Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Wilson, NC: $51.18

Avg. Paid

$51.18

Range

$0.00 – $107.01

Total Claims

366,389

Providers

141

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 Wilson, NC

Provider	Avg. Paid	Claims	Patients
Christina Gurley Poythress 1702 Medical Park Dr W	$67.80	16,968	14,868
John H Buck 1702 Medical Park Dr W	$77.87	16,958	14,175
Krishna Murari Verma 1810 Westwood Ave W	$44.82	16,711	12,685
Kimberly Bridgers Pittman 1702 Medical Park Dr W	$68.47	16,313	13,724
Shannon Drohan 1702 Medical Park Dr W	$75.66	15,837	13,895
Susan H Andersen 1702 Medical Park Dr W	$78.10	15,133	13,159
Cassie Mcgee 1806 Glendale Dr Sw	$54.53	14,159	11,261
Mark Eldridge 1725 Tarboro St Sw	$59.21	13,168	10,885
Janelle Brown Taft 110 Brentwood Center Ln N	$32.17	9,550	5,913
Kristie Michelle Bonot 2503 Forest Hills Rd W Ste B	$59.13	8,465	6,558
Dennis Polley 1806 Glendale Dr Sw	$40.55	8,437	5,319
Kerrie-Anne Alexandra Heron 3302 Nash St N	$28.38	7,381	5,420
Samuel David Cohen 2801 Wooten Blvd Sw	$70.91	6,769	5,908
Mohammed Sayeed Hossain 2303 Wellington Dr Sw	$26.38	6,661	4,319
Rebecca J Hunt-Hawley 1801 Glendale Dr Sw	$44.89	6,473	5,373
Keith Lerro 2624 Ortho Dr	$37.53	6,444	5,295
Douglas Dalton 2503 Forest Hills Rd W Ste B	$54.59	6,230	4,780
Amanda Bray Brinson 1702 Medical Park Dr W	$65.69	6,019	5,174
Medhat Fahmey Sidaros 2402 Camden St Sw	$27.06	5,692	3,508
Ronald F Marascalco 1806 Glendale Dr Sw	$51.68	5,590	4,073
Daniel Peter Michalak 2500 Horton Blvd Sw	$46.53	4,188	3,080
David C Propst 3302 Nash St N	$38.48	4,151	3,563
Julian C Brantley 303 Green St E	$17.25	4,092	2,025
Courtney Lee Littere 1806 Glendale Dr Sw	$71.17	3,956	3,573
James Albert Kovach 1803 Forest Hills Rd W	$46.26	3,826	3,116
Lisa Marie Weppler 1801 Glendale Dr Sw	$86.49	3,709	2,527
Brittany Marshburn 3302 Nash St N	$32.22	3,535	2,854
Shelley Marie Caro Magsino 1702 Medical Park Dr W	$62.33	3,520	3,116
Immacula Saint-Louis 303 Green St E	$57.68	3,504	2,362
Dana Marie Varnell 1803 Forest Hills Rd W	$62.02	3,502	2,722
Arthur Henning Hanson 2500 Horton Blvd Sw	$48.63	3,492	2,522
Kondal Rao Madaram 1705 Tarboro St Sw	$76.46	3,430	2,533
William Ryan Mitchell 1700 Tarboro St W Ste 103	$33.10	3,227	2,088
James S Smith 2410 Montgomery Drive, Sw	$31.56	3,107	2,375
Sunil K Prakash Chand 2605 Forest Hills Rd Sw	$30.73	2,950	2,559
Milan R Genge 1707 Medical Park Dr W	$27.80	2,790	2,333
Amber Christine Rardin 4612 Nash St N	$76.14	2,789	2,093
Lindsey H. Tyler 2624 Ortho Dr W	$22.97	2,788	2,279
Suzanne Renee Fiscus 2500 Horton Blvd Sw	$51.64	2,779	2,141
Brian Wesley Burkhart 1704 Glendale Dr Sw	$59.48	2,720	2,409
Brandon Wayne Adams 1803 Forest Hills Rd W	$41.15	2,652	2,184
Tracy Salisbury Forrest 2500 Horton Blvd Sw	$46.59	2,647	1,904
Mariah Mann Mckellar 303 Green St E	$69.63	2,635	2,463
Charles J Baio 200 Glendale Drive	$28.15	2,611	2,079
Clarissa G Lawrence 1702 Medical Park Dr W	$53.13	2,491	2,223
Sopna E Jacob 1700 Tarboro St W	$34.91	2,422	1,607
Corrie Elizabeth Hansen 1700 Tarboro St W Ste 100	$25.08	2,311	1,119
Paul A Perez-Navarro 2605 Forest Hills Rd Sw Ste D	$25.54	2,186	1,957
Sanjay Cherukuri 2605 Forest Hills Rd Sw	$32.45	2,149	1,848
Tonya Dee Smith Little 3724 Raleigh Road Pkwy W	$39.33	2,079	1,597

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 Wilson, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wilson, NC is $51.18 per claim, based on 366,389 claims from 141 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 Wilson, NC?

There are 141 Medicaid providers offering Office Visit related services in Wilson, NC according to public payment data.

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

Medicaid reimbursement for Office Visit in Wilson, NC ranges from $0.00 to $107.01 per claim, with an average of $51.18. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Wilson, NC: $51.18

Providers Offering Office Visit in Wilson, NC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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