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 |
|---|---|---|---|
|
Parminder Kaur
501 Sunset Ln |
$92.23 | 12 | 12 |
|
Farren Dodson Detoll
16268 Bennett Rd |
$78.05 | 12 | 12 |
|
Culpeper Treatment Services Llc
571 James Madison Hwy Ste D |
$49.41 | 13 | 13 |
|
Casey Kathleen Salgado
1420 S Main St |
$79.27 | 14 | 13 |
|
Erin Nicole Lopez
15237 Creativity Dr |
$58.96 | 14 | 12 |
|
Maria S Bartleski
16268 Bennett Rd |
$47.58 | 15 | 13 |
|
Marwa Abdelfattah
501 Sunset Ln |
$41.29 | 16 | 14 |
|
Neel K Sharma
541 Sunset Ln Ste 103 |
$41.80 | 16 | 16 |
|
Charlotte Schiestel Myers
541 Sunset Ln Ste 103 |
$63.30 | 22 | 21 |
|
Alondre Ramos
16268 Bennett Rd |
$46.13 | 28 | 27 |
|
Kelly Oneill
16268 Bennett Rd |
$63.26 | 29 | 26 |
|
Amber D. Mullins
15237 Creativity Dr |
$59.17 | 30 | 30 |
|
Michelle W. Otto
545 Sunset Ln |
$44.19 | 32 | 26 |
|
Elizabeth Ann Godwin - Stevenson
1100 Sunset Ln |
$32.93 | 36 | 29 |
|
Robert Gregory Weaver
541 Sunset Ln Ste 301 |
$43.70 | 44 | 41 |
|
Virginia Orthopaedic Center P.C.
10113 Jameson Ln |
$61.02 | 76 | 72 |
|
Commonwealth Of Virginia State Board Of Health
640 Laurel St |
$13.91 | 88 | 81 |
|
Anne E Bush
18484 Crossroad Parkway |
$56.08 | 92 | 81 |
|
James Mapp
501 Sunset Ln |
$29.50 | 96 | 96 |
|
Amy P Mcelroy
1420 S Main St |
$59.32 | 99 | 94 |
|
Prashanthi Yerram
451 James Madison Hwy |
$48.68 | 115 | 88 |
|
Robert Bruce Redmon
633 Sunset Ln |
$31.64 | 116 | 97 |
|
Britanie L Rose
16268 Bennett Rd |
$68.33 | 132 | 126 |
|
Kearn K Ghuman
731 Dominion Sq Shopping Ctr |
$78.78 | 136 | 126 |
|
Kwame O Akosah
501 Sunset Ln |
$18.67 | 188 | 183 |
|
Hannah E Parnarouskis
16244 Bennett Rd |
$68.75 | 214 | 211 |
|
Lindsay R Frazee
1200 Sunset Ln Ste 2210 |
$58.72 | 224 | 215 |
|
Liisa K Field
1200 Sunset Ln Ste 2210 |
$70.04 | 236 | 229 |
|
Elisa J Kucia
541 Sunset Ln Ste 305 |
$55.35 | 247 | 230 |
|
Connie M Chung
16268 Bennett Rd |
$45.93 | 256 | 235 |
|
Elena G. Saykaly
541 Sunset Ln |
$40.85 | 264 | 246 |
|
Bruce E Williams
16268 Bennett Rd |
$69.08 | 281 | 262 |
|
Whitney Loraine Hethcox
1200 Sunset Ln Ste 2210 |
$60.16 | 287 | 275 |
|
Cornelia A. Paczkowski
16244 Bennett Rd |
$68.43 | 301 | 284 |
|
Matthew Richard Kucia
633 Sunset Ln Ste A |
$49.12 | 311 | 299 |
|
Natasha S Annor
541 Sunset Ln Ste 103 |
$48.80 | 328 | 158 |
|
Laura B Hitchcock
1200 Sunset Ln |
$75.27 | 339 | 319 |
|
John C Hardy
501 Sunset Ln |
$40.35 | 357 | 332 |
|
Robert Rutkowski
663 Sunset Ln |
$30.54 | 372 | 280 |
|
Dylan John Jamieson
2002 Orange Rd Ste 105 |
$44.75 | 393 | 345 |
|
Ridgeline Physician Services, Plc
891 Willis Ln |
$59.54 | 442 | 396 |
|
Brittney R Wagner
16268 Bennett Rd |
$69.73 | 469 | 442 |
|
Stacey L Ratigan
15237 Creativity Dr |
$50.10 | 473 | 427 |
|
Iris T Amarante
633 Sunset Ln Ste A |
$46.49 | 501 | 471 |
|
David Russell Brear
633 Sunset Ln Ste E |
$29.22 | 503 | 289 |
|
Kelsey R Woycik
541 Sunset Ln Ste 103 |
$47.05 | 518 | 477 |
|
Pamela A. Oakley-Whiting
16240 Bennett Rd |
$59.99 | 576 | 507 |
|
Heather Lynn Cannova
15237 Creativity Dr |
$52.00 | 593 | 534 |
|
Caitlin Diley
214 N East St |
$63.69 | 623 | 587 |
|
Alondra Solorio
891 Willis Ln |
$31.78 | 628 | 550 |
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