Average Medicaid Office Visit Payments in Charlottesville, VA: $136.17
Avg. Paid
$136.17
Range
$0.00 – $203.88
Total Claims
1,567,109
Providers
940
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 Charlottesville, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rector & Visitors Of The University Of Virginia
1215 Lee St Pfs |
$203.88 | 824,151 | 700,454 |
|
University Of Virginia Physicians Group
4105 Lewis And Clark Dr |
$62.96 | 17,071 | 15,746 |
|
Vanessa A Camperlengo
1215 Lee St |
$70.11 | 11,701 | 10,025 |
|
Margaret Elisabeth West
1204 W Main St |
$63.66 | 10,530 | 9,033 |
|
Region Ten Community Community Services Board
500 Old Lynchburg Rd |
$37.44 | 10,000 | 8,323 |
|
Paul Pence Wisman
1011 E Jefferson St |
$64.00 | 9,361 | 8,707 |
|
Anne C. Robertson
Lee St Fl 4 |
$65.00 | 9,094 | 8,391 |
|
Carlos Eladio Armengol
1011 E Jefferson St |
$62.72 | 8,286 | 7,828 |
|
Wojciech L Czoch
1215 Lee St |
$148.35 | 7,831 | 7,333 |
|
Luke Mckenna
900 Rio East Ct Ste A |
$95.96 | 6,354 | 6,000 |
|
Barrett J. Zlotoff
1221 Lee St |
$57.96 | 6,343 | 6,158 |
|
James A Scardo
1204 W Main St |
$55.29 | 6,153 | 5,285 |
|
Gregory A. Cohron
1300 Jefferson Park Ave |
$61.56 | 5,704 | 3,899 |
|
Roger C. Burket
Lee St |
$55.52 | 5,399 | 5,130 |
|
Nassima Tiouririne
1300 Jefferson Park Ave |
$58.79 | 5,352 | 4,227 |
|
Gemila H Bouber
1011 E Jefferson St |
$63.51 | 5,210 | 4,973 |
|
Vishal Madaan
310 Old Ivy Way |
$62.92 | 5,174 | 4,931 |
|
Katherine Dalton Mika
1522 Insurance Ln |
$65.34 | 5,043 | 4,744 |
|
Deirdre Eileen Donovan
310 Avon St |
$54.62 | 5,037 | 4,257 |
|
Mark J. Romness
1204 W Main St |
$47.06 | 5,031 | 4,881 |
|
Addiction Recovery Systems Llc
103 S Pantops Dr |
$66.78 | 5,028 | 3,759 |
|
William T Brand
1204 W Main St Fl 6 |
$65.03 | 5,024 | 4,907 |
|
Amanda Parsons Jones
1011 E Jefferson St |
$63.09 | 4,983 | 4,734 |
|
Susan M. Murray
1204 W Main St |
$58.87 | 4,890 | 4,548 |
|
Alaina Marie Brown
1011 E Jefferson St |
$62.69 | 4,816 | 4,545 |
|
Quincy Xue-Ying Zhong
2955 Ivy Rd Ste 210 |
$58.24 | 4,815 | 4,062 |
|
Amy Malek
1011 E Jefferson St |
$63.07 | 4,776 | 4,489 |
|
Keith R. Bachmann
1204 W Main St |
$52.04 | 4,765 | 4,637 |
|
Leigh A. Lather
1204 W Main St |
$51.36 | 4,669 | 4,430 |
|
Richard L. Merkel
1300 Jefferson Park Ave |
$57.95 | 4,450 | 3,861 |
|
Aarat Patel
1204 W Main St |
$65.51 | 4,356 | 3,797 |
|
Summer Scavone
1221 Lee Street |
$56.62 | 4,290 | 3,980 |
|
Kenneth W. Norwood
1204 W Main St |
$85.15 | 4,287 | 4,146 |
|
Jay M. Gillenwater
1011 E Jefferson St |
$62.32 | 4,149 | 3,921 |
|
Angelique P Redus-Mccoy
1204 W Main St |
$59.11 | 4,041 | 3,916 |
|
Stephen C. Brawley
540 Radford Ln Ste 250 |
$57.37 | 3,933 | 3,374 |
|
Lori W. Balaban
1011 E Jefferson St |
$69.29 | 3,898 | 3,713 |
|
Mary Elizabeth Kwiecinski
1221 Lee St |
$143.12 | 3,864 | 2,351 |
|
Richard Kravitz
1204 W Main St |
$58.37 | 3,784 | 3,587 |
|
Sarah Ellen Knight
1011 E Jefferson St |
$62.07 | 3,680 | 3,471 |
|
Andrew S Chang
2335 Seminole Ln Ste 200 |
$61.60 | 3,601 | 3,341 |
|
Thomas Bradley Murray
674 Hillsdale Dr Ste 3 |
$58.63 | 3,557 | 3,091 |
|
Stefan Michael Gorsch
590 Peter Jefferson Place |
$38.71 | 3,545 | 2,789 |
|
Joel M. Schectman
1222 Jefferson Park Ave Fl 3 |
$41.73 | 3,543 | 3,222 |
|
Robert S. Michel
900 Rio East Ct |
$59.28 | 3,472 | 3,035 |
|
Ashby Robert Trundle
1011 E Jefferson St |
$64.52 | 3,427 | 3,252 |
|
Masahiro Morikawa
1221 Lee St |
$44.04 | 3,119 | 2,974 |
|
John J Christophel
415 Ray C Hunt Dr |
$69.79 | 3,081 | 2,890 |
|
David Charles Macdonald
Osteopathic Physicians Of Charlottesville |
$59.53 | 3,029 | 1,601 |
|
Amanda Marie Loucks
1215 Lee St |
$52.72 | 2,993 | 2,572 |
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 Charlottesville, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Charlottesville, VA is $136.17 per claim, based on 1,567,109 claims from 940 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 Charlottesville, VA?
There are 940 Medicaid providers offering Office Visit related services in Charlottesville, VA according to public payment data.
What is the price range for Office Visit in Charlottesville, VA?
Medicaid reimbursement for Office Visit in Charlottesville, VA ranges from $0.00 to $203.88 per claim, with an average of $136.17. 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 Charlottesville, VA
Blood Work & Lab Tests
Avg $5.91
1,542,207 claims
X-Ray
Avg $8.17
685,304 claims
Substance Abuse Treatment
Avg $55.62
629,775 claims
Emergency Room Visit
Avg $131.46
564,756 claims
Non-Emergency Medical Transportation
Avg $69.45
541,131 claims
Home Health Visit
Avg $89.44
372,945 claims
Vaccines & Immunizations
Avg $9.90
335,059 claims
Dental Cleaning & Exam
Avg $30.94
284,279 claims