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 |
|---|---|---|---|
|
Michelle Elizabeth De Witt
190 Kimel Park Dr Ste 155 |
$99.68 | 12 | 12 |
|
Matthew Charles Miles
Medical Center Blvd |
$36.56 | 12 | 12 |
|
Alexandra Anamaria Dias
Medical Center Blvd |
$88.83 | 12 | 12 |
|
Milton Dean Harris
186 Kimel Park Dr |
$43.83 | 12 | 12 |
|
Chinenyenwa Usoh
4610 Country Club Rd |
$55.08 | 12 | 12 |
|
Heather Danielle Maradiaga
2805 Lyndhurst Ave |
$16.18 | 12 | 12 |
|
Michael David Chan
Medical Center Blvd |
$26.20 | 12 | 12 |
|
Shahriar Moossavi
Medical Center Blvd |
$46.22 | 12 | 12 |
|
Abbey Pfister Donahue
Medical Center Blvd |
$46.21 | 12 | 12 |
|
Taewoo Lee
Medical Center Blvd |
$80.81 | 12 | 12 |
|
Lindsey Louise Duke
3333 Brookview Hills Blvd Ste 207 |
$43.06 | 12 | 12 |
|
Michael Anthony Kutcher
Medical Center Blvd |
$20.85 | 12 | 12 |
|
Johanna Regina Jorizzo
Medical Center Blvd |
$31.91 | 12 | 12 |
|
Jennifer L Roberts
3009 Waughtown St |
$0.00 | 12 | 12 |
|
Herbert L Bonkovsky
1 Medical Center Dr |
$19.95 | 12 | 12 |
|
Sujethra Vasu
Medical Center Blvd |
$39.34 | 12 | 12 |
|
Jessica Amelia Tate
Medical Center Blvd |
$34.86 | 12 | 12 |
|
Rachana Kaushal Gandhi Mehta
Medical Center Blvd |
$15.61 | 12 | 12 |
|
Paul Steven Chandler
2915 Lyndhurst Ave |
$28.02 | 12 | 12 |
|
Mckenzie Ann Loos
Medical Center Blvd |
$21.56 | 12 | 12 |
|
Joshua Paul Gough
200 Robinhood Medical Plz |
$36.81 | 12 | 12 |
|
Mark Andrew Hnilica
190 Kimel Park Dr Ste 155 |
$59.07 | 12 | 12 |
|
Khoua Alex Vang
3333 Silas Creek Pkwy |
$99.68 | 12 | 12 |
|
Temple Barkate Steele
114 Charlois Blvd |
$60.26 | 13 | 12 |
|
John Thomas Mckay
Wake Forest Baptist Medical Center Medical Center Blvd |
$44.96 | 13 | 12 |
|
Kiena Williams
1 Medical Center Blvd |
$33.94 | 13 | 13 |
|
Jeanne Clark Bernat
4692 Brownsboro Rd |
$0.00 | 13 | 12 |
|
Lyndsay Leigh Madden
Medical Center Blvd |
$33.06 | 13 | 12 |
|
Sarah Anderson
2915 Lyndhurst Ave |
$60.27 | 13 | 12 |
|
Jin Zhao
186 Kimel Park Dr |
$106.82 | 13 | 13 |
|
Amit Hiralal Patel
Wake Forest Baptist Medical Ctr |
$17.72 | 13 | 13 |
|
John D Clinger
Medical Center Blvd |
$30.31 | 13 | 13 |
|
Sakeitha L'Tia Crowder
4937 Old Country Club Rd |
$24.99 | 13 | 12 |
|
Douglas Lee Metcalf
1551 Westbrook Plaza Dr |
$25.13 | 13 | 13 |
|
Kayla Hauss Smith
114 Charlois Blvd |
$96.71 | 13 | 13 |
|
Danielle Kathleen Thrower
3333 Silas Creek Pkwy |
$23.25 | 13 | 12 |
|
Sarah Lynn Bush
190 Kimel Park Dr Ste 155 |
$47.10 | 13 | 13 |
|
Sonya Roberts Cates
3057 Trenwest Dr |
$22.58 | 13 | 12 |
|
Christopher Kyle Craig
Medical Center Blvd |
$26.72 | 13 | 13 |
|
Teresa Day
Medical Center Blvd |
$49.47 | 13 | 12 |
|
Varun Kesar
500 Shepherd St Ste 300 |
$80.32 | 13 | 12 |
|
Jeffrey W Williams
Medical Center Blvd |
$41.58 | 13 | 12 |
|
Christopher John Tuohy
Medical Center Blvd |
$29.50 | 13 | 13 |
|
Ryann Mcgough Rose
Wfbmc Pulmonary Critical Care Fl 2 |
$35.49 | 13 | 12 |
|
Hannah Dibble Palmer
3333 Silas Creek Pkwy |
$16.93 | 13 | 12 |
|
Anthony Bleyer
Medical Center Blvd |
$7.32 | 13 | 13 |
|
John Thomas Sweeney
1901 S Hawthorne Rd |
$65.60 | 13 | 12 |
|
Rachel Edwards
274 Krause Ln |
$49.14 | 14 | 13 |
|
Christopher Albert Sullivan
Medical Center Blvd |
$39.33 | 14 | 12 |
|
Alexandra Marie Cameron
Medical Center Blvd |
$33.32 | 14 | 13 |
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.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Winston Salem, NC
Blood Work & Lab Tests
Avg $9.95
1,100,364 claims
Emergency Room Visit
Avg $152.58
1,052,025 claims
Dental Cleaning & Exam
Avg $30.19
626,976 claims
Speech Therapy
Avg $48.12
581,644 claims
X-Ray
Avg $8.19
523,133 claims
Vaccines & Immunizations
Avg $16.89
496,876 claims
Personal Care Services
Avg $105.36
383,584 claims
Psychiatric Evaluation
Avg $70.45
352,495 claims