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 |
|---|---|---|---|
|
Angela Hooe
1225 Reservoir St |
$59.25 | 12 | 12 |
|
Tara Douglas Balint
2006 Health Campus Dr |
$69.50 | 13 | 12 |
|
Jennifer Bryant
1931 Medical Ave |
$52.23 | 13 | 13 |
|
Martha M Williams
1840 E Market St |
$58.57 | 13 | 13 |
|
Michael Christian Radoiu
1921 Medical Ave |
$66.76 | 14 | 13 |
|
Lynne O Mcclaugherty
1947 Medical Ave |
$79.56 | 14 | 13 |
|
Elizabeth Philpott
119 University Blvd Ste B |
$34.20 | 14 | 12 |
|
Kristina Crowther Liskey
755A Cantrell Ave |
$86.75 | 15 | 15 |
|
Gregory F Montgomery
2006 Health Campus Dr |
$18.48 | 15 | 12 |
|
Kelly D. Richardson
1871 Evelyn Byrd Ave |
$35.91 | 25 | 24 |
|
George William Zimmerman
2509 Pleasant Run Dr |
$40.20 | 30 | 24 |
|
Tracy D Seefried
2054 Pro Pointe Ln |
$53.64 | 30 | 28 |
|
Amy C. Graham
1871 Evelyn Byrd Ave |
$57.72 | 30 | 28 |
|
Morris J Fendley
2006 Health Campus Dr |
$45.01 | 31 | 27 |
|
Kaya J Payne
240 Lucy Dr |
$56.26 | 32 | 27 |
|
John Bristow Mansfield
831 Martin Luther King Jr Way |
$16.26 | 41 | 28 |
|
Paula Max-Wright
4059 Quarles Ct |
$47.62 | 42 | 39 |
|
Jeffrey Michael Roy
1871 Evelyn Byrd Ave |
$77.99 | 44 | 43 |
|
Metro Treatment Of Virginia Lp
30 Baxter Dr Stes 170 And 180 |
$84.48 | 48 | 48 |
|
Naspacva, Llc
2034 Pro Pointe Ln |
$41.95 | 48 | 48 |
|
John D Wenger
1931 Medical Ave |
$31.32 | 50 | 39 |
|
Christopher Heatwole Moore
640 S Main St |
$56.23 | 52 | 50 |
|
Holly Kristen Kellett
1871 Evelyn Byrd Ave |
$35.15 | 54 | 53 |
|
Rebecca Dawn Filla
2291 Evelyn Byrd Ave |
$52.02 | 54 | 54 |
|
Erika L Shelburne
2010 Health Campus Dr |
$54.86 | 54 | 52 |
|
Kathleen Downs
1661 S Main St |
$49.24 | 69 | 61 |
|
Brandon Miles Cunningham
861 Martin Luther King Jr Way Ste 101 |
$42.78 | 79 | 69 |
|
Molly Marie Jarrels
563 Neff Ave Ste A |
$69.05 | 83 | 75 |
|
Harold F. Reilly
1871 Evelyn Byrd Ave |
$48.20 | 90 | 82 |
|
Mary Etta Piller
2291 Evelyn Byrd Ave |
$57.29 | 93 | 79 |
|
Christen C Harer
644 University Blvd |
$38.93 | 95 | 83 |
|
Mark William Fox
2322 Blue Stone Hills Dr Ste 260 |
$37.78 | 98 | 80 |
|
Brian Edward Robinson
2008 Health Campus Dr |
$20.23 | 106 | 82 |
|
Sarah Nicole Harlow
119 University Blvd Ste B |
$88.89 | 106 | 98 |
|
Robert Allen Garwood
2006 Health Campus Dr |
$40.49 | 108 | 96 |
|
Kathleen St. John Iudica
1831 Reservoir St |
$48.74 | 112 | 93 |
|
Syed Imran Shafqat
4057 Quarles Ct |
$8.58 | 115 | 69 |
|
Allison Faye Cubbage
1921 Medical Ave Ste A |
$65.71 | 116 | 113 |
|
Sandra Oscar-Sprouse
119 University Blvd Ste B |
$54.52 | 118 | 109 |
|
Gregory C Jesteadt
1831 Reservoir St |
$54.75 | 119 | 107 |
|
Walid Samih Alami
2006 Campus Health Dr |
$95.11 | 120 | 99 |
|
Maria A. Hernandez
129 University Blvd Ste E |
$44.30 | 133 | 96 |
|
Margaret Carr Upton
1200 Park Rd |
$84.73 | 141 | 139 |
|
Seth P Caldwell
2006 Health Campus Dr |
$31.40 | 146 | 133 |
|
Bryce Coolidge Simes
1790 E Market St Ste 64B |
$67.72 | 146 | 135 |
|
Cynthia W. Almarode
2015A Reservoir St |
$60.79 | 161 | 136 |
|
Perviz Heyat
235 Cantrell Ave |
$0.00 | 161 | 149 |
|
Raymond J. Alderfer
110 Newman Ave |
$25.33 | 162 | 132 |
|
Keith E Yoder
1840 E Market St |
$66.37 | 163 | 160 |
|
Brooke Elizabeth Ashley
1790 E Market St Ste 64B |
$65.62 | 170 | 155 |
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