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
Kevin Gerald Payne 2402 Montgomery Dr	$42.68	13	12
Robert Alan Satterly 2303 Wellington Dr Sw	$21.12	17	12
Christine Rodriguez 2624 Ortho Dr	$35.60	17	16
Wilson Professional Services Treatment Center 3709 Nash St Nw	$4.30	19	19
County Of Wilson 1801 Glendale Dr Sw	$0.00	24	24
Brittany Holmes 2500 Horton Blvd Sw	$51.80	33	30
Ryan Dague 4701 International Blvd	$49.10	34	34
Laci Jo Vanderboegh 1700 Tarboro St W Ste 100	$0.00	36	33
Rebekah J Miller 2817 Wooten Blvd Sw	$46.51	43	38
Emil J Cekada 130 Glendale Dr W	$81.76	45	38
Amanda H Janda 1803 Forest Hills Rd W	$58.59	45	41
Jennifer Anne Crandall 2231 Nash St Nw Ste A	$17.27	59	27
Lilly Danielle Appleberry 303 Green St E	$24.84	63	33
Zizette M Gabriel 1803 Forest Hills Rd W	$30.34	66	59
Aloysius Abaya 303 Green St E	$71.17	73	66
David John Surovchak 303 Green St E	$55.37	78	61
Venkatesh Lakshman 3520 Airport Blvd Nw	$28.71	97	72
Chanson Albert Devaul 1725 Tarboro St Sw	$48.37	104	85
Ralph Barnes Perry 2402 Montgomery Dr	$26.79	130	104
Maria Elena Ramirez 2303 Wellington Dr Sw Ste C	$7.57	138	114
Axel Luis Mercado 2130 Forest Hills Rd W Ste B	$25.33	140	54
Rachel Brooke Smith-Langley 1812 Glendale Dr Sw Ste B	$44.01	145	129
Thomas E Hooper 2500 Nash St N Ste B	$40.23	153	105
George Coupland Isaacs 130 Glendale Dr W	$28.38	181	140
Nady Hin 3724 Raleigh Road Pkwy W	$45.59	189	186
Kimberly Denton Almkuist Wilson County Health Department	$75.82	211	159
Duane Douglas Fitch 2402 Camden St Sw	$7.18	215	152
Christopher Michael Gal 1700 Tarboro St W Ste 205	$32.90	222	149
Russell Bryant Stone 2402 Montgomery Dr	$42.85	231	215
Andrea Brooks 3724 Raleigh Road Pkwy W	$103.37	247	195
James Milton Fitch 2546 Ward Blvd	$38.80	283	224
Phillip Kerry Perkins 1700 Tarboro St W Ste 100	$51.46	284	193
Amy Van Vooren 1705 S. Tarboro Street	$22.28	294	226
Lorie Tyson Collier 2503 Wooten Blvd Sw	$18.86	302	248
Bradley Todd Smith 1803 Forest Hills Rd W	$38.31	312	222
Kendrick Carrol White 303 Green St E	$21.94	317	230
Jasmine Ciera Bryant Skinner 3724 Raleigh Rd W	$64.96	364	323
Nathan Barrett Wright 2874 Ward Blvd	$32.25	370	276
Renee Goodison-Ollivierre 303 Green St E	$50.09	387	346
Anwar Darwish Al-Haidary 2503 Wooten Blvd Sw	$21.32	412	388
Connor Rose Hardison 3724 Raleigh Road Pkwy W	$42.52	441	397
Polley Clinic Of Dermatology & Dermatologic Surgery 1806 Glendale Dr Sw	$0.00	454	320
Mobolanle O Gbadamosi 4761 Ward Blvd	$20.42	483	419
Margaret Metts 1703 Medical Park Dr W	$7.42	489	437
Matthew William Wilson 1803 Forest Hills Rd W	$38.43	517	394
Chasity Hilliard Godwin 1800 Herring Ave E	$61.59	537	486
Anna Gates Winslow 1700 Tarboro St W Ste 205	$57.61	581	515
Shawn C Putman 1707 Medical Park Dr W	$26.43	592	520
William Oliver Mann 308 Raleigh Road Pkwy W	$0.71	595	563
Kathy D Pearson 2624 Ortho Dr W	$33.27	624	532

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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