Average Medicaid Office Visit Payments in Sparta, NC: $45.82
Avg. Paid
$45.82
Range
$1.00 – $64.39
Total Claims
35,807
Providers
18
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 Sparta, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jon Wesley Thompson
233 Doctors St |
$26.06 | 14 | 13 |
|
Linda Laws
157 Health Services Rd |
$1.00 | 53 | 26 |
|
Gina Gilley Jenkins
450 N Main St |
$61.70 | 64 | 54 |
|
Logan Oliver
18 Grayson St |
$29.99 | 83 | 66 |
|
Keith Edward Romanov
Alleghany Memorial Hosptial |
$46.17 | 109 | 100 |
|
Richard Brian Ambler
157 Health Services Rd |
$63.57 | 948 | 805 |
|
Jose S Arocha
248 Doctors St |
$30.86 | 1,151 | 884 |
|
Ann Katherine Watson
214 Doctors St |
$53.19 | 1,206 | 1,077 |
|
Beverly Billings
233 Doctors St |
$64.39 | 1,245 | 1,156 |
|
Neal H Guffey
158 Chestnut Grove Church Rd |
$43.68 | 1,744 | 562 |
|
Dwynn N Greenfield
233 Doctors St |
$42.63 | 1,753 | 1,511 |
|
Julie Ann Blevins-Sprinkle
665 S Main St |
$29.17 | 1,807 | 1,160 |
|
Denise Absher Bryant
214 Doctor Street |
$55.93 | 2,100 | 1,615 |
|
Mary Carol Digel
214 Doctors St |
$38.55 | 2,555 | 1,645 |
|
Ronda Benge Blevins
233 Doctors St |
$44.12 | 3,139 | 2,782 |
|
Thelma Susan Winkler
233 Doctors St |
$62.67 | 3,928 | 3,539 |
|
Sarah Ann Vences
157 Health Services Rd |
$46.65 | 3,959 | 3,414 |
|
Jessica Royd Ange
157 Health Services Rd |
$40.20 | 9,949 | 7,440 |
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 Sparta, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sparta, NC is $45.82 per claim, based on 35,807 claims from 18 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 Sparta, NC?
There are 18 Medicaid providers offering Office Visit related services in Sparta, NC according to public payment data.
What is the price range for Office Visit in Sparta, NC?
Medicaid reimbursement for Office Visit in Sparta, NC ranges from $1.00 to $64.39 per claim, with an average of $45.82. 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 Sparta, NC
Personal Care Services
Avg $89.27
136,529 claims
Dental Cleaning & Exam
Avg $29.41
14,868 claims
Vaccines & Immunizations
Avg $10.17
13,218 claims
Speech Therapy
Avg $45.42
10,222 claims
Nursing Facility Care
Avg $8.86
10,102 claims
Blood Work & Lab Tests
Avg $2.89
8,012 claims
Behavioral & Mental Health Therapy
Avg $76.07
7,589 claims
Durable Medical Equipment (DME)
Avg $23.23
5,691 claims