Average Medicaid Office Visit Payments in Covington, VA: $59.23
Avg. Paid
$59.23
Range
$0.00 – $80.23
Total Claims
59,739
Providers
19
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 Covington, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alleghany Highlands Community Services
205 E Hawthorne St |
$53.18 | 27 | 20 |
|
Lindsey Mcclintic
919 S Craig Ave Ste A |
$73.66 | 324 | 303 |
|
Micah Pritt
810 Grayson Ave |
$0.00 | 487 | 425 |
|
Susan Davis
919 S Craig Ave Ste A |
$80.23 | 714 | 675 |
|
Michael T Moran
110 Lakewood Ln |
$56.90 | 769 | 736 |
|
Bath County Community Hospital
713 S Monroe Ave |
$42.14 | 859 | 672 |
|
Teresa Gay Underwood
919 S Craig Ave Ste A |
$75.07 | 970 | 930 |
|
Jessica Bright Scruggs
919 S Craig Ave |
$63.85 | 1,095 | 1,026 |
|
Commonwealth Of Virginia State Board Of Health
321 E Beech St |
$16.51 | 1,518 | 1,465 |
|
Ann May
2501 Valley Ridge Rd |
$66.39 | 2,009 | 1,866 |
|
Alleghany Highlands Community Services
311 S Monroe Ave |
$48.71 | 2,025 | 1,682 |
|
Cassandra Marie Mccoy
810 Grayson Ave |
$62.69 | 2,433 | 2,275 |
|
Delinda Kay Woody
311 S Monroe Ave |
$52.09 | 2,766 | 2,292 |
|
John C Stapleton
919 S Craig Ave Ste A |
$62.50 | 3,644 | 3,339 |
|
Brittany Young Baker
2501 Valley Ridge Rd |
$78.63 | 3,722 | 3,425 |
|
Debra Fleshman
919 S Craig Ave |
$40.51 | 4,592 | 3,210 |
|
Jagadamba Pandit
311 S Monroe Ave |
$43.23 | 5,232 | 4,091 |
|
Alliance Xpress Care Llc
919 S Craig Ave Ste A |
$66.64 | 10,111 | 8,853 |
|
William E Boyd
2501 Valley Ridge Rd |
$65.27 | 16,442 | 14,306 |
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 Covington, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Covington, VA is $59.23 per claim, based on 59,739 claims from 19 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 Covington, VA?
There are 19 Medicaid providers offering Office Visit related services in Covington, VA according to public payment data.
What is the price range for Office Visit in Covington, VA?
Medicaid reimbursement for Office Visit in Covington, VA ranges from $0.00 to $80.23 per claim, with an average of $59.23. 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 Covington, VA
Home Health Visit
Avg $82.97
33,875 claims
Psychiatric Evaluation
Avg $88.87
22,970 claims
Behavioral & Mental Health Therapy
Avg $193.17
20,252 claims
Substance Abuse Treatment
Avg $307.69
19,644 claims
Case Management Services
Avg $226.56
10,326 claims
Blood Work & Lab Tests
Avg $14.13
8,109 claims
Vaccines & Immunizations
Avg $11.41
7,545 claims
Physical Therapy
Avg $271.06
3,546 claims