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 |
|---|---|---|---|
|
Gregory Julian Mincey
2170 Midland Rd |
$33.76 | 13 | 12 |
|
Andrew David Coggin
300 Pavilion Way Ste 200 |
$74.07 | 13 | 12 |
|
Thomas Scott Jamison
1690 Us Highway 1 S |
$27.46 | 13 | 12 |
|
Jennifer Marie Mccall
2170 Midland Rd |
$18.16 | 15 | 15 |
|
Lindsey Kay Farrar Foreman
455 Ne Broad St |
$70.08 | 16 | 15 |
|
Lauren B. Chriscoe
200 Pavilion Way |
$43.76 | 17 | 13 |
|
Louisa A Stewart
2170 Midland Rd |
$8.19 | 41 | 25 |
|
Pamela S Christaldi
102 Gossman Drive |
$33.05 | 42 | 38 |
|
Krystina Lauren Quow
200 Pavilion Way |
$99.42 | 45 | 42 |
|
Lisa Vogel Sitterson
2170 Midland Rd |
$19.50 | 47 | 38 |
|
Nicole Piatt Apple
2170 Midland Rd |
$37.71 | 59 | 54 |
|
Barry K Buchele
145 Applecross Rd |
$30.09 | 59 | 40 |
|
Robert Johnson
200 Pavilion Way |
$65.73 | 72 | 56 |
|
Julie Herring
200 Pavilion Way Ste 200 |
$84.90 | 86 | 80 |
|
Natalie Lucas Davies
200 Pavilion Way |
$37.80 | 87 | 75 |
|
Shannon M Ellis
200 Pavilion Way |
$58.92 | 122 | 105 |
|
Molly Mccarthy Walsh
2170 Midland Rd |
$61.84 | 129 | 112 |
|
Julie G Baugher
200 Pavilion Way |
$51.12 | 136 | 109 |
|
Jeffrey Jason White
2170 Midland Rd |
$28.32 | 152 | 116 |
|
Anna Frances Fakadej
2170 Midland Rd |
$27.86 | 153 | 125 |
|
Robert Lee Hollingsworth
2170 Midland Rd |
$5.92 | 155 | 119 |
|
John Wesley French
2170 Midland Rd |
$36.97 | 157 | 124 |
|
Kathryn Fedder
135 Turner St |
$58.01 | 163 | 149 |
|
Robert Leonard Deucher
400 Nw Broad St Ste A |
$25.78 | 217 | 121 |
|
Irene Rangel Burns
125 Murray Hill Rd Ste C |
$25.54 | 235 | 162 |
|
Elizabeth M Watson
195 W Illinois Ave |
$106.85 | 263 | 198 |
|
Tarra Wright Millender
2170 Midland Rd |
$26.20 | 263 | 208 |
|
Thomas John Fisher
2170 Midland Rd |
$4.18 | 263 | 170 |
|
Michol Stanzione
200 Medical Pavilion Way |
$38.62 | 278 | 242 |
|
Joey Lee Harris
2170 Midland Rd |
$27.30 | 279 | 230 |
|
Allyson Corinne Metro
195 W Illinois Ave |
$74.14 | 294 | 283 |
|
Winston Joseph Garris
2170 Midland Rd |
$25.50 | 308 | 247 |
|
Kendall Reid Zmiewsky
145 Applecross Road |
$58.06 | 325 | 299 |
|
Timothy Michael Gast
2170 Midland Rd |
$16.50 | 326 | 245 |
|
Madison Broadwell
195 W Illinois Ave |
$94.17 | 334 | 322 |
|
Michael John Sundborg
145 Applecross Rd |
$32.61 | 335 | 259 |
|
Victoria L Cooper
200 Pavilion Way |
$37.64 | 337 | 264 |
|
Tia Lynn Fox
200 Pavilion Way |
$42.41 | 337 | 322 |
|
Gail C. Lowery
200 Pavilion Way |
$36.33 | 415 | 347 |
|
Michael A Antil
200 Pavilion Way |
$43.00 | 420 | 363 |
|
Julia Malis
145 Applecross Road |
$40.54 | 468 | 332 |
|
Scott M. Klenzak
250 N Bennett St |
$103.94 | 615 | 481 |
|
Roger Mitchel
2170 Midland Rd |
$32.89 | 673 | 516 |
|
Herman Albert Allison
760 C Nw Broad St |
$32.89 | 678 | 361 |
|
America Berenice Reece
200 Pavilion Way |
$54.21 | 708 | 665 |
|
Shelby Johnson
200 Pavilion Way |
$74.78 | 712 | 619 |
|
Kendall Whitfield Wannamaker
2170 Midland Rd |
$30.01 | 719 | 550 |
|
Kristin Yearby Hockersmith
200 Pavilion Way |
$56.03 | 784 | 662 |
|
Ellen Mae Gaudlip
195 W Illinois Ave |
$38.11 | 787 | 764 |
|
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