Average Medicaid Office Visit Payments in Fredericksburg, VA: $59.68
Avg. Paid
$59.68
Range
$0.00 – $270.05
Total Claims
716,193
Providers
443
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 Fredericksburg, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
William B Johnson
4532 Plank Rd |
$70.64 | 40,950 | 36,645 |
|
Linda M Purcell
10600 Spotsylvania Ave |
$64.43 | 25,816 | 22,315 |
|
Lynn Cao
1139 Heatherstone Dr |
$65.93 | 20,015 | 17,791 |
|
Virginia Urgent Care Llc
5825 Plank Rd |
$70.75 | 18,299 | 16,816 |
|
Patient First Richmond Medical Group Pllc
3031 Plank Rd |
$71.05 | 14,742 | 14,035 |
|
Rappahannock Area Community Services Board
600 Jackson St |
$55.93 | 11,916 | 11,296 |
|
Rod S. Johnson
3031 Plank Rd |
$70.34 | 11,127 | 10,542 |
|
Rebecca S Simes
4701 Spotsylvania Pkwy |
$62.02 | 9,912 | 8,487 |
|
Connor A Patterson
1985 Jefferson Davis Hwy |
$43.51 | 9,703 | 8,974 |
|
Ryszard Zebrak
12000 Kennedy Ln |
$53.87 | 9,182 | 6,686 |
|
Verne Elise Rochford
4604 Spotsylvania Pkwy Ste 200 |
$64.35 | 9,176 | 8,313 |
|
Pushpinder Dhillon
412 Cambridge Street |
$62.71 | 8,724 | 5,947 |
|
Collette F Ngante
6106 Health Center Ln |
$85.63 | 8,274 | 6,908 |
|
Jayarathne Kottage
300 Park Hill Dr |
$26.56 | 7,823 | 6,296 |
|
Pooja Railan Prasad
12101 Carol Ln |
$61.98 | 7,721 | 6,316 |
|
Jennifer Yuchnitz Garner
150 Riverside Pkwy Ste 115 |
$26.53 | 7,600 | 6,627 |
|
Paulo Andres Torres-Lopez
1001 Sam Perry Blvd |
$61.42 | 7,571 | 7,032 |
|
Theron Robert Stinar
1129 Heatherstone Dr |
$60.20 | 7,438 | 6,523 |
|
Daniel Paul Gray
12101 Carol Ln |
$41.93 | 7,420 | 5,943 |
|
Pamela M Mancini
4550 Empire Ct |
$68.13 | 6,897 | 6,091 |
|
Nisha K Surenderanath
605 Emancipation Hwy |
$68.37 | 6,754 | 6,306 |
|
Scott Arnold Young
600 Jackson St |
$52.91 | 6,623 | 6,452 |
|
Ekram G Guirguis
3031 Plank Rd |
$58.99 | 6,286 | 5,720 |
|
John Patrick Swing
600 Jackson St |
$32.97 | 6,277 | 5,434 |
|
Allison H Goodlett
4701 Spotsylvania Parkway |
$62.93 | 6,265 | 5,279 |
|
Jennifer R Kost-Phillips
331 Park Hill Dr |
$70.97 | 6,171 | 5,649 |
|
Nwakaego P Inyamah-Osijo
4552 Empire Ct |
$61.69 | 6,038 | 5,046 |
|
Hyung Joon Kil
1011 Care Way |
$50.45 | 5,984 | 4,624 |
|
John Aaron Kirk
5825 Plank Rd |
$67.42 | 5,964 | 5,252 |
|
Ahmed Tariq Butt
1300 Thornton St |
$87.53 | 5,964 | 5,620 |
|
Veena N Vangani
4604 Spotsylvania Pkwy |
$52.41 | 5,776 | 5,172 |
|
Rosemary S. Ireri
2500 Charles St |
$65.03 | 5,768 | 3,432 |
|
Syed K. Ahsan
5825 Plank Rd Ste 105 |
$48.10 | 5,727 | 5,155 |
|
John D. Mandeville
1965 Jefferson Davis Hwy |
$60.91 | 5,583 | 4,483 |
|
Gloria E Galdamez
12101 Carol Ln |
$46.72 | 5,306 | 4,122 |
|
Hina Rahman Khan
4425 Plank Rd |
$72.28 | 5,159 | 4,766 |
|
Timothy Lewis Bradshaw
927 Maple Grove Dr Ste 209 |
$46.35 | 4,986 | 4,629 |
|
James Robert Spadoni
600 Jackson St |
$35.87 | 4,948 | 4,261 |
|
Farrukh M Jafri
1500 Dixon St Ste 202 |
$80.34 | 4,946 | 4,616 |
|
Julie E O'Brien
10600 Spotsylvania Ave |
$63.39 | 4,760 | 4,258 |
|
Brenda Hines
600 Lafayette Blvd Ste 100 |
$57.75 | 4,565 | 3,809 |
|
Ngoc Xuan Ly
3031 Plank Rd |
$63.12 | 4,517 | 4,133 |
|
Andre Eglevsky
2201 Charles St |
$48.42 | 4,328 | 3,863 |
|
Cornell Shelton
300 Park Hill Dr |
$23.32 | 4,234 | 2,121 |
|
Evelyn M Walker
300 Park Hill Dr |
$68.21 | 4,150 | 3,896 |
|
Roohi Riazi
4510 Plank Rd |
$56.74 | 4,122 | 3,748 |
|
Michael J. Goeden, Md, Pc
2511 Salem Church Rd |
$72.16 | 4,056 | 3,850 |
|
Julie Therese Cooper
1300 Thornton St |
$83.96 | 4,012 | 3,597 |
|
Mary Washington Hospital Inc.
1001 Sam Perry Blvd |
$121.09 | 3,960 | 2,720 |
|
Manan S Mehta
405 Chatham Heights Rd |
$40.92 | 3,889 | 2,682 |
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 Fredericksburg, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fredericksburg, VA is $59.68 per claim, based on 716,193 claims from 443 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 Fredericksburg, VA?
There are 443 Medicaid providers offering Office Visit related services in Fredericksburg, VA according to public payment data.
What is the price range for Office Visit in Fredericksburg, VA?
Medicaid reimbursement for Office Visit in Fredericksburg, VA ranges from $0.00 to $270.05 per claim, with an average of $59.68. 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 Fredericksburg, VA
Substance Abuse Treatment
Avg $17.34
850,682 claims
Blood Work & Lab Tests
Avg $4.01
725,058 claims
Emergency Room Visit
Avg $130.54
532,656 claims
Non-Emergency Medical Transportation
Avg $76.63
393,283 claims
Home Health Visit
Avg $136.53
368,724 claims
Ambulance Transport
Avg $79.74
248,895 claims
Physical Therapy
Avg $111.21
248,051 claims
Dental Cleaning & Exam
Avg $25.12
198,207 claims