Average Medicaid Office Visit Payments in Tarboro, NC: $44.22
Avg. Paid
$44.22
Range
$17.46 – $81.59
Total Claims
117,260
Providers
47
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 Tarboro, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Betty Gelvez Jordan
101 Clinic Dr |
$41.09 | 13 | 13 |
|
Savannah Dawn Junkins
162 Nc Highway 33 E |
$50.40 | 26 | 15 |
|
Vrinda Vyas
101 Clinic Dr |
$29.26 | 29 | 29 |
|
Antonia Horsley Haywood
101 Clinic Dr |
$81.59 | 42 | 41 |
|
Olivia Adcox Meadows
2906 N Main Street |
$30.95 | 112 | 104 |
|
Christopher Sean Motta
101 Clinic Dr |
$74.47 | 142 | 133 |
|
Crystal Leigh Baker
101 Clinic Dr |
$20.69 | 384 | 323 |
|
Sarah T Tyson
2807 N Main St |
$43.27 | 387 | 334 |
|
Alberto J D'Empaire
2906 N Main St |
$21.92 | 396 | 373 |
|
Jeffrey Silver
101 Clinic Dr |
$31.75 | 434 | 366 |
|
Mandy Studebaker
101 Clinic Dr |
$21.54 | 482 | 450 |
|
Bradford Karsten Bilicki
101 Clinic Dr |
$27.70 | 490 | 425 |
|
Eileen Pauline Gentry
105 Hospital Dr |
$17.46 | 505 | 477 |
|
James Winslow
101 Clinic Dr |
$31.08 | 617 | 572 |
|
Ann Gielyn Silva-Abueg Konzem
2906 N Main St |
$28.71 | 635 | 571 |
|
Sreelakshmi Chettoor Janardhanan
101 Clinic Dr |
$72.03 | 832 | 736 |
|
David Charles Miller
2906 N Main St |
$24.93 | 860 | 783 |
|
Karen K Wagner
111 Hospital Dr |
$60.69 | 1,105 | 1,043 |
|
Shaketa Dion Whitaker
101 Clinic Dr |
$44.35 | 1,267 | 984 |
|
Ashley Lauren Feeley
2704 N Main St |
$55.49 | 1,364 | 1,172 |
|
Kimberly Miskow Stepney
101 Clinic Dr |
$31.85 | 1,371 | 994 |
|
Alvah C Cayton
2807 N Main St |
$39.88 | 1,419 | 1,235 |
|
Mark Petruzziello
101 Clinic Dr |
$24.86 | 1,485 | 1,282 |
|
Yan Ho Ronald Li
101 Clinic Dr |
$39.93 | 1,537 | 1,156 |
|
Sunil Badami
105 Hospital Dr |
$30.84 | 1,539 | 1,334 |
|
David Wayne Lee
2704 N Main St |
$41.30 | 1,597 | 1,247 |
|
Karen E Mann
111 Hospital Dr |
$48.29 | 1,612 | 1,483 |
|
Courtney Padrick Greene
101 Clinic Dr |
$27.59 | 1,919 | 1,239 |
|
Deanna Moore
110 Western Blvd |
$51.51 | 2,144 | 1,435 |
|
Meridith Matthis Taylor
101 Clinic Dr |
$52.61 | 2,303 | 1,919 |
|
Jil Humberger Brown
2704 N Main St |
$39.52 | 2,657 | 2,238 |
|
Ada Williams-Wooten
101 Clinic Dr |
$66.01 | 2,710 | 2,506 |
|
James Eugene Kendall
2704 N Main St |
$45.77 | 2,754 | 2,070 |
|
Emily Elizabeth Rogewitz
101 Clinic Dr |
$48.24 | 3,041 | 2,713 |
|
Paul Natale Lanfranchi
2906 N Main St |
$36.61 | 3,224 | 2,717 |
|
Karen Coward
101 Clinic Dr |
$36.29 | 3,456 | 2,813 |
|
Gregory Jay Stark
101 Clinic Dr |
$60.32 | 3,779 | 3,554 |
|
Donneshia Gabrielle Moore
101 Clinic Dr |
$41.37 | 4,168 | 3,311 |
|
Paul Richard Woodard
101 Clinic Dr |
$34.60 | 4,182 | 2,780 |
|
Angela B Mebane
101 Clinic Dr |
$40.61 | 4,665 | 3,916 |
|
Jay R Oswald
101 Clinic Dr |
$64.11 | 5,696 | 5,260 |
|
Manisha Tiwari
101 Clinic Dr |
$43.04 | 5,938 | 4,373 |
|
Ramesh Raj Mishra
101 Clinic Dr |
$43.35 | 6,125 | 4,544 |
|
Thomas John Galisin
2906 N Main St |
$35.04 | 6,157 | 5,137 |
|
Larry Jensen
101 Clinic Dr |
$60.47 | 7,701 | 6,150 |
|
Debra Ann Milliner
101 Clinic Dr |
$55.17 | 11,971 | 10,506 |
|
Stephen A Kinard
1406 Western Blvd |
$27.61 | 11,988 | 8,805 |
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 Tarboro, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Tarboro, NC is $44.22 per claim, based on 117,260 claims from 47 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 Tarboro, NC?
There are 47 Medicaid providers offering Office Visit related services in Tarboro, NC according to public payment data.
What is the price range for Office Visit in Tarboro, NC?
Medicaid reimbursement for Office Visit in Tarboro, NC ranges from $17.46 to $81.59 per claim, with an average of $44.22. 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 Tarboro, NC
Behavioral & Mental Health Therapy
Avg $126.73
82,103 claims
Substance Abuse Treatment
Avg $217.91
74,004 claims
Emergency Room Visit
Avg $81.05
65,487 claims
Ambulance Transport
Avg $42.82
63,713 claims
Blood Work & Lab Tests
Avg $8.50
61,451 claims
Vaccines & Immunizations
Avg $12.23
60,416 claims
Speech Therapy
Avg $45.65
23,227 claims
Urinalysis & Urine Tests
Avg $4.96
21,331 claims