Average Medicaid Office Visit Payments in Harrisonburg, VA: $55.84
Avg. Paid
$55.84
Range
$0.00 – $96.77
Total Claims
290,915
Providers
189
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 Harrisonburg, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Harrisonburg-Rockingham Community Services Board
1241 N Main St |
$44.46 | 17,816 | 15,715 |
|
Michelle Kathryn Wood
1241 N Main St |
$24.51 | 9,873 | 8,055 |
|
Tara H Prieur
1947 Medical Ave |
$64.48 | 9,347 | 8,685 |
|
Harrisonburg Community Health Center
1380 Little Sorrell Drive |
$68.54 | 8,639 | 7,392 |
|
Sentara Rmh Medical Center
2010 Health Campus Dr |
$96.77 | 7,701 | 5,778 |
|
Megan Williams
1380 Little Sorrell Dr Ste 100 |
$56.53 | 7,403 | 6,658 |
|
Heather Lynn Darmetko
1951 Evelyn Byrd Ave Ste I |
$45.30 | 7,246 | 6,274 |
|
Brannon Lynn Weeks
136 W Market St Ste 201 |
$71.75 | 6,930 | 6,451 |
|
Christopher A Ashton
1947 Medical Ave |
$61.78 | 6,323 | 5,866 |
|
Holly Jill Herr Stravers
1380 Little Sorrell Dr Ste 100 |
$54.32 | 6,082 | 5,578 |
|
Jeff Lewis Domingus
1380 Little Sorrell Dr Ste 100 |
$62.70 | 5,800 | 5,537 |
|
James Clyde Styron
1241 N Main St |
$34.04 | 5,302 | 4,282 |
|
Christopher J Hess
2509 Pleasant Run Dr |
$74.55 | 5,216 | 4,824 |
|
Jon R Tomei
1947 Medical Ave |
$61.84 | 5,117 | 4,668 |
|
Kristin J Rainey
1947 Medical Ave |
$62.88 | 5,075 | 4,733 |
|
Victoria Fellows Sullivan
1661 S Main St |
$61.57 | 5,073 | 4,579 |
|
Valley Urgent Care And Occupational Medicine Llc
1921 Medical Ave |
$68.15 | 4,966 | 4,468 |
|
Roger Steven Pence
1967 Medical Ave |
$70.90 | 4,881 | 4,549 |
|
Gilbert C Rice
1790 E Market St Ste 64B |
$54.44 | 4,828 | 4,310 |
|
Megan Elizabeth Imholt
2034 Pro Pointe Ln |
$63.15 | 4,393 | 4,049 |
|
Anastasia Suslaev
2291 Evelyn Byrd Ave |
$41.61 | 4,321 | 3,108 |
|
Thomas S. Weber
2509 Pleasant Run Dr |
$53.79 | 4,296 | 3,887 |
|
Sharon Mcmillin
1840 E Market St |
$58.39 | 4,100 | 3,431 |
|
Susan B Smith
1947 Medical Ave |
$60.07 | 3,872 | 3,550 |
|
Lynn David Lambert
3302 Albert Long Dr |
$54.16 | 3,848 | 3,570 |
|
Syed Shamshad Ali Rizvi
136 W Elizabeth St Ste 102 |
$65.62 | 3,809 | 3,488 |
|
Shawn M.G. Lepley
1661 S Main St |
$45.56 | 3,769 | 3,128 |
|
Commonwealth Of Virginia State Board Of Health
110 N Mason St |
$17.20 | 3,702 | 3,554 |
|
Joseph Volpi
261 Bluestone Dr # 2301 |
$42.75 | 3,621 | 2,740 |
|
Pamela Doronda Bailey
1790 E Market St Ste 64B |
$60.23 | 3,603 | 3,349 |
|
Sarah C Goodwin
1380 Little Sorrell Dr |
$59.12 | 3,106 | 2,850 |
|
Philip Benjamin Bly
16 Pleasant Hill Rd |
$57.99 | 3,065 | 1,584 |
|
Rachel Anne Mayo
1380 Little Sorrell Dr |
$62.15 | 2,919 | 2,670 |
|
Benjamin Isaac Mwanika
2509 Pleasant Run Dr |
$58.11 | 2,872 | 2,629 |
|
Nickie Spears
1241 N Main St |
$39.34 | 2,648 | 2,325 |
|
Leonard Wortley Aamodt
240 Lucy Dr |
$50.98 | 2,527 | 2,236 |
|
Jeffrey A Ashby
1831 Reservoir St |
$47.12 | 2,492 | 2,170 |
|
Jason Burke Williams
644 University Blvd |
$50.59 | 2,374 | 1,897 |
|
Sheila G Higdon
1921 Medical Ave Ste B |
$69.84 | 2,309 | 1,933 |
|
Kymber Jennings Beers
1380 Little Sorrell Dr Ste 100 |
$68.77 | 2,233 | 2,088 |
|
Carey Elizabeth Dean
136 W Elizabeth St Ste 102 |
$68.41 | 2,230 | 2,063 |
|
Peter Daniel Buckman
2010 Health Campus Drive |
$11.94 | 2,150 | 1,104 |
|
Rachel Elizabeth Kime
1380 Little Sorrell Dr Ste 100 |
$58.55 | 2,147 | 2,032 |
|
Trent Mazer
1790 E Market St Ste 64B |
$58.26 | 2,097 | 1,842 |
|
Joseph P Sorenson
1947 Medical Ave |
$63.63 | 2,096 | 1,959 |
|
Jennifer M Visger
240 Lucy Dr |
$54.54 | 2,015 | 1,817 |
|
Glenn E Deputy
1871 Evelyn Byrd Ave |
$35.64 | 1,964 | 1,698 |
|
Rebecca Tiger
1931 Medical Ave |
$82.38 | 1,920 | 1,868 |
|
Rocky Wayne Fowler
3200 Peoples Dr |
$47.82 | 1,852 | 1,585 |
|
Alan J Morgan
1661 S Main St |
$48.63 | 1,780 | 1,573 |
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 Harrisonburg, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Harrisonburg, VA is $55.84 per claim, based on 290,915 claims from 189 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 Harrisonburg, VA?
There are 189 Medicaid providers offering Office Visit related services in Harrisonburg, VA according to public payment data.
What is the price range for Office Visit in Harrisonburg, VA?
Medicaid reimbursement for Office Visit in Harrisonburg, VA ranges from $0.00 to $96.77 per claim, with an average of $55.84. 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 Harrisonburg, VA
Substance Abuse Treatment
Avg $34.57
488,784 claims
Blood Work & Lab Tests
Avg $4.22
297,330 claims
Emergency Room Visit
Avg $127.95
176,693 claims
Non-Emergency Medical Transportation
Avg $50.18
172,204 claims
Home Health Visit
Avg $87.50
168,563 claims
Physical Therapy
Avg $42.10
146,538 claims
Speech Therapy
Avg $41.22
115,968 claims
X-Ray
Avg $13.19
115,644 claims