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 |
|---|---|---|---|
|
Kumari Daniel Verghese
521 N Brightleaf Blvd |
$62.23 | 14 | 14 |
|
Hasan Ahmad Baloch
509 N Brightleaf Blvd |
$75.05 | 14 | 12 |
|
Markiesha Willette Edgerton
250 Nc-210 |
$0.00 | 14 | 14 |
|
Uzma S Faheem
509 N Brightleaf Blvd |
$39.92 | 15 | 12 |
|
Eric Laurence Smith
7 Noble St |
$12.99 | 17 | 14 |
|
Suresh Kumar
507 N Brightleaf Blvd Ste 202 |
$51.76 | 18 | 17 |
|
Kristen Ann Benninger
509 N Brightleaf Blvd |
$73.62 | 19 | 18 |
|
Chase Lee Campbell
131 E Market St |
$65.81 | 25 | 24 |
|
James Bernard Collins
131 E Market St |
$105.99 | 25 | 25 |
|
Micaela Frost
1519 E Booker Dairy Rd |
$53.96 | 43 | 42 |
|
Jesse Calvin Pittard
410 Canterbury Rd |
$30.99 | 53 | 42 |
|
Kafui Adzena Hunu
938 N Brightleaf Blvd |
$17.71 | 60 | 40 |
|
Varun Goswami
100 Kellie Dr |
$33.86 | 69 | 62 |
|
Theo Joseph Beach
131 E Market St |
$13.93 | 75 | 49 |
|
Kathryn Patricia Langston
509 N Brightleaf Blvd |
$54.97 | 81 | 77 |
|
Ashley Green Nordan
517 N Brightleaf Blvd |
$68.74 | 92 | 71 |
|
Chad Michael Gridley
507 N Brightleaf Blvd Ste 100 |
$21.91 | 99 | 69 |
|
Kayla Work Johnson
410 Canterbury Rd |
$50.86 | 117 | 94 |
|
Melinda Ann Rusnack
507 N Brightleaf Blvd Ste 202 |
$54.04 | 117 | 102 |
|
Roshni Delwadia
520 North St |
$56.77 | 139 | 119 |
|
Jessica Stephenson Johnson
127 E Market St |
$57.92 | 140 | 134 |
|
Jennifer Johnson Holley
517 N Brightleaf Blvd |
$22.02 | 152 | 108 |
|
Izabelle Marlene Thompson
100 Kellie Dr |
$42.43 | 152 | 135 |
|
Matthew Alan Hook
910 Berkshire Rd |
$33.53 | 155 | 143 |
|
Adel W Mohamed
507 N Brightleaf Blvd |
$23.65 | 156 | 123 |
|
Floyd Stewart
1299 N Brightleaf Blvd |
$48.01 | 160 | 134 |
|
Brittany Ann Jenkins
509 N Brightleaf Blvd |
$25.41 | 186 | 173 |
|
Tyler Elizabeth Bachrodt
507 N Brightleaf Blvd Ste 100 |
$66.14 | 187 | 177 |
|
Maria Ann Tettis
100 Kellie Dr |
$43.70 | 208 | 151 |
|
Lisa Nora Atwa
509 N Brightleaf Blvd |
$79.82 | 211 | 171 |
|
Priscilla Waters Smith
1202 N Brightleaf Blvd Ste C |
$16.41 | 214 | 158 |
|
Lindsay Nicole Palmeri
410 Canterbury Rd |
$41.75 | 229 | 176 |
|
Diana Walker
388 Venture Dr Ste I |
$36.39 | 229 | 161 |
|
Harold King
509 N Brightleaf Blvd |
$46.52 | 243 | 198 |
|
Siobhan Claire Brennan
1519 E Booker Dairy Rd |
$35.67 | 244 | 238 |
|
Gail Leget
514 N Brightleaf Blvd |
$37.54 | 245 | 204 |
|
Brittany Evans Jackson
514 N Brightleaf Blvd Ste 1100 |
$61.63 | 305 | 271 |
|
Katrina T Sidney
712 Wilkins St Ste E |
$28.39 | 312 | 282 |
|
Edyta Koczela
509 N Brightleaf Blvd |
$78.43 | 318 | 301 |
|
Marie Luise Zaldivar
127 E Market St |
$14.44 | 323 | 177 |
|
Arnold Mclendon
410 Canterbury Rd |
$54.22 | 326 | 282 |
|
Renee G Watson
713 Wilkins St |
$22.73 | 345 | 220 |
|
Lisa Ciaccio
540 North St |
$57.17 | 352 | 322 |
|
Teresa M Bau
410 Canterbury Rd |
$61.59 | 416 | 370 |
|
Amarilis Figueroa
1202 N Brightleaf Blvd Ste C |
$79.24 | 429 | 318 |
|
Rajiv T Majithia
507 N Brightleaf Blvd Ste 202 |
$48.55 | 437 | 380 |
|
Zanetta Batts
410 Canterbury Rd |
$59.63 | 443 | 398 |
|
Joseph Thomas Liverman
410 Canterbury Rd |
$53.09 | 455 | 370 |
|
John Michael French
910 Berkshire Rd |
$68.38 | 461 | 432 |
|
Kendall Nelms Langston
100 Kellie Dr |
$82.70 | 472 | 388 |
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