Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Winston Salem, NC: $56.55

Avg. Paid

$56.55

Range

$0.00 – $686.81

Total Claims

2,112,661

Providers

1,492

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 Winston Salem, NC

Provider	Avg. Paid	Claims	Patients
Pamela Sharee Dockery 2295 E 14Th St	$42.17	20,534	17,894
Ramakrishnan Raguraman 2001 Todays Woman Ave	$1.41	20,152	14,278
William Frederick Mcguirt 110 Charlois Blvd	$63.27	19,086	14,301
Matthew Edward Ravish Medical Center Blvd	$47.54	16,965	13,507
Jennifer Mickle Cooper 2295 E 14Th St Ste 100	$64.84	14,874	14,025
Sukirti Bista 2295 E 14Th St Ste 100	$42.54	14,517	12,727
Joseph Lucius Jorizzo 4618 Country Club Rd	$42.01	14,328	12,817
Wilbert C Dillard Winston East Pediatrics	$37.53	14,156	12,823
Dean J Bonsall Medical Center Blvd	$45.69	14,085	11,439
Stanley Gordon Kinkaid 160 Kimel Forest Dr Ste 100	$53.02	13,566	10,600
James Lucius Wofford 1200 N Martin Luther King Jr Dr	$40.24	13,241	11,934
Steve James Hodges 140 Charlois Blvd	$83.76	13,223	11,545
Shayne Ethan Bates 3746 Vest Mill Rd	$72.00	12,880	11,436
Susan L Humphrey 741 Highland Ave	$36.73	12,778	10,374
Jon Scott Rosnes 1806 S Hawthorne Rd Ste 200	$50.72	12,682	10,338
Johnathan D Rhyne 3746 Vest Mill Rd	$72.44	12,656	10,912
Ashley Rose Hill 648 East Monmouth Street	$74.95	12,350	10,577
Heather Carson Hassler Medical Center Blvd	$41.21	12,191	10,797
Laurie W Albertini Medical Center Blvd	$45.78	11,846	10,896
Marcela Isabel Heinrich Westgate Pediatrics	$66.03	11,833	10,291
Jen-Jar Lin Medical Center Blvd	$65.13	11,784	10,157
Julia Bates 160 Kimel Forest Dr	$37.59	11,726	9,456
Phillip Ross Mason 200 Robinhood Medical Plz	$64.49	11,313	9,457
Gail Michelle Cohen Medical Center Blvd	$52.61	11,261	10,107
Daniel Jeffrey Kirse Medical Center Blvd	$34.99	10,990	10,112
Edward Gray Hill 1605 Westbrook Plaza Dr Ste 302	$35.79	10,926	8,849
Joseph Benjamin West 1351 Westgate Center Dr	$67.80	10,838	9,603
Kathleen Mary Kolaski Medical Center Blvd	$51.58	10,762	10,183
Lauren Ray Beaver 5093 University Pkwy	$53.85	10,647	8,529
Lindsey B Sapp Medical Center Blvd	$41.01	10,597	8,835
John Frino Medical Center Blvd	$38.25	10,498	9,351
Karyn Bayyinah Gordon 2295 E 14Th St	$78.43	10,353	9,126
Lia Simpson Erickson 648 East Monmouth Street	$79.62	10,278	8,643
Rebecca Yamin Weinshilboum 3746 Vest Mill Rd	$79.71	10,278	8,931
Charles D. Brickner 1351 Westgate Center Dr	$83.74	10,248	9,131
Lara Whalley Arredondo Medical Center Blvd	$38.44	9,979	9,079
John Lee Turner 2337 Winterhaven Ln	$95.72	9,854	8,832
Cody Adam Myrick 5093 University Pkwy	$40.66	9,817	7,728
Mary Morehead Hadley 1351 Westgate Center Dr	$81.06	9,455	7,628
Granada Stephens Neil 1400 Millgate Dr	$69.39	9,392	8,063
David Lee Masters 2933 Maplewood Ave	$47.24	9,318	7,821
Niyati Mahajan 2295 E 14Th St	$46.45	9,223	7,887
Kai Chen 1806 S Hawthorne Rd Ste 200	$45.45	9,125	6,676
Nikki Elizabeth Yourshaw 2295 E 14Th St	$43.35	9,001	8,881
Jennifer Crystal Kleean 1351 Westgate Center Dr	$69.58	8,967	7,608
Tammie Frazier Wiley 2808 Maplewood Ave	$77.91	8,955	7,616
Eleanor Pitz Kiell Medical Center Blvd	$41.36	8,885	7,945
Karen Shaver Mayhew 2085 Frontis Plaza Blvd	$67.06	8,789	7,560
Ankita B. Patel 1350 Whitaker Ridge Dr	$78.12	8,767	7,278
Mark Randolph Jularbal 131 Miller St	$43.51	8,642	6,688

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 Winston Salem, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Winston Salem, NC is $56.55 per claim, based on 2,112,661 claims from 1492 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 Winston Salem, NC?

There are 1492 Medicaid providers offering Office Visit related services in Winston Salem, NC according to public payment data.

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

Medicaid reimbursement for Office Visit in Winston Salem, NC ranges from $0.00 to $686.81 per claim, with an average of $56.55. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Winston Salem, NC: $56.55

Providers Offering Office Visit in Winston Salem, NC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Emergency Room Visit

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X-Ray

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Psychiatric Evaluation