Average Medicaid Office Visit Payments in Culpeper, VA: $79.58
Avg. Paid
$79.58
Range
$1.57 – $267.16
Total Claims
217,881
Providers
112
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 Culpeper, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Uva Culpeper Medical Center
501 Sunset Ln |
$267.16 | 24,161 | 21,139 |
|
Babak Bedayat
541 Sunset Ln Ste 301 |
$61.08 | 8,768 | 7,732 |
|
Jane Renee Hull
16244 Bennett Rd |
$63.07 | 8,286 | 7,386 |
|
Stella A. Debrah-Siriboe
633 Sunset Ln |
$47.80 | 8,036 | 5,952 |
|
Mary Alice Shelton Putnam
16244 Bennett Rd |
$62.22 | 8,018 | 7,631 |
|
Susan J. Werner
16244 Bennett Rd |
$72.67 | 7,133 | 6,837 |
|
Ostranda L. Williams
16244 Bennett Rd |
$63.86 | 6,953 | 6,562 |
|
Tarebiye Pela
16244 Bennett Rd |
$61.41 | 6,782 | 6,140 |
|
Daniel Eli Halpert
2002 Orange Rd |
$50.89 | 6,675 | 5,645 |
|
Stacey Humphreys
16244 Bennett Rd |
$65.43 | 6,394 | 5,901 |
|
Nancy E. Hussar
1200 Sunset Ln |
$37.62 | 5,406 | 5,102 |
|
Joanna J Wade
767 Madison Rd Ste 107 |
$62.32 | 4,891 | 2,652 |
|
Amauri L. Gonzalez
1200 Sunset Ln Ste 2210 |
$53.96 | 4,844 | 4,427 |
|
Tony J Fiore
16268 Bennett Rd |
$62.07 | 4,267 | 3,875 |
|
Zareen Babar
1200 Sunset Ln Ste 2210 |
$50.84 | 3,764 | 3,233 |
|
Kevin D Stocker
541 Sunset Ln |
$43.48 | 3,600 | 3,232 |
|
Joshua A. Jakum
633 Sunset Ln Ste F |
$61.89 | 3,544 | 3,347 |
|
Wahid Mansur Baqaie
663 Sunset Ln |
$64.23 | 3,407 | 3,249 |
|
Walter Kilby
633 Sunset Ln |
$49.26 | 3,330 | 2,706 |
|
Stephanie M Grice
15237 Creativity Dr |
$61.93 | 3,256 | 2,838 |
|
Rayna M Amoreno
16244 Bennett Rd |
$1.57 | 3,135 | 1,621 |
|
Charles A Stein
16244 Bennett Rd |
$63.99 | 3,108 | 2,769 |
|
Jonathan M Bigwood
541 Sunset Ln |
$38.55 | 3,074 | 2,849 |
|
Jennifer Khaziga Kilel
1420 S Main St |
$57.65 | 3,069 | 2,935 |
|
Lisa Harnum
15237 Creativity Dr |
$60.64 | 2,907 | 2,670 |
|
Sarah Louise Bonfiglio
633 Sunset Ln Ste F |
$68.32 | 2,652 | 2,495 |
|
Jun W. Kim
1200 Sunset Ln |
$47.28 | 2,591 | 2,271 |
|
Pranav D. Patel
545 Sunset Ln |
$45.10 | 2,270 | 1,951 |
|
Jennifer Deluca Oldham
650 Laurel St |
$39.05 | 2,269 | 2,057 |
|
Mahmudur Rabbi
605 N Main St |
$47.51 | 2,181 | 1,912 |
|
Laura Burch
16244 Bennett Rd |
$68.36 | 2,174 | 2,057 |
|
Dawn W. Howell
1043 Oaklawn Dr |
$72.13 | 2,136 | 1,969 |
|
Zia Roshandel
440 Southridge Pkwy |
$36.86 | 2,080 | 1,642 |
|
Elizabeth V Hagan
1420 S Main St |
$75.54 | 2,073 | 1,651 |
|
Craig A Reigel
541 Sunset Ln |
$39.21 | 1,985 | 1,793 |
|
Lawrence R. Whitehurst
663 Sunset Ln |
$58.80 | 1,968 | 1,677 |
|
Robyn J. Halsey
1200 Sunset Ln Ste 2210 |
$57.41 | 1,961 | 1,824 |
|
Kayla Potter
1400 Sunset Ln Ste 4230 |
$110.10 | 1,960 | 1,754 |
|
Brian Mcalary
1043 Oaklawn Dr Ste A |
$46.08 | 1,921 | 1,653 |
|
Mollie Tuttle
8322 Hillendale Rd |
$84.99 | 1,878 | 1,131 |
|
Jennifer J. Herdman
1200 Sunset Ln |
$56.40 | 1,868 | 1,716 |
|
Ali Mahjoub
545 Sunset Ln |
$59.76 | 1,667 | 1,367 |
|
Deborah Ann Hayes
633 Sunset Ln |
$69.41 | 1,659 | 1,623 |
|
Amanda Gonnella
15237 Creativity Dr |
$56.05 | 1,614 | 1,494 |
|
Bernadette M. Focazio
15237 Creativity Dr |
$61.24 | 1,591 | 1,449 |
|
Elizabeth M Ludwig
633 Sunset Ln |
$41.34 | 1,578 | 1,395 |
|
Teresa L. Artale
1043 Oaklawn Dr |
$48.77 | 1,513 | 1,388 |
|
Carmella Walling
15237 Creativity Dr |
$58.87 | 1,510 | 1,383 |
|
Leslie B Rivers
541 Sunset Ln Ste 101 |
$25.66 | 1,439 | 1,256 |
|
Armin Aalami Harandi
541 Sunset Ln Ste 305 |
$49.60 | 1,416 | 1,326 |
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 Culpeper, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Culpeper, VA is $79.58 per claim, based on 217,881 claims from 112 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 Culpeper, VA?
There are 112 Medicaid providers offering Office Visit related services in Culpeper, VA according to public payment data.
What is the price range for Office Visit in Culpeper, VA?
Medicaid reimbursement for Office Visit in Culpeper, VA ranges from $1.57 to $267.16 per claim, with an average of $79.58. 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
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 Culpeper, VA
Non-Emergency Medical Transportation
Avg $34.16
248,413 claims
Blood Work & Lab Tests
Avg $6.55
246,308 claims
Substance Abuse Treatment
Avg $8.05
114,571 claims
Emergency Room Visit
Avg $202.07
106,692 claims
Vaccines & Immunizations
Avg $9.93
76,755 claims
Psychiatric Evaluation
Avg $82.43
66,694 claims
Physical Therapy
Avg $62.64
65,030 claims
Behavioral & Mental Health Therapy
Avg $164.81
59,012 claims