Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Sylva, NC: $72.58

Avg. Paid

$72.58

Range

$0.00 – $683.61

Total Claims

166,368

Providers

108

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 Sylva, NC

Provider	Avg. Paid	Claims	Patients
Grace Meehyun Kim 26 Westcare Dr Ste 302	$50.83	17	16
Anne Jones Karner 111 Central St	$29.54	25	16
Alida Suzanne Herrera 44 Bonnie Ln	$89.55	29	28
Joshua Daniel Pratt 98 Doctors Dr Ste 320	$78.41	30	25
Michael Joseph Elias 68 Hospital Rd	$28.89	33	28
Sabine Arwen Kelischek 70 The Village Overlook	$32.09	43	38
Travis A Stuckey 81 Medical Park Loop	$37.14	44	40
Donald T Buckner 44 Bonnie Ln	$92.96	51	50
Randall Provost 98 Doctors Dr	$28.87	51	40
Darci Rae Walker 70 The Village Overlook	$35.30	52	41
David Karuru 154 Medical Park Loop	$455.00	63	45
Gabrielle Nicole Kendzerski 176 Walmart Plz	$46.18	78	58
Elizabeth Dixon 98 Doctors Dr Ste 200	$33.14	85	74
Megan Wald Metcalf 70 The Village Overlook	$39.43	88	70
Mallory Erin Krispinsky 61 Bonnie Ln	$43.83	89	81
Gregory P Brown 186 Medical Park Loop Ste 503	$35.52	91	67
Blue Ridge Community Health Services Inc 44 Bonnie Ln	$0.00	97	94
Jerome M Marchuk 98 Doctors Dr	$16.99	102	94
Francis Richard Nullet 68 Hospital Rd	$41.24	103	99
William Judson Noell 98 Doctors Dr	$5.87	105	62
Jaime L Reynolds 1188 Skyland Dr	$62.73	126	116
David S Thomas 14 Medical Park Loop	$7.27	128	69
Jonathan William Bentley 293 Hospital Rd	$39.28	142	136
Olen Thomas Tatham 1196 Skyland Dr	$32.10	147	107
Zachary Britt Fisher 293 Hospital Rd Ste B	$0.68	154	147
Barbara Jane Behrle 377 Macktown Rd	$31.96	163	118
Kimberly Alexis Stillwachs 430 Fisher Creek Rd	$0.00	168	150
Timothy John Vanderkwaak 609 Asheville Hwy	$21.96	175	119
Kara Blankenship Cummings 98 Doctors Dr Ste 100	$42.10	192	165
Rhonda Morris 111 Central St	$40.74	240	164
Kathleen J Walsh 70 The Village Overlook	$33.61	254	153
Current Custer Patterson 61 Bonnie Lane	$26.79	254	220
Katharine B Knight 154 Medical Park Loop	$92.87	258	247
Traci Knop 26 Westcare Dr	$34.99	262	218
Stephanie Jones 47 E Fork Rd	$62.29	264	215
Sandra J. Roberts 1188 Skyland Dr	$70.03	276	253
Jodi Balderrama 98 Cope Creek Rd	$18.68	289	167
Rebecca Carver 1188 Skyland Dr	$71.54	307	271
Leslie Morris 186 Medical Park Loop Ste 503	$34.22	308	286
Jennifer Milspaw Blattner 70 The Village Overlook	$56.84	345	243
Steven Wesley Queen 98 Doctors Dr	$33.35	347	289
Casey Lee Prenger 68 Hospital Rd	$40.96	362	197
Brittany Pierce Hipkins 293 Hospital Rd	$1.71	438	384
Katrina Gail Coggins 98 Doctors Dr Ste 100	$40.77	466	384
Matthew Harrison Folan 316 County Services Park	$351.33	467	280
Deborah Lynn Allen 1 Hospital Rd	$263.93	468	269
Jessica K Ange 430 Fisher Creek Rd	$33.98	536	485
Paul Duane White 1635 E Main St	$621.22	545	231
Amy Krutsch 538 Scotts Creek Rd Ste 100	$19.23	585	284
Kalee Golden 1188 Skyland Dr	$56.52	627	538

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 Sylva, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sylva, NC is $72.58 per claim, based on 166,368 claims from 108 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 Sylva, NC?

There are 108 Medicaid providers offering Office Visit related services in Sylva, NC according to public payment data.

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

Medicaid reimbursement for Office Visit in Sylva, NC ranges from $0.00 to $683.61 per claim, with an average of $72.58. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Sylva, NC: $72.58

Providers Offering Office Visit in Sylva, NC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Sylva, NC

Case Management Services

Personal Care Services

Vaccines & Immunizations

Emergency Room Visit

Substance Abuse Treatment

Blood Work & Lab Tests

Nursing Facility Care

Hearing Test (Audiometry)