Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Lexington, VA: $56.48

Avg. Paid

$56.48

Range

$16.10 – $90.09

Total Claims

71,000

Providers

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 Lexington, VA

Provider	Avg. Paid	Claims	Patients
Sharon Cadd 33 Wren Ln	$57.58	8,019	7,196
Julie Anne Monroe 55 Comfort Way Ste 1	$59.94	7,631	6,894
Rockbridge Area Free Clinic 25 Northridge Ln	$49.23	7,339	6,229
Robert Steven Childers 110 Houston St Ste D	$62.86	6,794	6,468
Rockbridge Area Community Services Board 241 Greenhouse Rd	$72.02	3,776	3,304
Laura Judith Simpson 25 Northridge Ln	$56.49	3,347	2,709
Michael David Henry 25 Northridge Ln	$63.78	2,942	2,665
John M Sheridan 25 Northridge Ln	$58.94	2,421	2,230
William James Sayre 108 Houston St	$47.54	2,311	2,052
Carilion Rockbridge Community Hospital 108 Houston St	$44.61	2,173	1,843
Percita Loren Ellis 6 Grouse Run Rd	$70.01	2,165	2,021
James M. Kennedy 25 Northridge Ln	$59.66	1,950	1,680
Edward S Hemphill 25 Crossing Ln	$48.65	1,647	1,503
Judy Ko 30 Greenhouse Rd	$59.50	1,522	1,397
Linh Thi Tran 25 Northridge Ln	$60.53	1,496	1,300
Kimary Vigliano Schatten 25 Northridge Ln	$51.53	1,362	1,223
Sinclair J Harcus 108 Houston St	$53.15	1,150	977
Matthew Earle Bryant 146 S Main St Ste 3	$62.77	1,147	1,047
Karen C Wright-Sheridan 55 Comfort Way	$40.04	1,043	864
Bryan James Carey 1 Health Cir	$47.92	932	875
Augusta Medical Group 55 Comfort Way Ste 1	$31.38	758	619
Karen A Lyons 108 Houston St	$62.13	719	658
Laura W. Lanier 146 S Main St	$56.91	718	661
Jerilyn Marie Wright 55 Comfort Way Ste 1	$75.29	667	620
Roger Lee Clevinger 25 Northridge Ln	$70.65	662	590
Ashley Rapp Parker 100 Spotswood Dr	$42.80	618	556
Commonwealth Of Virginia State Board Of Health 300 White St	$16.10	602	564
Jay G Sailer 1 Health Cir	$26.69	580	395
Kevin Steckline 55 Comfort Way Ste 1	$55.62	552	526
Colleen Arnold 55 Comfort Way Ste 1	$43.61	498	428
William Lyle Mcclung 1 Health Cir	$21.58	495	345
Angela Algire 1 Health Cir	$60.29	367	334
Violet Wender 110 Houston St Ste D	$61.56	292	282
James Nolan Casey 1 Health Cir	$61.36	288	264
Carrie Goodrich 110 Houston St Ste D	$66.15	271	253
Gregory K Hardigree 25 Crossing Ln Ste 2	$42.15	220	197
Kerri F Stillwell 110 Houston Street	$51.82	213	173
Ralph Dunham Caldroney 108 Houston St	$43.12	204	171
Tammy Knick 1 Health Cir	$57.58	148	146
Kevin Staples Iseman 1 Health Cir	$44.41	132	129
Amanda Hartless Mccomas 25 Northridge Ln	$64.25	131	98
Lindsay Mary Searle 110 Houston St Ste D	$52.39	111	103
Teresa Yvonne Thacker 108 Houston St	$50.17	109	93
Andrea Kovacevic 62 Big Hill Rd	$45.70	97	91
Daniel M Freed 1 Health Cir	$56.72	83	78
Ayesha Jone' Kelly 100 Spotswood Dr	$24.98	60	53
Scott Brian Dubit 650 N. Lee Highway	$49.29	50	38
Steven F Kator 1 Health Cir	$53.76	49	41
Rockbridge Area Community Services Board 241 Greenhouse Rd	$72.22	30	28
Marie D Nicely 108 Houston St	$83.04	30	29

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 Lexington, VA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lexington, VA is $56.48 per claim, based on 71,000 claims from 53 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 Lexington, VA?

There are 53 Medicaid providers offering Office Visit related services in Lexington, VA according to public payment data.

What is the price range for Office Visit in Lexington, VA?

Medicaid reimbursement for Office Visit in Lexington, VA ranges from $16.10 to $90.09 per claim, with an average of $56.48. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Lexington, VA: $56.48

Providers Offering Office Visit in Lexington, VA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Lexington, VA

Non-Emergency Medical Transportation

Emergency Room Visit

Blood Work & Lab Tests

Dental Cleaning & Exam

Home Health Visit

Psychiatric Evaluation

Behavioral & Mental Health Therapy

Durable Medical Equipment (DME)