Average Medicaid Office Visit Payments in Big Stone Gap, VA: $57.62
Avg. Paid
$57.62
Range
$23.34 – $111.24
Total Claims
98,523
Providers
28
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 Big Stone Gap, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert Elam Botts
606 Powell Ave E |
$57.20 | 13 | 12 |
|
Ashley Galvez
1980 Holton Ave E Ste 103 |
$60.81 | 64 | 64 |
|
Robbie D Sawyer
516 Powell Ave E |
$38.20 | 89 | 69 |
|
Billy J. Earl
1980 Holton Ave E Ste 301 |
$28.62 | 102 | 82 |
|
Christopher Eugene Bishop
1990 Holton Ave E |
$67.82 | 132 | 128 |
|
Hisham Tarek Amin
1980 Holton Ave E Ste 203 |
$57.00 | 157 | 142 |
|
Rebecca J Mullins
43 Champions Ave |
$28.58 | 203 | 138 |
|
Christopher A Bartee
1990 Holton Ave E |
$48.86 | 344 | 303 |
|
Ashley Broadway Masterson
1990 Holton Ave E |
$23.34 | 361 | 265 |
|
Joshua Heath Dalton
14 East 27St N |
$40.01 | 587 | 306 |
|
Donald Elmer Dingus
205 E 19Th St N |
$57.63 | 816 | 730 |
|
Rene L Brown
1990 Holton Ave E |
$56.09 | 837 | 806 |
|
Edmund Thai Vu
1990 Holton Ave E |
$35.71 | 860 | 842 |
|
Mark D Russ
767 Wood Ave E |
$34.67 | 980 | 734 |
|
Wellmont Health System
1990 Holton Ave E |
$111.24 | 1,298 | 1,095 |
|
Joseph W Frye
1980 Holton Ave E |
$51.62 | 1,853 | 1,588 |
|
Morgan Paige Powers
2045 Valley View Dr |
$66.05 | 1,928 | 1,783 |
|
Andrew James Chapman
2537 4Th Ave E |
$36.53 | 2,109 | 1,721 |
|
Karen Stallard
323 Cloverleaf Sq |
$61.16 | 2,627 | 2,330 |
|
Allison Faith Herron
323 Cloverleaf Sq # 1 |
$58.91 | 3,125 | 2,706 |
|
Christy Rhea Swinney
1990 Holton Ave E |
$60.49 | 4,184 | 3,766 |
|
Dusta L. Boggs
1990 Holton Ave E |
$47.73 | 4,587 | 3,919 |
|
Melanie Lynn Skeen
125 Horner Dr |
$60.22 | 6,232 | 2,665 |
|
Celeste Mullins
43 Champions Ave |
$40.21 | 8,633 | 7,510 |
|
Ginger Alechia Collins
1990 Holton Ave E |
$69.95 | 10,540 | 7,494 |
|
Natasha Stanley
205 E 19Th St N |
$68.14 | 10,619 | 6,699 |
|
Wellmont Medical Associates Inc
323 Cloverleaf Sq |
$57.80 | 16,189 | 15,098 |
|
Michael C Vacco
1980 Holton Ave E |
$55.34 | 19,054 | 16,267 |
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 Big Stone Gap, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Big Stone Gap, VA is $57.62 per claim, based on 98,523 claims from 28 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 Big Stone Gap, VA?
There are 28 Medicaid providers offering Office Visit related services in Big Stone Gap, VA according to public payment data.
What is the price range for Office Visit in Big Stone Gap, VA?
Medicaid reimbursement for Office Visit in Big Stone Gap, VA ranges from $23.34 to $111.24 per claim, with an average of $57.62. 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 Big Stone Gap, VA
Blood Work & Lab Tests
Avg $6.29
199,595 claims
Emergency Room Visit
Avg $124.83
130,643 claims
Urinalysis & Urine Tests
Avg $0.89
49,388 claims
X-Ray
Avg $9.36
45,633 claims
Non-Emergency Medical Transportation
Avg $13.91
32,264 claims
Eye Exam
Avg $54.71
28,473 claims
CT Scan (Computed Tomography)
Avg $149.71
25,617 claims
EKG / ECG (Electrocardiogram)
Avg $3.57
25,121 claims