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
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 Washington, NC
Behavioral & Mental Health Therapy
Avg $80.24
87,552 claims
Vaccines & Immunizations
Avg $14.00
76,100 claims
Blood Work & Lab Tests
Avg $6.03
70,760 claims
Personal Care Services
Avg $101.65
61,285 claims
Emergency Room Visit
Avg $98.67
55,023 claims
Physical Therapy
Avg $46.10
31,288 claims
Urinalysis & Urine Tests
Avg $2.56
30,383 claims
Psychiatric Evaluation
Avg $63.74
25,041 claims