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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

64

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
Amanda Charlotte Laughlin

1210 Brown St

$36.85 14 13
Daniel Dale Richardson

615 E 12Th St

$35.63 17 14
James Franklin Barwick

1207 Highland Dr

$32.80 28 26
Dhruva Chawla

1380 Cowell Farm Rd

$34.49 41 39
Richard Crane Couch

1207 Highland Dr

$31.56 43 37
James Daniel Matthews

628 E 12Th St

$52.83 54 52
Allison C Estep

615 E 12Th St

$34.57 67 64
Michael Brett Crawford

1202 Brown Street

$14.46 86 72
David Dubrutz Lewis

501 W 15Th St

$50.92 105 82
Richard M Young

1380 Cowell Farm Rd

$22.12 113 79
Dwayne G. Bryant

1255 Highland Dr

$62.75 157 99
Christopher Lee Padgett

1302 Brown St

$20.26 168 151
Twanna T Hill

120 W Martin Luther King Jr Dr

$74.46 175 131
Amy Laura Lupton

501 W 15Th St

$32.73 199 171
Kenny Charles Nall

628 E 12Th St

$35.12 247 218
Jennifer Marzolf Richardson

1207 Highland Drive

$27.96 260 236
Elisabeth Stanger Cook

1380 Cowell Farm Rd

$33.67 322 266
Richard Mckay Lovenberg

1207 Highland Dr

$34.29 359 304
Priscilla Webster Styons

1308 Highland Dr

$31.76 495 444
Michael J Lobos

1202 Brown Street

$18.00 522 435
Deepti Ananthula

1380 Cowell Farm Rd

$47.19 558 504
Nancy Brous-Distefano

1380 Cowell Farm Rd

$47.84 629 521
Kelly Brillant

606 E 12Th St

$34.77 630 550
Megan Mcmunigle

628 E 12Th St

$57.57 647 522
Kelley Newman

1436 Highland Dr

$87.28 665 567
Karen Norris Whitehead

1380 Cowell Farm Rd

$25.17 701 581
Danielle Jarman White

1204 Brown St

$48.72 719 618
Kimberly Rouse Smith

628 E 12Th St

$26.02 786 644
Karen L Kutchera

1380 Cowell Farm Rd

$28.25 875 755
James Douglas Harbin

1210 Brown St

$39.31 886 678
Donald Scott Trower

628 E 12Th St

$47.33 1,089 864
Samantha Nicole Chesson Davis

853 Washington Square Mall

$79.36 1,101 989
Jennifer Steadman Neal

1380 Cowell Farm Rd

$33.83 1,116 932
Thomas J Andrews

1210 Brown St

$62.73 1,170 1,118
Timothy Richard Klugh

1730 Carolina Ave

$24.12 1,223 916
Anita Black Woolard

501 W 15Th St

$37.68 1,240 1,098
Abram Timothy Seavers

403 W 15Th St

$13.99 1,298 894
Christopher Pierce Deans

1207 Highland Dr

$41.90 1,395 1,231
Randal White

628 E 12Th St

$20.82 1,651 1,371
Bryson Lee

853 Washington Square Mall

$61.87 1,767 1,485
John J. Inzerillo

1209 Brown St

$29.14 2,054 1,840
Carrie Amici Tingley

1380 Cowell Farm Rd

$33.24 2,102 1,746
Frank C Sheldon

1201 Carolina Ave

$41.87 2,169 1,523
Karen Emily Fieselman Stroud

1206 Brown St

$62.28 2,325 1,984
David A Baker

1207 Highland Dr

$33.18 2,346 1,959
Nicole M Davia

1209 Brown St

$26.23 2,369 2,078
Janet R Cutler

608 E 12Th St

$29.69 2,400 2,117
Judith Tate Smithwick

1210 Brown St

$50.76 2,436 1,957
Pamela Lynn Brinn

1436 Highland Drive

$41.24 2,504 2,187
Meredith W Eiban

1206 Brown St

$60.97 2,573 2,373

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.

Office Visit in Other Cities

Other Procedures in Washington, NC