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
Jill Deanne Langley 1188 Skyland Dr	$65.86	11,114	7,813
Laura Southern Miller 90 E Main St Ste 2	$77.07	9,369	7,078
Roy P Gallinger 430 Fisher Creek Rd	$58.75	9,256	7,965
Joshua Baram Alweiss 98 Doctors Dr	$72.65	8,514	7,050
Nicholas Allen Jernigan 98 Doctors Dr	$70.86	8,348	6,871
Brittany Rogers 98 Doctors Dr Ste 300	$62.98	6,826	5,687
Bradley Allan Mcabee 68 Hospital Rd	$41.91	6,177	5,608
Natalie Ruth Steinbicker 19 S Sunset Ln	$50.66	5,817	4,055
Philip Arlis Neiheisel 132 Sylva Plz	$174.90	4,631	3,710
Carole Annette Pierson 37 Medical Park Loop	$43.84	4,467	3,458
Clifford H Mault 12 Grindstaff Cove Rd	$41.14	4,175	3,206
Joyce Angela Struna 111 Central St	$42.52	4,172	3,551
Rebecca Elizabeth Manring 61 Bonnie Ln	$40.85	3,787	2,660
Robert Harris Pope 38 The Village Overlook	$59.33	3,595	3,239
Ryan Matthew Slechta 80 Healthcare Dr	$35.61	3,403	2,727
Tneshia Lea Richards 47 East Fork Road	$56.08	3,382	2,373
Carrie Leigh Saunders 176 Walmart Plz	$35.82	3,313	2,534
Londyn V Conner 44 Bonnie Ln	$41.61	2,793	2,154
Thomas Jason Wolf 63 Healthcare Dr	$33.85	2,651	1,747
Emily Grace Wilkins 38 The Village Overlook	$59.59	2,602	2,082
Shannon Howell Mitchell 44 Bonnie Ln	$43.20	2,550	1,415
Douglas Hart Gates 80 Healthcare Dr	$29.46	2,524	2,079
Graeme Potter 377 Macktown Rd	$34.23	2,414	1,270
Kristen Brooks 38 The Village Overlook	$61.24	2,293	1,928
Katherine Carpenter Hefner 81 Medical Park Loop	$39.51	2,102	1,795
Shawn D Kosnik 38 The Village Overlook	$41.58	1,788	1,598
Judith J Seago 186 Medical Park Loop	$1.19	1,775	1,606
Traci Butler Long 61 Bonnie Ln	$35.37	1,718	1,224
Stefanie Kam Hatfield 70 The Village Overlook	$95.74	1,644	1,560
John Ernst Buenting 38 The Village Overlook	$43.37	1,629	1,417
Gregory J Leamy 37 Medical Park Loop Ste 103	$11.99	1,562	842
Angela Valory Connaughton 186 Medical Park Loop	$32.76	1,304	1,151
Connie J Borgerding 98 Doctors Dr Ste 200	$48.05	1,284	1,084
Jai R Kumar 154 Medical Park Loop Ste A	$24.69	1,264	943
Ofelia C Balta 98 Cope Creek Rd Ste A-B	$24.00	1,230	843
Daniel Riley Webb 61 Bonnie Ln	$364.26	1,158	1,051
Karla Ross Colburn 111 Central St	$39.49	1,151	1,023
Daniel J Mackey 430 Fisher Creek Rd	$67.83	1,133	888
Jennifer Jane Girskis 98 Doctors Dr	$396.85	1,114	1,021
Katherine Leigh Mosley 37 Medical Park Loop Ste 101	$683.61	1,111	1,073
Angela Marie Snyder 1188 Skyland Dr	$57.84	1,005	712
Marissa Rose Thomas 1188 Skyland Dr	$56.64	980	836
Brandy Lucas 694 Grand Vista Dr	$603.87	962	729
Leigh Ann Omalley 98 Doctors Dr	$34.66	926	788
Coral Dawn Wiggins 538 Scotts Creek Rd	$66.07	906	718
Ricardo Jose Perea 26 Westcare Dr	$26.73	898	607
Donald C Larcher 37 Medical Park Loop	$415.29	859	716
Laurie Shirey 154 Medical Park Loop Ste 210	$22.80	825	608
Lawrence Francis Supik 80 Healthcare Dr	$22.70	815	644
Janet Lee James 12 Grindstaff Cove Rd	$63.75	809	592

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

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