Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Washington, NC: $57.01

Avg. Paid

$57.01

Range

$10.03 – $87.28

Total Claims

146,942

Providers

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 Washington, NC

Provider	Avg. Paid	Claims	Patients
Deborah Lowry Ainsworth 1206 Brown St	$78.27	18,281	16,087
Stephanie Turnage 1206 Brown St	$74.22	13,091	11,090
Lauren A Nickson 1206 Brown St	$74.44	12,743	10,600
Mark A Karpinski 1206 Brown St	$78.77	11,541	10,272
Kalavathi Kolappa 1308 Highland Dr	$33.94	8,931	6,815
Ainsley Roberson Rusevlyan 114 Avon Ave	$10.03	5,568	4,515
Kimberly Lea Thompson-Tucker 1412 Carolina Ave	$62.90	5,281	4,312
Manoranjan Muthukanagaraj 1308 Highland Dr	$43.54	5,084	4,039
William Luke Hickman 1730 Carolina Ave	$70.57	4,030	2,691
Debra Stein Clancy 1206 Brown St	$63.18	3,606	2,945
Josephine Vida Del Rosario 853 Washington Square Mall	$85.00	3,371	2,663
Judit Aranyos 1206 Brown St	$83.78	3,158	2,591
Catherine Roy Cabungcal 1380 Cowell Farm Rd	$38.33	2,711	2,080
Stephanie Lynn Ellis 1380 Cowell Farm Rd	$40.66	2,650	1,973
Meredith W Eiban 1206 Brown St	$60.97	2,573	2,373
Pamela Lynn Brinn 1436 Highland Drive	$41.24	2,504	2,187
Judith Tate Smithwick 1210 Brown St	$50.76	2,436	1,957
Janet R Cutler 608 E 12Th St	$29.69	2,400	2,117
Nicole M Davia 1209 Brown St	$26.23	2,369	2,078
David A Baker 1207 Highland Dr	$33.18	2,346	1,959
Karen Emily Fieselman Stroud 1206 Brown St	$62.28	2,325	1,984
Frank C Sheldon 1201 Carolina Ave	$41.87	2,169	1,523
Carrie Amici Tingley 1380 Cowell Farm Rd	$33.24	2,102	1,746
John J. Inzerillo 1209 Brown St	$29.14	2,054	1,840
Bryson Lee 853 Washington Square Mall	$61.87	1,767	1,485
Randal White 628 E 12Th St	$20.82	1,651	1,371
Christopher Pierce Deans 1207 Highland Dr	$41.90	1,395	1,231
Abram Timothy Seavers 403 W 15Th St	$13.99	1,298	894
Anita Black Woolard 501 W 15Th St	$37.68	1,240	1,098
Timothy Richard Klugh 1730 Carolina Ave	$24.12	1,223	916
Thomas J Andrews 1210 Brown St	$62.73	1,170	1,118
Jennifer Steadman Neal 1380 Cowell Farm Rd	$33.83	1,116	932
Samantha Nicole Chesson Davis 853 Washington Square Mall	$79.36	1,101	989
Donald Scott Trower 628 E 12Th St	$47.33	1,089	864
James Douglas Harbin 1210 Brown St	$39.31	886	678
Karen L Kutchera 1380 Cowell Farm Rd	$28.25	875	755
Kimberly Rouse Smith 628 E 12Th St	$26.02	786	644
Danielle Jarman White 1204 Brown St	$48.72	719	618
Karen Norris Whitehead 1380 Cowell Farm Rd	$25.17	701	581
Kelley Newman 1436 Highland Dr	$87.28	665	567
Megan Mcmunigle 628 E 12Th St	$57.57	647	522
Kelly Brillant 606 E 12Th St	$34.77	630	550
Nancy Brous-Distefano 1380 Cowell Farm Rd	$47.84	629	521
Deepti Ananthula 1380 Cowell Farm Rd	$47.19	558	504
Michael J Lobos 1202 Brown Street	$18.00	522	435
Priscilla Webster Styons 1308 Highland Dr	$31.76	495	444
Richard Mckay Lovenberg 1207 Highland Dr	$34.29	359	304
Elisabeth Stanger Cook 1380 Cowell Farm Rd	$33.67	322	266
Jennifer Marzolf Richardson 1207 Highland Drive	$27.96	260	236
Kenny Charles Nall 628 E 12Th St	$35.12	247	218

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 Washington, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Washington, NC is $57.01 per claim, based on 146,942 claims from 64 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 Washington, NC?

There are 64 Medicaid providers offering Office Visit related services in Washington, NC according to public payment data.

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

Medicaid reimbursement for Office Visit in Washington, NC ranges from $10.03 to $87.28 per claim, with an average of $57.01. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Washington, NC: $57.01

Providers Offering Office Visit in Washington, NC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Washington, NC

Behavioral & Mental Health Therapy

Vaccines & Immunizations

Blood Work & Lab Tests

Personal Care Services

Emergency Room Visit

Physical Therapy

Urinalysis & Urine Tests

Psychiatric Evaluation