Average Medicaid Office Visit Payments in Troy, NC: $43.79
Avg. Paid
$43.79
Range
$5.33 – $74.82
Total Claims
56,323
Providers
13
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 Troy, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Scott Jeffrey Denardo
522 Allen St Ste 101 |
$44.78 | 291 | 257 |
|
Paula Marie Price
507 N Main St |
$40.66 | 315 | 235 |
|
Taressa Ailene Stanton
522 Allen St Ste 101 |
$7.00 | 743 | 572 |
|
Carlyle Dukes Haywood
326 Albemarle Rd |
$24.90 | 959 | 729 |
|
Tamela Marie Raynor
217 S Main St |
$50.82 | 2,024 | 1,495 |
|
Julie Taylor Coggins
835 Albemarle Rd |
$52.77 | 3,052 | 2,645 |
|
Michael Scott Mcleod
835 Albemarle Rd |
$50.48 | 3,419 | 3,018 |
|
Andrew Patrick Harkins
835 Albemarle Rd |
$52.41 | 3,712 | 2,856 |
|
Touber Vang
1038 Albemarle Rd |
$5.33 | 3,808 | 3,228 |
|
Janet Leone Britt
1038 Albemarle Rd |
$5.72 | 4,056 | 3,389 |
|
Thomas M Bailey
835 Albemarle Rd |
$74.82 | 7,033 | 5,857 |
|
Krystal Richardson Wright
835 Albemarle Rd |
$53.00 | 8,988 | 7,541 |
|
John Montgomery Woodyear,Jr
507 N Main St |
$40.98 | 17,923 | 13,303 |
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 Troy, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Troy, NC is $43.79 per claim, based on 56,323 claims from 13 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 Troy, NC?
There are 13 Medicaid providers offering Office Visit related services in Troy, NC according to public payment data.
What is the price range for Office Visit in Troy, NC?
Medicaid reimbursement for Office Visit in Troy, NC ranges from $5.33 to $74.82 per claim, with an average of $43.79. 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 Troy, NC
Personal Care Services
Avg $107.47
124,623 claims
Blood Work & Lab Tests
Avg $16.35
44,436 claims
Psychiatric Evaluation
Avg $57.83
13,365 claims
Emergency Room Visit
Avg $67.50
12,725 claims
Urinalysis & Urine Tests
Avg $2.56
11,164 claims
Vaccines & Immunizations
Avg $14.18
10,958 claims
Dental Cleaning & Exam
Avg $31.70
6,805 claims
Pulmonary Function Test
Avg $24.92
4,420 claims