North Carolina · G2076

Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A in North Carolina

North Carolina Medicare Avg
$175.57
1% above national avg
National Medicare Avg
$174.62
All states combined
Billed Charge (NC)
$219.93
What providers submit
Est. Commercial (NC)
$394.09
National avg: $414.86
Est. Cash / Self-Pay (NC)
$196.06
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

2.8K
Services in NC
36
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in North Carolina

Provider Medicare Services
Vance Recovery, Pc $176.04 628
Morse Clinic Of Dunn, Pc $175.68 538
Morse Clinic Of North Raleigh, Pc $176.16 524
Chatham Recovery, Llc $177.02 417
Morse Clinic Of Roanoke Rapids, Pc $175.44 416

North Carolina Pricing in Context

In North Carolina, CPT code G2076 (Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A) carries an average Medicare payment of $175.57 — 1% above the national benchmark of $174.62. 36 providers across the state submitted claims for this procedure in 2023, performing 2.8K total services. Individual payments in NC ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in North Carolina is $219.93, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because North Carolina sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Temporary Procedures procedures, the estimated commercial insurance price in North Carolina lands near $394.09, with self-pay cash prices typically around $196.06. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A cost in North Carolina?

The average Medicare payment for Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A in North Carolina is $175.57, which is 1% above the national average of $174.62. Providers in NC typically bill $219.93 for this procedure.

What does Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A cost with insurance in North Carolina?

With commercial insurance in North Carolina, Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A costs an estimated $394.09. Without insurance, the estimated cash price is $196.06. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A in North Carolina?

36 providers in North Carolina billed Medicare for Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A in 2023, performing 2.8K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A cheaper in North Carolina than the national average?

No — Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A costs 1% above the national average in North Carolina. The state average Medicare payment is $175.57 compared to $174.62 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial