Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Front Royal, VA: $58.85

Avg. Paid

$58.85

Range

$3.64 – $85.26

Total Claims

139,810

Providers

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 Front Royal, VA

Provider	Avg. Paid	Claims	Patients
John Talbot English 351 Valley Health Way # 200	$50.93	12	12
Robert Meltvedt 351 Valley Health Way # 200	$36.55	13	13
Sara Beth Lombardy 351 Valley Health Way # 300	$61.75	13	12
Lindsey Irene Ingram 120 N Commerce Ave	$60.80	14	13
Barbara J Walter 1077 N Shenandoah Ave	$23.49	16	13
Hannah Williams 209 W Criser Rd	$72.07	17	17
Sona Kalra 1211 N Shenandoah Ave	$75.64	31	27
James William Freilich 1000 N Shenandoah Ave	$58.18	34	34
Pinnacle Treatment Centers Va-I, Llc 10269 Winchester Rd	$11.18	41	39
Julia Mcdevitt 351 Valley Health Way Ste 300	$63.51	58	54
Isaac Farrington Prince 140 W 11Th St	$70.78	65	59
Michael Weingart 140 W 11Th St	$28.33	99	98
Kevin C Barney 65 Riverton Commons Dr	$65.16	124	117
Elizabeth Jones 1408 Western Ln	$80.10	143	141
Ellis Boisvert Johns 351 Valley Health Way # 300	$67.61	152	147
Cristina Espinosa 209 W Criser Rd	$56.23	172	163
Francis Xavier Dennehy 351 Valley Health Way # 300	$53.06	200	195
Valley Physician Enterprise, Inc. 315 W 10Th St	$56.79	297	247
Maria E Read 920 N Shenandoah Ave Ste 101	$10.77	365	282
Page Memorial Hospital, Inc. 625 Virginia Ave	$58.72	392	365
Stacey Beth Bailey 351 Valley Health Way Ste 300	$66.00	402	354
Hager Salem 120 N Commerce Ave	$85.26	416	391
Roger K. Westfall 351 Valley Health Way Ste 300	$50.36	433	383
Michele Marie Moore 209 W Criser Rd	$20.39	443	336
Tina Bordonaro 920 N Shenandoah Ave Ste 101	$3.64	466	335
Katherine Marie Winter 351 Valley Health Way # 300	$73.91	480	430
Derrik Holladay 65 Riverton Commons Dr	$65.58	491	473
Teresa S Ramerth 209 W Criser Rd	$55.13	541	458
Stephanie Wagstaff Lafave 140 W 11Th St	$70.62	561	524
Jonathan Winter 351 Valley Health Way # 300	$60.16	593	551
Kate Jones 65 Riverton Commons Dr	$59.28	644	611
Rajesh Subedi 625 Virginia Ave	$52.57	653	564
Commonwealth Of Virginia State Board Of Health 465 W 15Th St	$15.93	744	712
Carole Kathleen Funk 841 N Shenandoah Ave Ste 3	$56.41	769	671
John William Kerns 140 W 11Th St	$51.75	824	747
Craig Hudgins Phillips 67 Riverton Commons Dr	$71.41	877	796
Patricia A Daly 315 W 10Th St	$65.15	880	799
Rebecca L Potterton 65 Riverton Commons Dr	$67.69	909	846
Adam Louis Chavez 351 Valley Health Way # 200	$55.53	969	858
Sherry A Whisenant 140 W 11Th St	$55.10	1,049	983
Chinor Fattahi 65 Riverton Commons Dr	$65.81	1,101	1,067
Bridget M Hickson 65 Riverton Commons Dr	$69.67	1,111	1,057
Warren Memorial Hospital, Inc. 67 Riverton Commons Dr	$72.54	1,173	1,058
Victoria Morimoto 120 N Commerce Ave	$52.82	1,286	1,176
Virginia Anne Baker 120 N Commerce Ave Ste 230	$53.79	1,290	1,209
Yevgeny Kats 103 E 6Th St	$44.19	1,383	1,129
Candace Jill Wise 351 Valley Health Way # 300	$55.60	1,386	1,215
Jeffery Groesbeck 351 Valley Health Way # 300	$56.85	1,394	1,284
Rebecca Ann Myers-Settle 624 Virginia Ave	$63.89	1,674	1,393
Jennifer Browning Barron 351 Valley Health Way # 300	$55.48	1,708	1,585

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 Front Royal, VA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Front Royal, VA is $58.85 per claim, based on 139,810 claims from 72 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 Front Royal, VA?

There are 72 Medicaid providers offering Office Visit related services in Front Royal, VA according to public payment data.

What is the price range for Office Visit in Front Royal, VA?

Medicaid reimbursement for Office Visit in Front Royal, VA ranges from $3.64 to $85.26 per claim, with an average of $58.85. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Front Royal, VA: $58.85

Providers Offering Office Visit in Front Royal, VA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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