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
Dixon Elijah Gregory 5145 S College Rd	$73.03	12	12
Guzel Aikovna Jansen 1709 S 16Th St Ste A	$66.26	12	12
Daniel Todd Rose 2716 Ashton Dr	$66.72	12	12
Rasika Khatu Whitesell 3501 Oleander Dr Ste 7	$14.95	12	12
Jamie Lyons 1415 Physicians Dr	$40.74	12	12
Joyce Ann Weber 8090 Market St	$39.12	12	12
Michael Richard Pinto 1414 Physicians Dr	$0.00	12	12
Julia Douglas Triggs 2131 S 17Th St	$117.45	12	12
Marilynn A Prince-Fiocco 1090 Medical Center Dr	$439.94	12	12
Marissa Johnson 510 Carolina Bay Dr Ste 110	$40.90	12	12
Garrett James Beyer 3787 Shipyard Blvd	$50.91	12	12
Emily Michalina Corbo 5505 Currituck Dr	$113.47	12	12
Megan Alexandria Wolff 3205 Randall Pkwy Ste 105	$148.36	13	12
Latessa Spiers 1960 S 16Th St	$43.31	13	12
Arnold Johnston Hite 1415 Physicians Dr	$38.45	13	13
Keith Mitchell Golden 1500 Physicians Dr	$35.56	13	13
Mary Lawrence 1520 Physicians Dr	$41.66	13	13
Phyllis Ann Malanka 1202 Medical Center Dr	$0.00	13	13
Joseph Anthony Pino 2131 S 17Th St	$14.96	13	13
Andrea C Villareal 1202 Medical Center Dr	$39.69	14	13
Chelsa Monique Stubbs 1090 Medical Center Dr	$22.40	14	13
David Spencer Carney 5115 Oleander Drive	$8.99	14	12
Sarah Adelaide Giles 1725 New Hanover Medical Park Dr	$13.27	14	12
Stephanie Enzor Ivey 2739 Iron Gate Dr	$48.10	14	12
James Robinson Harper 1415 Physicians Dr	$32.99	14	13
Dawn Marie Thornton 510 Carolina Bay Dr Ste 110	$25.00	14	14
Clark L Springs 1729 New Hanover Medical Park Dr	$33.45	14	13
Shawn Brooke Hocker 2716 Ashton Dr	$27.77	14	12
Scott William Visser 4141 Shipyard Blvd	$44.78	14	13
Kavita S Persaud 5919 Oleander Dr Ste 109	$5.08	14	14
David Ralph Miles 1717 Shipyard Blvd	$14.81	15	12
John Alexander Mihaltses Eastern Nephrology Associates, Pllc	$73.34	15	12
Ghobad Azizi 1001 Military Cutoff Rd Ste 200	$59.86	15	14
Rebecca Lapps 1520 Physicians Dr	$76.21	15	14
Sean Bradford Hommel 7420 Market St	$66.21	15	13
Richard S. Moore 2716 Ashton Dr	$45.87	15	13
Justin Gregory Miller 7420 Market St	$54.68	15	12
Somya Mutyala Navejar 1650 Greenfield St	$95.82	15	14
Bridgette Elaine Williams 2131 S 17Th St	$24.61	15	14
Nicole Longanecker Charkoudian 2131 S 17Th St	$67.12	16	12
Jarrel Lynne Shackleford 1814 New Hanover Medical Park Dr	$29.34	16	14
Michael Allred 5145 S College Rd	$52.54	16	12
Kathleen Jones 1415 Physicians Dr	$24.56	16	12
Wendy Marie Landrigan 5115 Oleander Dr	$64.79	16	12
Mary Tyson Turner 2131 S 17Th St	$56.61	16	12
Melissa Brooke Peeler 1520 Physicians Dr	$44.03	16	16
Kristopher Joel Swiger 1415 Physicians Dr	$35.40	16	12
Dean Karras 5145 S College Rd	$26.85	16	12
Cameron Dengler 5115 Oleander Dr	$43.11	16	13
July Romely Morbeth 5617 Maxwell Pl	$14.57	17	12

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

Office Visit in Other Cities

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Other Procedures in Wilmington, NC

Speech Therapy

Emergency Room Visit

Psychiatric Evaluation

Blood Work & Lab Tests

Substance Abuse Treatment

Dental Cleaning & Exam

Physical Therapy

Vaccines & Immunizations