Average Medicaid Vaccines & Immunizations Payments in Pinehurst, NC: $12.76
Avg. Paid
$12.76
Range
$0.00 – $71.29
Total Claims
4,248
Providers
21
Typical Payment Range
Typical Medicaid Vaccines & Immunizations payments fall between $6.71 and $17.15 per claim (median: $11.70). The top 10% of payments exceed $23.30.
Based on per-provider averages across all Medicaid claims in this category.
Preventive vaccines and immunizations protect against infectious diseases. Includes childhood vaccines, flu shots, and adult immunizations.
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 Vaccines & Immunizations in Pinehurst, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Firsthealth Of The Carolinas, Inc.
155 Memorial Dr |
$14.22 | 2,150 | 1,954 |
|
Emily Michelle Jordan
15 Regional Dr |
$15.97 | 473 | 423 |
|
Matthew T Manzo
10 Aviemore Drive |
$6.01 | 294 | 265 |
|
William Ward Patrick
300 Blake Blvd |
$11.30 | 225 | 177 |
|
Richard C Wolonick
205 Page Rd |
$7.60 | 170 | 145 |
|
Janine B Hepler
8 Regional Cir |
$12.06 | 163 | 131 |
|
Douglas E Lam
10 Aviemore Dr |
$6.09 | 134 | 70 |
|
Tracy Elizabeth Bullard
150 Ivey Lane |
$7.43 | 91 | 80 |
|
Pinehurst Medical Clinic, Inc.
205 Page Rd |
$0.00 | 89 | 89 |
|
Stephen Anthony Szabo
5 Firstvillage Drive |
$12.47 | 80 | 58 |
|
Taylor Suzette Mccauley
5 Firstvillage Drive |
$12.71 | 79 | 56 |
|
William Vereen Terry
5 Firstvillage Drive |
$13.99 | 51 | 44 |
|
John W Jameson
10 Aviemore Dr |
$10.54 | 49 | 27 |
|
Megan Niemyer Moore
135 Page Rd |
$12.52 | 48 | 40 |
|
Kimberly Valenti
155 Memorial Dr |
$13.79 | 31 | 31 |
|
Caleb Dale Pearce
145 Applecross Rd |
$14.64 | 30 | 25 |
|
Lillian Grace Schnitzer
5 Firstvillage Drive |
$17.03 | 25 | 25 |
|
Anna Kate Whitescarver
155 Memorial Drive |
$71.29 | 20 | 19 |
|
Ann Marie Toebes Richards
150 Ivey Lane |
$10.65 | 17 | 14 |
|
Lourdes Castano
145 Applecross Rd |
$10.23 | 15 | 14 |
|
Laura Martin
305 Page Rd N Ste 1 |
$9.50 | 14 | 12 |
What to Expect: Vaccines & Immunizations
Vaccinations take just a few minutes. The vaccine is given as an injection, usually in the upper arm. Minor side effects like soreness at the injection site, mild fever, or fatigue may occur and typically resolve within 1-2 days. Your provider may recommend waiting 15 minutes after certain vaccines to monitor for any allergic reactions.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 90460 | Immunization admin thru 18 | $19.20 | 68,551,665 | 43,815 |
| 90471 | Immunization admin 1st inj | $9.66 | 57,130,368 | 98,445 |
| 90686 | Flu vaccine IIV4 pf 3+ | $5.45 | 39,418,111 | 97,965 |
| 90472 | Immunization admin each addl | $12.92 | 20,815,186 | 28,106 |
| 90670 | PCV13 pneumococcal vaccine | $6.38 | 19,269,963 | 34,047 |
| 90461 | Immunization admin addl comp | $8.83 | 16,859,567 | 21,627 |
| 90633 | Hepatitis A vaccine ped 2-dose | $3.37 | 9,767,245 | 26,524 |
| 90680 | Rotavirus vaccine 3-dose | $3.46 | 7,993,355 | 19,524 |
| 90723 | DTaP-HepB-IPV vaccine | $3.92 | 7,098,290 | 16,826 |
| 90715 | Tdap vaccine | $11.85 | 6,717,093 | 22,225 |
| 90651 | HPV vaccine 9-valent | $15.95 | 6,526,878 | 22,658 |
| 90648 | Hib vaccine 4-dose | $3.83 | 6,018,911 | 13,271 |
| 90698 | DTaP-IPV/Hib vaccine | $4.60 | 5,666,589 | 14,010 |
| 90734 | Meningococcal vaccine MCV4 | $6.16 | 4,232,186 | 19,287 |
| 90647 | Hib vaccine 3-dose | $2.36 | 4,009,651 | 9,899 |
| 90688 | Flu vaccine IIV4 3 yrs+ | $6.95 | 3,844,650 | 22,235 |
| 90716 | Varicella vaccine | $7.15 | 3,626,719 | 12,830 |
| 90707 | MMR vaccine | $5.40 | 3,456,536 | 12,527 |
| 90700 | DTaP vaccine | $3.40 | 3,091,238 | 9,829 |
| 90656 | Influenza vaccine 3+ pf | $5.83 | 2,918,961 | 30,479 |
| 90744 | HepB vaccine ped 3-dose | $3.49 | 2,870,013 | 10,205 |
| 90710 | MMRV vaccine | $4.77 | 2,595,476 | 11,273 |
| 90674 | Influenza vaccine ccIIV4 pf | $12.97 | 2,068,360 | 15,688 |
| 90681 | Rotavirus vaccine 2-dose | $3.80 | 2,035,812 | 7,164 |
| 90474 | Immunization admin addl intrn | $7.86 | 1,972,978 | 6,114 |
| 90696 | DTaP-IPV vaccine | $3.68 | 1,737,945 | 9,616 |
| 90713 | IPV vaccine | $4.24 | 1,284,417 | 3,821 |
| 90658 | Influenza vaccine 3 yrs+ | $5.70 | 1,068,634 | 5,968 |
| 90685 | Flu vaccine IIV4 pf 6-35mo | $3.69 | 976,735 | 9,467 |
| 90473 | Immunization admin oral/nasal | $7.96 | 626,154 | 2,775 |
| 90649 | HPV vaccine 4-valent 3-dose | $7.39 | 517,956 | 2,452 |
| 90672 | Influenza vaccine LAIV4 nasal | $3.58 | 487,623 | 3,404 |
| 90750 | Zoster vaccine recombinant | $77.62 | 400,713 | 1,816 |
| 90746 | HepB vaccine adult | $40.42 | 385,011 | 1,527 |
| 90732 | PPSV23 pneumococcal vaccine | $44.97 | 235,648 | 1,520 |
| 90714 | Td vaccine preservative free | $12.49 | 218,801 | 628 |
| 90632 | Hepatitis A vaccine adult | $35.26 | 143,816 | 794 |
| 90687 | Flu vaccine IIV4 6-35 months | $3.74 | 141,649 | 1,469 |
| 90657 | Influenza vaccine 6-35 months | $2.60 | 136,684 | 857 |
| 90660 | Influenza vaccine live nasal | $4.09 | 93,337 | 1,123 |
| 90653 | Influenza vaccine adjuvanted | $10.72 | 83,986 | 1,301 |
| 90733 | Meningococcal vaccine MPSV4 | $12.70 | 56,310 | 285 |
| 90636 | Hepatitis A & B vaccine adult | $61.18 | 28,289 | 142 |
| 90630 | Influenza vaccine IIV-HD | $6.56 | 17,349 | 198 |
| 90747 | HepB vaccine dialysis | $32.69 | 12,100 | 147 |
| 90740 | HepB vaccine dialysis ped | $30.98 | 11,585 | 115 |
| 90743 | HepB vaccine adolescent 2-dose | $8.62 | 7,901 | 70 |
| 90654 | Influenza vaccine preserv free | $5.46 | 7,872 | 74 |
| 90736 | Zoster vaccine live | $90.00 | 6,897 | 71 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Vaccines & Immunizations cost in Pinehurst, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Vaccines & Immunizations in Pinehurst, NC is $12.76 per claim, based on 4,248 claims from 21 providers. Typical payments fall between $6.71 and $17.15. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Vaccines & Immunizations in Pinehurst, NC?
There are 21 Medicaid providers offering Vaccines & Immunizations related services in Pinehurst, NC according to public payment data.
What is the price range for Vaccines & Immunizations in Pinehurst, NC?
Medicaid reimbursement for Vaccines & Immunizations in Pinehurst, NC ranges from $0.00 to $71.29 per claim, with an average of $12.76. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Avg $23.95
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Avg $63.27
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