Average Medicaid Office Visit Payments in Taylorsville, NC: $52.20
Avg. Paid
$52.20
Range
$0.00 – $128.10
Total Claims
48,570
Providers
30
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 Taylorsville, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Andrew C Pyle
60 2Nd Ave Sw |
$58.36 | 10,802 | 8,086 |
|
Tonya Meadows Millsaps
393 3Rd Ave Sw |
$49.89 | 4,131 | 3,419 |
|
Gail Lyon Roberts
393 3Rd Ave Sw |
$62.37 | 4,124 | 3,792 |
|
Brooke Nicole-Hayes Massenburg
31 E Main Ave |
$53.96 | 3,443 | 2,636 |
|
Jeffrey Wayne Hively
174 Bolick Ln Ste 202 |
$61.28 | 2,760 | 2,645 |
|
Terry Campbell
395 3Rd Ave Sw |
$128.10 | 2,382 | 1,559 |
|
Andrea Clarke Wurzer
393 3Rd Ave Sw |
$56.26 | 1,978 | 1,347 |
|
Deji O Okuboye
50 Macedonia Church Road |
$34.10 | 1,978 | 1,589 |
|
Jamal Kalala
241 Nc Highway 16 S |
$15.51 | 1,832 | 689 |
|
Cody Adam Wingler
1668 Nc Highway 16 S |
$35.32 | 1,793 | 1,462 |
|
Jeffrey A Katz
1668 N C Highway 16 South |
$29.02 | 1,645 | 1,308 |
|
Lora Taraban
338 1St Ave Sw |
$54.36 | 1,567 | 1,151 |
|
Joy Duckworth
50 Macedonia Church Rd |
$41.99 | 1,110 | 853 |
|
Kara Marie Turnbull
50 Macedonia Church Rd |
$40.13 | 1,042 | 710 |
|
Jonathan Paul Goodnight
1668 Nc Highway 16 S |
$17.26 | 1,037 | 762 |
|
Ashley Moore Stell
1668 Nc Highway 16 S |
$59.83 | 964 | 732 |
|
Steven Merrill
393 3Rd Ave Sw |
$64.00 | 928 | 735 |
|
Stephen J Sladicka
50 Macedonia Church Rd |
$35.43 | 905 | 740 |
|
Joel R Inman
1668 Nc Highway 16 S |
$19.65 | 833 | 657 |
|
Mandy Miller Ferguson
393 3Rd Ave Sw |
$38.03 | 742 | 534 |
|
Lauren Hall
338 1St Ave Sw Ste 1 |
$16.74 | 652 | 556 |
|
Allison Cecilia Clay
1668 Nc Highway 16 S |
$30.77 | 598 | 413 |
|
Nichole Bentley Lemley
1668 Nc Highway 16 S |
$44.60 | 378 | 275 |
|
Moriah Armstrong Specht
174 Bolick Ln Ste 202 |
$47.00 | 348 | 305 |
|
April Helton Phares
50 Macedonia Church Rd |
$26.65 | 252 | 211 |
|
Mark A Faruque
174 Bolick Ln |
$41.58 | 140 | 114 |
|
Mark J Devries
1668 Nc Highway 16 S |
$0.00 | 131 | 123 |
|
Sandra Bennett Reed
50 Macedonia Church Rd Ste A |
$53.43 | 48 | 39 |
|
Jill Marie Devries
1668 Nc Highway 16 S |
$0.00 | 14 | 13 |
|
Valerie Sue Taylor
338 1St Ave Sw |
$31.53 | 13 | 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 Taylorsville, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Taylorsville, NC is $52.20 per claim, based on 48,570 claims from 30 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 Taylorsville, NC?
There are 30 Medicaid providers offering Office Visit related services in Taylorsville, NC according to public payment data.
What is the price range for Office Visit in Taylorsville, NC?
Medicaid reimbursement for Office Visit in Taylorsville, NC ranges from $0.00 to $128.10 per claim, with an average of $52.20. 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 Taylorsville, NC
Dental Cleaning & Exam
Avg $30.46
54,857 claims
Physical Therapy
Avg $81.21
49,084 claims
Speech Therapy
Avg $35.24
44,265 claims
Behavioral & Mental Health Therapy
Avg $98.84
18,073 claims
Dental Filling
Avg $100.10
12,863 claims
Psychiatric Evaluation
Avg $59.10
11,521 claims
Ambulance Transport
Avg $71.33
7,390 claims
Blood Work & Lab Tests
Avg $10.40
6,073 claims