Average Medicaid Office Visit Payments in Zebulon, NC: $70.21
Avg. Paid
$70.21
Range
$10.59 – $88.31
Total Claims
51,439
Providers
20
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 Zebulon, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christopher Michael Wozniak
817 E Gannon Ave |
$88.31 | 15,195 | 13,181 |
|
Regina Elizabeth Groesser
116 E Horton St |
$80.47 | 9,468 | 8,119 |
|
Victoria Lynn Harris
1260 N Arendell Ave |
$38.88 | 7,084 | 4,791 |
|
Kristin Patricia Dierks
116 E Horton St |
$74.95 | 6,803 | 6,300 |
|
Jennifer Nicole Foster
116 E Horton St |
$70.64 | 4,988 | 4,540 |
|
Theodore Scott Derse
1260 N Arendell Ave |
$38.79 | 1,777 | 1,610 |
|
Caroline Jane Priest
1260 N Arendell Ave |
$51.93 | 1,101 | 993 |
|
Anais Olivero
817 E Gannon Ave |
$71.64 | 1,003 | 868 |
|
Monica Rose Ashcroft
116 E Horton St |
$61.71 | 798 | 750 |
|
Darryl Sandidge
1260 N Arendell Ave |
$23.79 | 733 | 556 |
|
Leana Lefrapper Higgins
1260 N Arendell Ave |
$48.01 | 575 | 500 |
|
Amelia Tabor Thorpe
1260 N Arendell Ave |
$49.22 | 496 | 467 |
|
David Zuckerman
1260 N Arendell Ave |
$31.99 | 388 | 193 |
|
Dean Dewayne Blakeley
323 Hospital Rd |
$25.64 | 354 | 220 |
|
Cassidy H Prentice
903 N Arendell Ave |
$51.25 | 199 | 174 |
|
Paige Fuller Luck
1260 N Arendell Ave |
$60.07 | 167 | 144 |
|
Kevin Loflin
817 E Gannon Ave |
$32.74 | 160 | 128 |
|
Matthew Tyler Pace
1260 N Arendell Ave |
$45.56 | 121 | 83 |
|
Catherine Orji
304 Pony Rd |
$10.59 | 15 | 12 |
|
Marcella T Mccord
1002 Dogwood Dr |
$58.17 | 14 | 12 |
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 Zebulon, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Zebulon, NC is $70.21 per claim, based on 51,439 claims from 20 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 Zebulon, NC?
There are 20 Medicaid providers offering Office Visit related services in Zebulon, NC according to public payment data.
What is the price range for Office Visit in Zebulon, NC?
Medicaid reimbursement for Office Visit in Zebulon, NC ranges from $10.59 to $88.31 per claim, with an average of $70.21. 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 Zebulon, NC
Substance Abuse Treatment
Avg $37.38
117,475 claims
Dental Cleaning & Exam
Avg $30.84
47,186 claims
Vaccines & Immunizations
Avg $19.44
19,531 claims
Dental Filling
Avg $100.73
18,615 claims
Psychiatric Evaluation
Avg $83.57
8,606 claims
Nursing Facility Care
Avg $10.65
5,087 claims
Hearing Test (Audiometry)
Avg $0.44
4,076 claims
Urinalysis & Urine Tests
Avg $2.99
3,724 claims