisa M.L. Parker
101 Kellie Dr |
$83.13 | 6,884 | 5,361 |
|
Ashleigh Pappadake Martin
1519 E Booker Dairy Rd |
$63.11 | 6,609 | 5,533 |
|
Henry Garland Edmundson
509 N Brightleaf Blvd |
$46.01 | 6,450 | 5,697 |
|
Jarmella P Russell
514 N Brightleaf Blvd |
$38.86 | 6,140 | 4,868 |
|
Anastasia M Robbins
509 N Brightleaf Blvd |
$57.26 | 6,025 | 5,216 |
|
Debra J Tetreault
101 Kellie Dr |
$72.89 | 5,963 | 5,303 |
|
Bessaliea Athalia Griffin
514 N Brightleaf Blvd |
$16.68 | 5,838 | 4,369 |
|
Martin Keith Williams
521 N Brightleaf Blvd |
$56.55 | 5,836 | 4,905 |
|
Trella Cooper
517 N Brightleaf Blvd |
$106.01 | 5,500 | 4,457 |
|
Ralph Edwin Wilson
100 Kellie Drive |
$67.25 | 5,454 | 4,200 |
|
Shelli Hoyes
101 Kellie Dr |
$69.08 | 5,156 | 4,345 |
|
Shubi Shahida
712 Wilkins St |
$16.99 | 5,052 | 3,726 |
|
Karina Maria Corrales
1519 E Booker Dairy Rd |
$39.87 | 4,747 | 3,193 |
|
Raghu R Katuru
1551 Booker Dairy Rd |
$28.60 | 4,451 | 2,974 |
|
Ashly Cook
540 North St |
$52.89 | 4,260 | 3,204 |
|
Nitzan Daniel Catz
507 N Brightleaf Blvd Ste 100 |
$61.11 | 4,245 | 3,810 |
|
Mir M Ali
706 Wilkins St |
$41.96 | 4,225 | 3,074 |
|
Marilyn R Pearson
517 N Brightleaf Blvd |
$31.00 | 3,854 | 3,052 |
|
Efrain Perez-Rivera
520 North St |
$49.56 | 3,845 | 2,678 |
|
James Alexis Macdonald
507 N Brightleaf Blvd |
$22.23 | 3,777 | 2,843 |
|
Charles Edwards Williams
410 Canterbury Rd |
$55.02 | 3,507 | 2,762 |
|
Eric Michael Janis
910 Berkshire Rd |
$30.36 | 3,502 | 3,128 |
|
Lindsay B Tart
514 N Brightleaf Blvd Ste 1620 |
$49.08 | 3,384 | 2,723 |
|
Whitney Cuthbertson
517 N Brightleaf Blvd |
$65.00 | 3,185 | 2,468 |
|
Jodi Tholen Bailey
520 North St |
$50.59 | 3,154 | 2,203 |
|
Brian Keith Harris
410 Canterbury Rd |
$61.46 | 3,039 | 2,394 |
|
Thomas William Powell
910 Berkshire Rd |
$20.61 | 2,929 | 2,257 |
|
Sally Lawson Carpenter
11 Berkshire Rd |
$74.22 | 2,868 | 2,464 |
|
Lucas B Romine
540 North St |
$26.01 | 2,749 | 2,305 |
|
Yuliya Benn
514 N Brightleaf Blvd Ste 1610 |
$58.54 | 2,626 | 2,209 |
|
Bliss Davis Norville
388 Venture Dr |
$61.84 | 2,565 | 1,997 |
|
Shannon Brittain Mooring
910 Berkshire Rd |
$32.42 | 2,475 | 2,137 |
|
Usha Guduru
517 N Brightleaf Blvd |
$52.35 | 2,308 | 1,841 |
|
Octavio Cieza
507 N Brightleaf Blvd Ste 201 |
$34.13 | 2,288 | 1,569 |
|
Ogbeyialu Inyang Nduka
1202 N Brightleaf Blvd Ste C |
$73.89 | 2,187 | 1,848 |
|
Blaine C Etzel
100 Kellie Dr |
$69.60 | 2,169 | 1,598 |
|
Deren Thomas Bagsby
100 Kellie Dr |
$29.48 | 2,167 | 1,833 |
|
Sheryl Kirk Morrisey
410 Canterbury Rd |
$48.70 | 2,043 | 1,694 |
|
Michael Wayne Madsen
100 Kellie Dr |
$42.11 | 2,033 | 1,642 |
|
Michael Joseph Haines
1317 N Brightleaf Blvd |
$64.42 | 1,963 | 1,468 |
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 Smithfield, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Smithfield, NC is $60.65 per claim, based on 425,345 claims from 146 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 Smithfield, NC?
There are 146 Medicaid providers offering Office Visit related services in Smithfield, NC according to public payment data.
What is the price range for Office Visit in Smithfield, NC?
Medicaid reimbursement for Office Visit in Smithfield, NC ranges from $0.00 to $106.01 per claim, with an average of $60.65. 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 Smithfield, NC
Speech Therapy
Avg $48.71
378,092 claims
Vaccines & Immunizations
Avg $17.86
150,557 claims
Physical Therapy
Avg $42.44
81,042 claims
Emergency Room Visit
Avg $112.22
74,939 claims
Blood Work & Lab Tests
Avg $6.48
69,162 claims
Dental Cleaning & Exam
Avg $30.35
67,373 claims
Urinalysis & Urine Tests
Avg $4.06
62,189 claims
Ambulance Transport
Avg $137.88
48,275 claims