Average Medicaid Office Visit Payments in Carrollton, VA: $55.43
Avg. Paid
$55.43
Range
$42.11 – $82.49
Total Claims
23,524
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 Carrollton, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eddie Smith
13609 Carrollton Blvd |
$49.96 | 5,490 | 4,740 |
|
Amy Elizabeth Balka
13478 Carrollton Blvd |
$48.62 | 1,955 | 1,686 |
|
Jeffrey Irwin
13609 Carrollton Blvd Ste 11 |
$82.49 | 1,621 | 1,495 |
|
Sarah Elizabeth Forsythe
20209 Sentara Way Ste 200 |
$53.58 | 1,572 | 1,411 |
|
Foroozan Afsharchi
20209 Sentara Way |
$51.93 | 1,562 | 1,317 |
|
Bartholomew Michael Lopresti
20209 Sentara Way |
$44.58 | 1,538 | 1,352 |
|
Sheree Savage-Artis
20209 Sentara Way Ste 100 |
$46.97 | 1,517 | 1,256 |
|
Wendy Lynn Turk
20209 Sentara Way Ste 100 |
$61.65 | 1,439 | 1,390 |
|
Lisa Marie Knust
13478 Carrollton Blvd |
$49.86 | 1,386 | 1,283 |
|
Lauren Leachman Jackson
20209 Sentara Way Ste 100 |
$77.82 | 1,336 | 1,278 |
|
Rachael Margaret Frye
20209 Sentara Way |
$67.03 | 1,235 | 1,147 |
|
Michelle Reid Frickanisce
13478 Carrollton Blvd |
$57.90 | 773 | 694 |
|
Catherine Mary Emerick
20209 Sentara Way |
$43.81 | 619 | 463 |
|
Kimberly Jordan Stone
13609 Carrollton Blvd |
$55.61 | 456 | 377 |
|
Douglas Keith Weitzman
20209 Sentara Way Ste 200 |
$42.11 | 319 | 278 |
|
Qingyan Zhu
15154 Carrollton Blvd |
$50.79 | 257 | 208 |
|
Alexandra Leigh Bernard
20209 Sentara Way Ste 200 |
$70.29 | 219 | 200 |
|
Joseph Maurice Hicks
305 Marsh View Ct |
$51.69 | 177 | 125 |
|
Jennifer J Lewis
20209 Sentara Way Ste 100 |
$56.70 | 36 | 29 |
|
Meng Liu
13478 Carrollton Blvd Ste O |
$43.45 | 17 | 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 Carrollton, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Carrollton, VA is $55.43 per claim, based on 23,524 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 Carrollton, VA?
There are 20 Medicaid providers offering Office Visit related services in Carrollton, VA according to public payment data.
What is the price range for Office Visit in Carrollton, VA?
Medicaid reimbursement for Office Visit in Carrollton, VA ranges from $42.11 to $82.49 per claim, with an average of $55.43. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Carrollton, VA
Home Health Visit
Avg $113.64
56,169 claims
Non-Emergency Medical Transportation
Avg $12.10
22,171 claims
Behavioral & Mental Health Therapy
Avg $407.23
10,313 claims
Blood Work & Lab Tests
Avg $2.01
3,717 claims
Speech Therapy
Avg $64.63
1,455 claims
Nursing Facility Care
Avg $11.59
973 claims
Psychiatric Evaluation
Avg $46.88
575 claims
Vaccines & Immunizations
Avg $11.46
554 claims