Average Medicaid Office Visit Payments in Waynesville, NC: $46.99
Avg. Paid
$46.99
Range
$0.00 – $255.75
Total Claims
40,940
Providers
36
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 Waynesville, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Ashley Brown
1088 Brown Ave |
$48.77 | 5,699 | 4,429 |
|
Laura Mary Foster
91 Timberlane Rd |
$51.47 | 5,000 | 3,116 |
|
Brian Joseph Taylor
1272 East St |
$67.23 | 3,376 | 3,281 |
|
Laura P Lam
1207 East St |
$70.14 | 2,558 | 2,029 |
|
Widad Hatem Alami
90 Haywood Office Park |
$21.43 | 2,287 | 1,999 |
|
Sarah Lipham
1088 Brown Ave |
$65.00 | 1,994 | 1,488 |
|
Judith Shimer Stringfield
1272 East Street |
$37.44 | 1,792 | 1,460 |
|
Emily Parrish Watson
1272 East St |
$38.48 | 1,762 | 1,477 |
|
Mark J Jaben
78 Boardwalk Ln |
$30.32 | 1,575 | 1,144 |
|
Matthew Warren Davis
289 Access Rd |
$9.51 | 1,503 | 940 |
|
Staci Shepard
1272 East St |
$57.31 | 1,212 | 1,018 |
|
Robert M Przynosch
289 Access Road |
$14.16 | 1,147 | 781 |
|
David Donald Wangerin Lile
1272 East Street |
$46.91 | 994 | 852 |
|
Michael Lee Redmond
1207 East St |
$23.65 | 972 | 820 |
|
Donald Robert Teater
1207 East St |
$56.52 | 951 | 812 |
|
Paul C Keely
91 Timberlane Rd |
$38.58 | 840 | 671 |
|
Robin G. King
669 S Haywood St |
$98.65 | 815 | 789 |
|
John William Stringfield
1272 East Street |
$33.09 | 691 | 613 |
|
Dennis Zackary Dawson
289 Access Rd |
$27.27 | 670 | 510 |
|
Claudia Ann Peters
91 Timberlane Rd |
$90.01 | 658 | 545 |
|
Korah Schwab
154 N Main St |
$23.25 | 496 | 467 |
|
Matthew E Holmes
307 Broadview Rd |
$52.71 | 495 | 364 |
|
Lori S Green
131 Walnut St |
$43.04 | 471 | 374 |
|
Elizabeth Jenkins Andrews
1272 East St |
$27.84 | 443 | 409 |
|
Tyler May
289 Access Rd |
$35.71 | 426 | 371 |
|
Glenn Warpula
1207 East St |
$82.59 | 341 | 302 |
|
Thomas Sanders Robert Ward
1272 East Street |
$30.53 | 334 | 295 |
|
Julie Ann Fox
556 Hazelwood Ave |
$42.68 | 323 | 267 |
|
Elena Messina
1272 East St |
$59.39 | 303 | 234 |
|
William D Banks
289 Access Rd |
$12.15 | 265 | 165 |
|
Blue Ridge Community Health Services, Inc.
1207 East St |
$0.00 | 181 | 173 |
|
Julia Ann Cavender
669 S Haywood St |
$95.01 | 128 | 114 |
|
Amanda Macfie
1272 East St |
$42.46 | 128 | 119 |
|
Allison Michelle Priest
1272 East St |
$48.71 | 61 | 53 |
|
Rebecca S Daniell
13 Haywood Office Park |
$30.10 | 33 | 31 |
|
Nicholas Osborne
147 Highland Ridge Dr |
$255.75 | 16 | 15 |
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 Waynesville, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Waynesville, NC is $46.99 per claim, based on 40,940 claims from 36 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 Waynesville, NC?
There are 36 Medicaid providers offering Office Visit related services in Waynesville, NC according to public payment data.
What is the price range for Office Visit in Waynesville, NC?
Medicaid reimbursement for Office Visit in Waynesville, NC ranges from $0.00 to $255.75 per claim, with an average of $46.99. 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 Waynesville, NC
Speech Therapy
Avg $33.72
61,432 claims
Personal Care Services
Avg $123.10
31,458 claims
Dental Cleaning & Exam
Avg $29.25
30,334 claims
Psychiatric Evaluation
Avg $61.03
28,302 claims
Behavioral & Mental Health Therapy
Avg $92.10
26,207 claims
Ambulance Transport
Avg $70.05
23,727 claims
Substance Abuse Treatment
Avg $82.33
23,145 claims
Durable Medical Equipment (DME)
Avg $51.19
13,878 claims