Average Medicaid Office Visit Payments in Gloucester, VA: $58.33
Avg. Paid
$58.33
Range
$11.78 – $173.46
Total Claims
75,548
Providers
58
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 Gloucester, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Meghan Gildow
7547 Medical Dr Ste 1200 |
$51.37 | 12 | 12 |
|
John Cochran
7519 Hospital Dr |
$173.46 | 13 | 12 |
|
Ines Stromberg
7552 Hospital Dr Ste 302 |
$69.30 | 13 | 12 |
|
Dwayne North
7554 Hospital Dr Ste D303 |
$74.09 | 26 | 26 |
|
Wendy S Shulman
5659 Parkway Dr |
$56.62 | 28 | 26 |
|
Joseph Morris
7552 Hospital Dr Ste 302 |
$26.46 | 33 | 28 |
|
Wendell T Poulsen
5659 Parkway Dr |
$73.31 | 46 | 38 |
|
Peter John Zullo
7547 Medical Drive |
$46.88 | 48 | 42 |
|
John Constantine Gretes
7552 Hospital Dr Ste 302 |
$25.18 | 58 | 45 |
|
Barbara Anne Allison-Bryan
5659 Parkway Dr |
$60.44 | 70 | 66 |
|
Commonweatlh Of Virginia State Board Of Health
6882 Main Street |
$11.78 | 71 | 59 |
|
David W Muffelman
6790 Wood Ridge Drive |
$37.23 | 77 | 63 |
|
Robert Thomas Davis
7547 Medical Drive |
$92.47 | 77 | 74 |
|
Roberta C. Chapman
6031 Industrial Dr |
$70.79 | 86 | 72 |
|
David Harvey Alpert
7547 Medical Dr Ste 2200 |
$17.53 | 105 | 69 |
|
Cori Jones
7552 Hospital Dr Ste 302 |
$39.81 | 125 | 117 |
|
Kathryn Elise Felts
7547 Medical Dr Ste 2300 |
$57.29 | 218 | 212 |
|
Karla Marie Pray
7544 Medical Dr # B-1 |
$45.22 | 296 | 260 |
|
Morgan Knowles
7547 Medical Dr Ste 1300 |
$63.54 | 311 | 308 |
|
Ko Ko Maung
7544 Medical Dr Ste B |
$76.57 | 346 | 279 |
|
Heather Poe
5659 Parkway Dr Ste 100 |
$17.97 | 421 | 284 |
|
Aashna Faizy
6790 Wood Ridge Dr |
$85.59 | 441 | 417 |
|
Emma Kennedy Weber
6790 Wood Ridge Dr |
$78.44 | 443 | 422 |
|
Laura Rice
5659 S Parkway Drive #100 |
$88.06 | 638 | 616 |
|
Jerrid Neeley
7547 Medical Dr Ste 1200 |
$57.51 | 680 | 643 |
|
Hannah Mariah Pearson
7560 Hospital Dr Bldg B101 |
$49.18 | 689 | 646 |
|
Racquel T Fung
7552 Hospital Dr Ste 302 |
$46.18 | 703 | 642 |
|
Jonathan Michael Sardina
7547 Medical Dr Ste 2200 |
$63.84 | 714 | 682 |
|
Shawn Kirby
7547 Medical Dr Ste 2200 |
$71.11 | 721 | 693 |
|
Sarah Hillier
6790 Wood Ridge Dr |
$58.65 | 723 | 636 |
|
Janet Hudgins Dehoux
7547 Medical Dr |
$53.69 | 746 | 692 |
|
Barney Bryant Parson
7319 Martin St Ste 3 |
$76.63 | 838 | 767 |
|
Mary Elizabeth Adams
7547 Medical Dr Ste 2200 |
$63.00 | 1,072 | 1,011 |
|
Jennifer K Gadams
7590 Hospital Dr |
$91.40 | 1,072 | 1,056 |
|
Carol-Jo Osinski
6031 Industrial Dr |
$65.86 | 1,418 | 1,243 |
|
Madalyn Brooke White
5659 Parkway Dr Ste 210 |
$58.03 | 1,426 | 1,285 |
|
Elizabeth Rose Lunsford
7547 Medical Dr |
$49.87 | 1,517 | 1,334 |
|
Joseph A. Leming
6760 Main St |
$28.74 | 1,576 | 1,138 |
|
Magi Magdi Khalil
7544 Medical Dr |
$52.70 | 1,620 | 1,272 |
|
Christopher S Schultz
7554 Hospital Dr |
$51.79 | 1,778 | 1,662 |
|
Francis Thornton West
6506 Main Street |
$35.75 | 1,790 | 1,284 |
|
Barbaro Jesus Perez
7544 Hospital Dr |
$48.22 | 1,791 | 1,648 |
|
Steven J Hospodar
7544 Hospital Dr |
$53.04 | 1,908 | 1,752 |
|
James Caldwell Larue
7547 Medical Dr |
$55.60 | 1,982 | 1,821 |
|
Amy E Hill
9228 George Washington Memorial Hwy |
$39.58 | 2,032 | 1,718 |
|
Francisco Xavier Valls
7547 Medical Dr |
$44.89 | 2,094 | 1,843 |
|
Anne F Howard
8264 George Washington Memorial Hwy |
$77.99 | 2,156 | 2,022 |
|
Brandi Dalton Gomez
5659 Parkway Dr Ste 210 |
$63.44 | 2,180 | 1,949 |
|
James Blakeley Long
7547 Medical Dr Ste 2200 |
$63.49 | 2,244 | 2,063 |
|
Kanhaiyalal Tapishankar Trivedi
7547 Medical Dr # 1300 |
$67.19 | 2,316 | 2,231 |
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 Gloucester, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gloucester, VA is $58.33 per claim, based on 75,548 claims from 58 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 Gloucester, VA?
There are 58 Medicaid providers offering Office Visit related services in Gloucester, VA according to public payment data.
What is the price range for Office Visit in Gloucester, VA?
Medicaid reimbursement for Office Visit in Gloucester, VA ranges from $11.78 to $173.46 per claim, with an average of $58.33. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Gloucester, VA
Blood Work & Lab Tests
Avg $3.73
116,800 claims
Behavioral & Mental Health Therapy
Avg $79.53
83,340 claims
Non-Emergency Medical Transportation
Avg $20.43
76,673 claims
Emergency Room Visit
Avg $134.56
70,583 claims
Substance Abuse Treatment
Avg $311.96
70,401 claims
Physical Therapy
Avg $149.66
33,794 claims
Case Management Services
Avg $323.02
33,508 claims
X-Ray
Avg $12.20
30,485 claims