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Based on public Medicaid payment data.

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
Sherie H. Austin

8264 George Washington Memorial Hwy

$73.35 6,507 5,929
David Glenn Belvin

5659 Parkway Dr Ste 210

$62.72 6,438 5,959
Parthiv J Sheth

9228 George Washington Memorial Hwy

$30.76 4,798 3,916
Wayne J Reynolds

5659 Parkway Dr

$56.33 4,241 3,792
Middle Peninsula Northern Neck Mental Health & Retardation

9228 George Washington Memorial Hwy

$28.73 3,126 2,520
Jennifer R Pittman-Dixon

6810 Teagle Lane

$71.20 3,070 2,989
Phuongkhanh Huy Cromwell

8264 George Washington Memorial Hwy

$102.89 2,845 2,567
Andrea Jacqueline Alejo

7547 Medical Dr Ste 2200

$57.32 2,735 2,540
Kanhaiyalal Tapishankar Trivedi

7547 Medical Dr # 1300

$67.19 2,316 2,231
James Blakeley Long

7547 Medical Dr Ste 2200

$63.49 2,244 2,063
Brandi Dalton Gomez

5659 Parkway Dr Ste 210

$63.44 2,180 1,949
Anne F Howard

8264 George Washington Memorial Hwy

$77.99 2,156 2,022
Francisco Xavier Valls

7547 Medical Dr

$44.89 2,094 1,843
Amy E Hill

9228 George Washington Memorial Hwy

$39.58 2,032 1,718
James Caldwell Larue

7547 Medical Dr

$55.60 1,982 1,821
Steven J Hospodar

7544 Hospital Dr

$53.04 1,908 1,752
Barbaro Jesus Perez

7544 Hospital Dr

$48.22 1,791 1,648
Francis Thornton West

6506 Main Street

$35.75 1,790 1,284
Christopher S Schultz

7554 Hospital Dr

$51.79 1,778 1,662
Magi Magdi Khalil

7544 Medical Dr

$52.70 1,620 1,272
Joseph A. Leming

6760 Main St

$28.74 1,576 1,138
Elizabeth Rose Lunsford

7547 Medical Dr

$49.87 1,517 1,334
Madalyn Brooke White

5659 Parkway Dr Ste 210

$58.03 1,426 1,285
Carol-Jo Osinski

6031 Industrial Dr

$65.86 1,418 1,243
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
Barney Bryant Parson

7319 Martin St Ste 3

$76.63 838 767
Janet Hudgins Dehoux

7547 Medical Dr

$53.69 746 692
Sarah Hillier

6790 Wood Ridge Dr

$58.65 723 636
Shawn Kirby

7547 Medical Dr Ste 2200

$71.11 721 693
Jonathan Michael Sardina

7547 Medical Dr Ste 2200

$63.84 714 682
Racquel T Fung

7552 Hospital Dr Ste 302

$46.18 703 642
Hannah Mariah Pearson

7560 Hospital Dr Bldg B101

$49.18 689 646
Jerrid Neeley

7547 Medical Dr Ste 1200

$57.51 680 643
Laura Rice

5659 S Parkway Drive #100

$88.06 638 616
Emma Kennedy Weber

6790 Wood Ridge Dr

$78.44 443 422
Aashna Faizy

6790 Wood Ridge Dr

$85.59 441 417
Heather Poe

5659 Parkway Dr Ste 100

$17.97 421 284
Ko Ko Maung

7544 Medical Dr Ste B

$76.57 346 279
Morgan Knowles

7547 Medical Dr Ste 1300

$63.54 311 308
Karla Marie Pray

7544 Medical Dr # B-1

$45.22 296 260
Kathryn Elise Felts

7547 Medical Dr Ste 2300

$57.29 218 212
Cori Jones

7552 Hospital Dr Ste 302

$39.81 125 117
David Harvey Alpert

7547 Medical Dr Ste 2200

$17.53 105 69
Roberta C. Chapman

6031 Industrial Dr

$70.79 86 72
David W Muffelman

6790 Wood Ridge Drive

$37.23 77 63
Robert Thomas Davis

7547 Medical Drive

$92.47 77 74
Commonweatlh Of Virginia State Board Of Health

6882 Main Street

$11.78 71 59
Barbara Anne Allison-Bryan

5659 Parkway Dr

$60.44 70 66
John Constantine Gretes

7552 Hospital Dr Ste 302

$25.18 58 45

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

Other Procedures in Gloucester, VA