Average Medicaid Office Visit Payments in Amherst, VA: $55.58
Avg. Paid
$55.58
Range
$22.09 – $86.66
Total Claims
14,356
Providers
14
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 Amherst, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Juliana Frosch
120 W Commerce St |
$41.95 | 5,335 | 4,821 |
|
Gretel Alyce Spitzer
124 Ambriar Plz |
$60.17 | 2,842 | 2,447 |
|
Meaghan Terese Crook
115 Ambriar Court |
$57.09 | 2,303 | 2,062 |
|
Christopher Carmen Deramo
115 Ambriar Plz |
$68.03 | 2,145 | 2,084 |
|
California Lenee Caldwell
120 W Commerce St |
$81.30 | 1,174 | 1,116 |
|
Blue Ridge Health Center Inc
210 S Main Street |
$22.09 | 127 | 118 |
|
Kelsey Leeanne Brooks
115 Ambriar Plz |
$78.74 | 100 | 98 |
|
Alexandra Nicole Bachman
115 Ambriar Plz |
$85.18 | 86 | 80 |
|
Addie Marks
115 Ambriar Plz |
$73.50 | 64 | 61 |
|
Valerie Fay Jarboe
115 Ambriar Plz |
$25.40 | 63 | 55 |
|
Hanna Zaraket
143 Ambriar Plz |
$56.08 | 57 | 56 |
|
Sharon Johnson Daughtry
115 Ambriar Plz |
$35.14 | 29 | 23 |
|
Ceryna Riner
124 Ambriar Plz |
$28.28 | 16 | 13 |
|
Jill Ryan Crawford
115 Ambriar Plz |
$86.66 | 15 | 14 |
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 Amherst, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Amherst, VA is $55.58 per claim, based on 14,356 claims from 14 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 Amherst, VA?
There are 14 Medicaid providers offering Office Visit related services in Amherst, VA according to public payment data.
What is the price range for Office Visit in Amherst, VA?
Medicaid reimbursement for Office Visit in Amherst, VA ranges from $22.09 to $86.66 per claim, with an average of $55.58. 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
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Amherst, VA
Ambulance Transport
Avg $45.10
19,460 claims
Nursing Facility Care
Avg $10.57
10,787 claims
Psychiatric Evaluation
Avg $68.92
3,692 claims
Non-Emergency Medical Transportation
Avg $8.98
2,106 claims
Physical Therapy
Avg $33.20
2,099 claims
Blood Work & Lab Tests
Avg $2.32
2,017 claims
Emergency Room Visit
Avg $76.39
725 claims
Vaccines & Immunizations
Avg $11.10
342 claims