Average Medicaid Office Visit Payments in Haymarket, VA: $60.67
Avg. Paid
$60.67
Range
$34.52 – $97.75
Total Claims
13,473
Providers
19
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 Haymarket, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ian Thomas Greenwalt
15195 Heathcote Blvd Ste 240 |
$97.75 | 12 | 12 |
|
Heidi D. Gorsuch-Rafferty
15195 Heathcote Blvd Ste 338 |
$56.18 | 12 | 12 |
|
Colleen Mcelhinney
15195 Heathcote Blvd Ste 230 |
$44.05 | 94 | 84 |
|
Amanda Baird Street
15195 Heathcote Blvd |
$59.28 | 97 | 96 |
|
Vivian Nangoyi Nakawala
15195 Heathcote Blvd Ste 140 |
$70.45 | 128 | 123 |
|
Elizabeth Alexandra Zubowicz
15195 Heathcote Blvd Ste 350 |
$59.73 | 161 | 148 |
|
Justin David Faul
15100 Washington St Ste 203 |
$40.29 | 223 | 192 |
|
Candy Faviola Suarez
15195 Heathcote Blvd Ste 230 |
$34.52 | 312 | 275 |
|
Ketan B. Patel
15195 Heathcoat Blvd |
$45.65 | 401 | 351 |
|
Dean F. Gawum
14808 Keavy Ridge Ct |
$81.06 | 697 | 287 |
|
Christopher Donghyun Kim
15195 Heathcote Blvd Ste 140 |
$72.80 | 705 | 672 |
|
Soujanya Biragoni
15195 Heathcote Blvd Ste 140 |
$64.09 | 909 | 817 |
|
Akila V Iyer
15050 Heathcote Blvd |
$49.66 | 1,122 | 1,072 |
|
Tejal Dharia
15050 Heathcote Blvd |
$71.84 | 1,201 | 1,129 |
|
Kara E Siford
15195 Heathcote Blvd Ste 140 |
$59.89 | 1,408 | 1,305 |
|
Nicholas Dugan
15195 Heathcote Blvd Ste 330 |
$46.22 | 1,419 | 1,374 |
|
Bary M Berger
15195 Heathcote Blvd Ste 150 |
$61.60 | 1,457 | 1,199 |
|
James B Min
15195 Heathcoat Blvd |
$59.51 | 1,461 | 1,352 |
|
Eric C. Noh
15195 Heathcote Blvd Ste 140 |
$69.10 | 1,654 | 1,530 |
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 Haymarket, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Haymarket, VA is $60.67 per claim, based on 13,473 claims from 19 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 Haymarket, VA?
There are 19 Medicaid providers offering Office Visit related services in Haymarket, VA according to public payment data.
What is the price range for Office Visit in Haymarket, VA?
Medicaid reimbursement for Office Visit in Haymarket, VA ranges from $34.52 to $97.75 per claim, with an average of $60.67. 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 Haymarket, VA
Blood Work & Lab Tests
Avg $3.71
33,027 claims
Emergency Room Visit
Avg $241.55
27,433 claims
Urinalysis & Urine Tests
Avg $0.47
11,130 claims
Non-Emergency Medical Transportation
Avg $24.20
10,714 claims
X-Ray
Avg $8.78
6,434 claims
CT Scan (Computed Tomography)
Avg $266.66
5,568 claims
Prescription Medications
Avg $0.27
5,017 claims
EKG / ECG (Electrocardiogram)
Avg $1.85
4,596 claims