Average Medicaid Office Visit Payments in Southern Pines, NC: $59.59
Avg. Paid
$59.59
Range
$4.18 – $111.42
Total Claims
295,782
Providers
99
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 Southern Pines, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Matthew Brian Thompson
195 W Illinois Ave |
$38.54 | 18,702 | 12,379 |
|
Laneshia Patrick
695 S Bennett St |
$48.57 | 17,069 | 13,257 |
|
Jill R. Roberson
135 Turner St |
$65.18 | 16,615 | 13,241 |
|
Nicole Marie Eteo
195 W Illinois Ave |
$63.02 | 14,609 | 13,668 |
|
Frederick H Mabry
195 W Illinois Ave |
$73.05 | 12,810 | 12,049 |
|
Sarah Locklear Brewington
195 W Illinois Ave |
$71.95 | 12,558 | 11,713 |
|
Elizabeth Mcneill Hodgin
195 W Illinois Ave |
$63.38 | 12,166 | 11,224 |
|
Jennifer M Mabry
195 W Illinois Ave |
$78.99 | 12,147 | 11,602 |
|
Gwendolyn Denise Garcia Leach
195 W Illinois Ave |
$60.66 | 11,374 | 10,606 |
|
Christoph R Diasio
195 W Illinois Ave |
$70.08 | 8,725 | 8,353 |
|
Nora C Mason
195 W Illinois Ave |
$72.10 | 8,354 | 7,912 |
|
Harvey Hugh Wolf
10935 Us 15501 Hwy |
$44.58 | 8,145 | 6,576 |
|
Joseph C Boals Iv
195 W Illinois Ave |
$69.76 | 7,893 | 7,498 |
|
Kate Mcbride
200 Pavilion Way |
$58.08 | 7,235 | 5,883 |
|
Amy S. Ivey
195 W Illinois Ave |
$57.54 | 7,170 | 6,628 |
|
Sarah Elizabeth Carr
195 W Illinois Ave |
$69.81 | 6,907 | 6,447 |
|
Erica Biles Vincent
135 Turner St |
$65.48 | 6,605 | 6,292 |
|
Rebecca Kay Simpkin
195 W Illinois Ave |
$79.19 | 6,280 | 5,993 |
|
Jessica Leigh Haywood
195 W Illinois Ave |
$59.96 | 6,207 | 5,811 |
|
Lindsey M. Bellamy
195 W Illinois Ave |
$71.11 | 5,807 | 5,428 |
|
Scott Duane Sexton
195 W Illinois Ave |
$70.67 | 5,543 | 5,177 |
|
Cory Dale Anderson
1690 Us Highway 1 S Ste 100 |
$52.74 | 5,172 | 4,558 |
|
Meagan Bradham Mclean
340 Commerce Ave Ste 5 |
$38.67 | 5,032 | 3,571 |
|
William L. Stewart
195 W Illinois Ave |
$72.52 | 4,681 | 4,466 |
|
Kameron Ansley Allen
195 West Illinois Avenue |
$60.85 | 4,661 | 4,270 |
|
Natalee Sheppe French
195 W Illinois Ave |
$81.72 | 4,434 | 4,268 |
|
Nicole Jacobs
195 West Illinois Avenue |
$93.45 | 4,079 | 3,488 |
|
Andrew Lewis Apple
2170 Midland Rd |
$26.78 | 3,594 | 2,866 |
|
Megan Fread
195 W Illinois Ave |
$59.86 | 3,414 | 3,264 |
|
Randall R Mercier
630 S Bennett St |
$28.63 | 3,010 | 1,652 |
|
Heather Dyer
630 S Bennett St |
$24.24 | 2,440 | 1,512 |
|
Lu Anne Cromartie
138 Brucewood Rd |
$40.88 | 2,404 | 1,786 |
|
Zeina Abdelnour Haddad
2170 Midland Rd |
$21.78 | 2,312 | 1,821 |
|
Gwendolyn Rose Jones
195 W Illinois Ave |
$111.42 | 2,273 | 2,009 |
|
Melissa Sue Aubin
200 Pavilion Way |
$55.06 | 2,068 | 1,646 |
|
Melissa Jo Mang
145 Applecross Rd |
$45.18 | 2,028 | 1,692 |
|
Whitney Richardson Albright
120 Braemar Court |
$31.35 | 1,986 | 1,521 |
|
Kimberly Marie Niemeyer
195 W Illinois Ave |
$56.32 | 1,870 | 1,743 |
|
John W. Byron
145 Applecross Rd |
$46.14 | 1,598 | 1,274 |
|
Stephanie Mcauley
138 Brucewood Rd |
$48.63 | 1,552 | 1,256 |
|
Melissa Andrews
195 W Illinois Ave |
$51.60 | 1,528 | 1,348 |
|
Daniel Kent Messner
2170 Midland Rd |
$15.92 | 1,308 | 1,124 |
|
Alexandra Kilraine Kaznowski
200 Pavilion Way |
$53.11 | 1,291 | 1,135 |
|
Arghavan Almony
2170 Midland Rd |
$23.88 | 1,190 | 942 |
|
Hattie Danielle Mccall
195 W Illinois Ave |
$64.68 | 1,157 | 1,065 |
|
Pamela Geertgens Kantorowski
145 Applecross Rd |
$59.38 | 1,090 | 943 |
|
Brooks Bellamy Mays
200 Pavilion Way |
$27.99 | 1,040 | 854 |
|
David Brennen Throneburg
2170 Midland Rd |
$24.67 | 850 | 751 |
|
Robert Allan Sharpe
2170 Midland Rd |
$25.10 | 833 | 641 |
|
Pressley Warren Hales
2170 Midland Rd |
$45.87 | 801 | 633 |
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 Southern Pines, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Southern Pines, NC is $59.59 per claim, based on 295,782 claims from 99 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 Southern Pines, NC?
There are 99 Medicaid providers offering Office Visit related services in Southern Pines, NC according to public payment data.
What is the price range for Office Visit in Southern Pines, NC?
Medicaid reimbursement for Office Visit in Southern Pines, NC ranges from $4.18 to $111.42 per claim, with an average of $59.59. 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 Southern Pines, NC
Vaccines & Immunizations
Avg $15.70
228,995 claims
Dental Cleaning & Exam
Avg $29.48
218,545 claims
Blood Work & Lab Tests
Avg $9.92
71,681 claims
Dental Filling
Avg $96.65
50,298 claims
Emergency Room Visit
Avg $84.32
38,644 claims
Hearing Test (Audiometry)
Avg $2.90
35,624 claims
Physical Therapy
Avg $56.37
33,280 claims
Speech Therapy
Avg $63.08
20,122 claims