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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
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

Other Procedures in Winston Salem, NC