Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Wilmington, NC: $55.56

Avg. Paid

$55.56

Range

$0.00 – $439.94

Total Claims

1,298,205

Providers

849

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 Wilmington, NC

Provider	Avg. Paid	Claims	Patients
Dorothy Ejinkonye Agbafe-Mosley 1230 Medical Center Dr	$58.30	35,940	16,590
Robert Earl Williams 2131 S 17Th St	$61.52	19,860	18,209
Linda D Cappiello 3205 Randall Pkwy	$18.62	19,280	10,213
Imelda Ngozi Odibo 2150 Shipyard Blvd	$38.67	18,706	13,984
Umar Bowers 608 Dawson St Ste 103	$37.49	18,006	12,717
Richard T. Ferro 6832 Market St	$41.56	16,286	13,423
Kateryna V Kotlyarevska 2131 S 17Th St	$62.61	16,154	14,517
Svetlana Alexandra Staub 2304 Delaney Rd	$101.24	14,822	12,419
Nicole Evangeline Aristy 5710 Oleander Dr Ste 200	$69.78	14,070	11,163
Jan Maree Pixton 1925A Oleander Dr	$37.55	13,664	11,255
Anthony Kechante Njapa 1444 S 17Th St	$61.71	13,450	11,113
Mollie O'Mara Lindholm 2131 S 17Th St	$53.76	12,895	10,071
Melissa Faith Game Shipley 1729 New Hanover Medical Park Dr	$72.87	12,365	9,977
Lenard Joseph Edralin 2304 Delaney Rd	$87.34	11,418	9,790
Hilary Beth Cox 1729 New Hanover Medical Park Dr	$66.26	11,182	8,943
Ayman Gebrail 2032 South 17Th St	$23.36	11,169	8,374
Thomas L Blackstone 3505 Converse Dr	$82.98	10,966	9,319
Christopher F Donovin 2632-3 Carolina Beach Road	$49.24	10,924	8,569
Catherine Lee Sotir 2523 Delaney Ave	$39.14	10,808	9,296
Shannon Blankenbeckler 2909 Market St	$44.42	10,808	8,072
Nadine Shivers 2909 Market St	$45.56	10,538	9,636
Russell Hal Gerry 1515 Medical Center Dr	$58.90	10,107	7,386
Pamela L Taylor 6727 Parker Farm Drive	$83.37	9,505	7,455
Christina S Hill 4005 Oleander Dr	$84.96	9,448	8,612
William Miller Johnstone 2150 Shipyard Blvd	$20.66	9,379	7,702
Karen Horton Harum 432 Eastwood Rd Ste 200	$111.07	9,270	7,747
Maryann Catherine Richardson 5617 Maxwell Pl	$67.92	8,867	6,263
Deborah M. Bullard 311-4E Judges Road	$80.64	8,848	7,615
Wendy Yvonne Shropshire-Atkins 1911 S 17Th St	$50.51	8,680	6,548
Douglas J Boss 2523 Delaney Ave	$35.35	8,551	7,489
Geoffrey Devries Holland 3208 Oleander Dr	$55.57	8,416	7,179
Cashe Christine Emory 2131 S 17Th St	$44.41	8,395	7,665
Brianna Fleming Meier 715 Medical Center Dr	$77.25	8,287	6,834
Rigardy Pagayonan Munoz 311-4E Judges Road	$63.25	8,186	7,232
Taylor Rippy 2304 Delaney Ave	$71.73	8,166	6,637
Mark Samuel Thomas Armitage 5429 Wrightsville Ave	$49.46	8,029	6,022
Allison Belle Bean 2131 S 17Th St	$82.49	7,471	5,872
Jeffrey Warren Wright 2150 Shipyard Blvd	$68.61	7,409	5,872
Caryn Ann Bowden 2421 Silver Stream Ln	$68.14	7,297	5,938
Julie Alysha Andrews 2131 S 17Th St	$79.24	7,293	6,602
Lea Ann Cenname 722 Mohican Trl	$85.70	7,189	5,500
Holly Ann Kilian 2421 Silver Stream Ln	$74.23	7,161	6,054
Edgar O Horger Iv 1606 Wellington Ave	$66.87	7,094	5,778
Kathy L Lewis 5710 Oleander Dr Ste 201	$29.81	7,002	5,249
Yvonne Nicole Mackillop 615 Shipyard Blvd	$74.85	6,910	5,877
Marzena E Krawiec 2131 S 17Th St	$74.67	6,686	5,875
Michael Chukwuma Odibo 1215 Medical Center Dr	$56.55	6,656	4,187
Heather Shearin Page 715 Medical Center Dr	$47.71	6,468	4,339
Stephanie Holderman 5710 Oleander Dr Ste 112	$76.81	6,414	5,548
Max Brandon Ludlum 1906 Meeting Ct	$54.96	6,375	3,955

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 Wilmington, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wilmington, NC is $55.56 per claim, based on 1,298,205 claims from 849 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 Wilmington, NC?

There are 849 Medicaid providers offering Office Visit related services in Wilmington, NC according to public payment data.

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

Medicaid reimbursement for Office Visit in Wilmington, NC ranges from $0.00 to $439.94 per claim, with an average of $55.56. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Wilmington, NC: $55.56

Providers Offering Office Visit in Wilmington, NC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Wilmington, NC

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Emergency Room Visit

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Substance Abuse Treatment

Dental Cleaning & Exam

Physical Therapy

Vaccines & Immunizations