Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Wake Forest, NC: $63.61

Avg. Paid

$63.61

Range

$0.00 – $97.36

Total Claims

221,437

Providers

118

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 Wake Forest, NC

Provider	Avg. Paid	Claims	Patients
Prina Patel Edralin 12000 Retail Dr	$0.00	13	12
John Brinkley Sugg 11635 Capital Blvd Ste 200	$74.02	19	15
Saranne Nicole Lentz-Barker 2006 S Main St Ste 202	$38.87	20	14
Dew Matasha Amanata Saunders 245 E Roosevelt Ave	$9.78	21	12
Laurie A Dunne 110 Capcom Ave	$33.00	25	25
Joseph Tucker Cline 3000 Rogers Rd Ste 330	$33.11	30	27
Kimberly Stabingas 1964 S Main St	$55.13	31	26
Jada Marie Dillner 11640 Northpark Dr Ste 200	$62.25	38	33
Katherine Elizabeth Gambino 123 Capcom Ave Ste 105	$30.88	39	29
Dorothy Brown Swanson 3000 Rogers Rd Ste 100	$71.40	41	38
Amanda Steele Johnson 110 Capcom Ave	$54.13	42	39
Catherine N Gitau 3000 Rogers Rd Ste 200	$70.41	43	42
Kelly Elizabeth Trawick 620 Dr Calvin Jones Hwy Ste 212	$34.62	48	48
Sophia Francis 3000 Rogers Rd	$58.26	71	66
Thomas Nelson Weber 3213 Rogers Rd	$86.65	72	38
Katie Elizabeth Fontaine 3213 Rogers Rd	$0.00	75	70
Deborah Hupp 245 East Roosevelt Ave	$19.07	79	51
Melanie Ann Lieblang 4205 Field Oak Dr	$61.19	80	61
Nevin Mahendra Shrimanker 110 Capcom Ave Ste 200	$21.05	84	69
Daniel Thomas Mckearney 3213 Rogers Rd	$79.79	100	91
James M Judge 833 Durham Rd Ste C	$24.89	101	81
Hsiupei Chen 110 Capcom Ave Ste 200	$15.91	101	77
Andrew Egon Hanselman 3000 Rogers Rd Ste 300	$48.83	123	95
Scott E Konopka 3213 Rogers Rd	$86.97	180	127
Jessica Mohr 12339 Wake Union Church Rd Ste 111	$68.65	198	108
Susan Jane Horlick 2001 S Main St	$42.57	201	151
Latonja M. Ivery 1001 Stadium Drive	$79.64	203	172
Catherine Seward Allison 1655 Wake Dr Unit 101	$59.76	205	196
Norman J Goldbach 1904 S Main St Ste 114	$10.84	212	133
Tida Lam 1964 S Main St	$74.76	217	205
Ravi K. Singh 110 Capcom Ave Ste 201	$29.46	225	172
Melody S Rodgman 1655 Wake Dr Unit 101	$58.84	238	235
Timothy J. Finn 1001 Stadium Dr Ste 108	$46.56	248	151
Michael Yoon-Ki Hong 2001 S Main St	$59.08	260	245
James Wisler 1121 Warmoven St	$44.23	302	268
Michael J Hodos 833-C Wake Forest Business Park	$32.64	328	240
Mohammad Abul Kalam Khan 1751 S Main St	$52.43	333	310
Elizabeth Scott Taylor 3150 Rogers Rd Ste 101	$54.56	370	330
Karl R Bernat 3000 Rogers Rd Ste 200	$25.83	384	344
Ava Maritato 11635 Northpark Dr Ste 200	$73.22	396	341
Chi Minh Nguyen 3213 Rogers Rd	$66.34	445	378
Sanjay D Patel 11635 Northpark Dr	$33.35	458	389
Angela J Good 992 Durham Rd Ste C	$83.78	507	433
Eric Castaneda 3150 Rogers Rd Ste 218	$74.76	511	459
Ashley Ann Wooldrik 1748 Heritage Center Dr Ste 101	$39.62	515	409
Caroline Lee 2115 S Main St Ste A	$57.10	558	462
Jennifer Gusler Hough 110 Capcom Ave Ste 200	$15.57	575	405
Erica Fiona Shelly 3000 Rogers Rd Ste 200	$71.59	613	547
Jane Linda Nathan 1655 Wake Dr Unit 101	$59.69	614	543
Edward Michael Galiczynski 11640 Northpark Dr Ste 200	$39.11	719	671

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 Wake Forest, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wake Forest, NC is $63.61 per claim, based on 221,437 claims from 118 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 Wake Forest, NC?

There are 118 Medicaid providers offering Office Visit related services in Wake Forest, NC according to public payment data.

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

Medicaid reimbursement for Office Visit in Wake Forest, NC ranges from $0.00 to $97.36 per claim, with an average of $63.61. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Wake Forest, NC: $63.61

Providers Offering Office Visit in Wake Forest, NC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Wake Forest, NC

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Behavioral & Mental Health Therapy

Psychiatric Evaluation

Physical Therapy

Case Management Services