Average Medicaid Office Visit Payments in West End, NC: $50.40
Avg. Paid
$50.40
Range
$17.64 – $74.38
Total Claims
23,175
Providers
14
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 West End, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tatyana Tools
4204 Murdocksville Rd |
$45.92 | 6,454 | 6,190 |
|
Sudeep Dhoj Thapa
4204 Murdocksville Rd |
$55.93 | 4,358 | 3,992 |
|
Thomas A. Wilson
778 Hoffman Rd |
$59.96 | 3,102 | 2,859 |
|
Amanda Higby Martin
1035C Seven Lakes Dr |
$54.39 | 2,642 | 2,285 |
|
Cynthia Wells Mclemore
1496 Juniper Lake Road |
$41.07 | 1,775 | 1,364 |
|
Krista Montes
4208 Murdocksville Rd |
$51.08 | 1,641 | 1,274 |
|
Tilak Pokharel
1035C 7 Lakes Dr |
$63.84 | 1,273 | 1,109 |
|
Ariel Gardner
4208 Murdocksville Rd |
$36.42 | 824 | 691 |
|
Karen Schorn
4204 Murdocksville Road |
$17.64 | 254 | 240 |
|
Noreen Russo
4204 Murdocksville Rd |
$25.66 | 253 | 227 |
|
Christopher Lee Tracy
4204 Murdocksville Rd |
$33.06 | 249 | 211 |
|
Kevin W Schmidtke
200 Westgate Dr Ste A |
$20.29 | 172 | 119 |
|
Alfonso Haro
200 Westgate Dr |
$32.06 | 139 | 91 |
|
Anjanette Barrick-Phillips
4204 Murdocksville Rd |
$74.38 | 39 | 35 |
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 West End, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West End, NC is $50.40 per claim, based on 23,175 claims from 14 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 West End, NC?
There are 14 Medicaid providers offering Office Visit related services in West End, NC according to public payment data.
What is the price range for Office Visit in West End, NC?
Medicaid reimbursement for Office Visit in West End, NC ranges from $17.64 to $74.38 per claim, with an average of $50.40. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in West End, NC
Speech Therapy
Avg $64.67
32,479 claims
Physical Therapy
Avg $70.24
25,817 claims
Emergency Room Visit
Avg $71.76
8,558 claims
Psychiatric Evaluation
Avg $62.77
4,993 claims
Blood Work & Lab Tests
Avg $4.56
3,403 claims
Nursing Facility Care
Avg $11.40
2,346 claims
Behavioral & Mental Health Therapy
Avg $133.63
1,308 claims
Urinalysis & Urine Tests
Avg $4.89
853 claims