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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Spruce Pine, NC: $48.90

Avg. Paid

$48.90

Range

$0.00 – $73.37

Total Claims

21,746

Providers

20

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 Spruce Pine, NC

Provider Avg. Paid Claims Patients
Jill R Czaja

7968 Hwy 19E

 $73.37 9,787 8,488
Rebekah Smith

88 Hospital Dr

 $12.26 3,851 2,225
Brie Michele Folkner

537 Altapass Hwy Ste C

 $44.97 3,666 2,425
Karen Peterson

88 Hospital Dr

 $52.66 643 478
Joshua M Newton

167 Locust St Ste 216

 $52.34 609 462
Mckenzie Dee Angel

1158 Greenwood Rd

 $35.52 569 388
Stephen William North

11728 S 226 Hwy

 $28.18 458 400
Lyndsay Jensen Edwards

11728 S 226 Hwy

 $4.64 441 408
Dwight James Willett

11728 S 226 Hwy

 $9.11 415 329
Elizabeth Thomas Sparks

215 Skyview Cir

 $15.27 388 309
Hayley Marie Pionk

11728 S 226 Hwy

 $11.12 270 234
Michelle Long

11728 S 226 Hwy

 $26.67 254 230
Robert Lloyd Van Brederode

537 Altapass Hwy

 $27.41 119 95
Megan Robinson Vestal

88 Hospital Dr

 $39.72 117 94
Cindy Blackwell Aldridge

11728 S 226 Hwy

 $31.05 46 33
Tonya Lynn Hensley

167 Locust St Ste 204

 $56.28 34 33
Doyle Lyn Shelton

189 Hospital Dr Ste A

 $37.14 34 30
Ashley Williams

189 Hospital Dr

 $0.00 16 16
Jo Ellen Inman-Puckett

31 Swiss Pine Ct

 $0.00 15 15
Marvin Walker

54 Hill St

 $25.80 14 13

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 Spruce Pine, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Spruce Pine, NC is $48.90 per claim, based on 21,746 claims from 20 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 Spruce Pine, NC?

There are 20 Medicaid providers offering Office Visit related services in Spruce Pine, NC according to public payment data.

What is the price range for Office Visit in Spruce Pine, NC?

Medicaid reimbursement for Office Visit in Spruce Pine, NC ranges from $0.00 to $73.37 per claim, with an average of $48.90. 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 Spruce Pine, NC

Personal Care Services

Avg $119.60

126,426 claims

Blood Work & Lab Tests

Avg $5.44

42,940 claims

Emergency Room Visit

Avg $119.08

38,939 claims

Durable Medical Equipment (DME)

Avg $25.35

18,728 claims

Case Management Services

Avg $175.39

15,512 claims

Urinalysis & Urine Tests

Avg $3.75

9,729 claims

Nursing Facility Care

Avg $12.17

7,811 claims

EKG / ECG (Electrocardiogram)

Avg $13.60

5,745 claims