Average Medicaid Office Visit Payments in Lynchburg, VA: $57.93
Avg. Paid
$57.93
Range
$0.00 – $237.73
Total Claims
876,061
Providers
432
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 Lynchburg, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brightview Llc
3704 Old Forest Rd |
$64.56 | 52,219 | 29,358 |
|
Horizon Behavioral Health
2215 Langhorne Rd |
$62.75 | 49,873 | 44,524 |
|
Centra Health Inc
3300 Rivermont Ave |
$128.97 | 27,562 | 24,123 |
|
Christopher B Vonelten
2137 Lakeside Dr Ste 100 |
$72.50 | 25,989 | 17,184 |
|
Allison Robertson
121 Nationwide Dr |
$42.89 | 22,560 | 20,796 |
|
Omar Youssef Elkhamra
2405 Atherholt Rd |
$69.68 | 19,412 | 17,711 |
|
Johnson Health Center
320 Federal St |
$27.05 | 16,826 | 14,202 |
|
Garrett Rynning Bohrnstedt
119 Tradewynd Dr |
$54.60 | 15,593 | 14,407 |
|
Zdzislaw Victor Ratajczak
2405 Atherholt Rd |
$70.56 | 15,151 | 13,839 |
|
David G Cox
2405 Atherholt Rd |
$48.76 | 13,189 | 11,594 |
|
Susan B Clapp
620 Court St |
$56.73 | 12,454 | 11,358 |
|
Duane E Dixon
103 Clifton Street |
$36.80 | 11,900 | 9,650 |
|
Ahgnes Ungoco Bolusa-Sabugo
320 Federal St |
$58.55 | 11,727 | 10,541 |
|
Raul Barroso
2137 Lakeside Dr |
$40.05 | 9,713 | 8,485 |
|
Johnson Health Center
2402 Atherholt Rd |
$75.79 | 9,004 | 7,325 |
|
Jitendra Annapareddy
3300 Rivermont Ave |
$62.92 | 8,977 | 8,483 |
|
Community Access Network
800 5Th Street Suite A |
$57.04 | 8,689 | 7,571 |
|
Jacquelyn Jacobs
2248 Murrell Road |
$15.46 | 8,566 | 7,014 |
|
Brenda Sue Waller
2600 Memorial Ave Suite 201B |
$20.18 | 8,558 | 6,301 |
|
William A Cook
2402 Atherholt Rd |
$54.56 | 8,232 | 6,316 |
|
Christian Estrada
1330 Oak Ln Ste 202 |
$37.02 | 8,122 | 7,451 |
|
Ghada M Alsayed
2323 Memorial Ave |
$4.40 | 7,793 | 6,389 |
|
Danielle Kelly Foltz
Johnson Health Center |
$56.15 | 7,561 | 7,096 |
|
Christine A Marraccini
114 Nationwide Dr |
$56.16 | 7,282 | 6,207 |
|
Kendall Elaine Fedorko-Overby
1900 Thomson Dr |
$51.59 | 7,108 | 6,444 |
|
Vinh Thinh T Huynh
2323 Memorial Avenue |
$58.60 | 7,039 | 6,424 |
|
Virginia Treatment Center, Llc
4000 Murray Pl |
$61.81 | 6,784 | 5,232 |
|
Centra Health Inc
1901 Tate Springs Rd |
$126.92 | 6,092 | 5,382 |
|
Islam A Saleh
2405 Atherholt Rd |
$58.93 | 6,088 | 5,502 |
|
Daniel Matthew Breland
2323 Memorial Ave |
$61.96 | 5,958 | 5,462 |
|
Nicole Rene Scanlon-Rowlett
2323 Memorial Ave Ste 10 |
$53.17 | 5,727 | 5,083 |
|
Meghann Bowyer
2402 Atherholt Rd |
$64.78 | 5,545 | 5,238 |
|
Landon James Colling
2108 Langhorne Rd |
$59.60 | 5,521 | 4,867 |
|
Meredith Camilleri
617 Jackson St |
$41.51 | 5,521 | 4,014 |
|
Jean Jun
1901 Tate Springs Rd |
$66.26 | 5,467 | 5,206 |
|
Sanket Rajaram Dhat
3300 Rivermont Ave |
$72.33 | 5,461 | 3,850 |
|
Hugo Alfredo Espinoza
620 Court St |
$43.59 | 5,409 | 5,067 |
|
John M. Wilson
3300 Rivermont Ave |
$43.46 | 5,267 | 4,741 |
|
Brent Carothers
2410 Atherholt Rd |
$72.55 | 5,222 | 4,866 |
|
Tawnya Markham Peters
113 Wiggington Rd |
$61.21 | 5,196 | 4,799 |
|
Howard J Heinze
2215 Langhorne Rd |
$71.81 | 5,132 | 4,404 |
|
Michael Cook
2410 Atherholt Rd |
$24.47 | 5,078 | 3,689 |
|
Crystal B Hicks
2215 Langhorne Rd |
$70.28 | 4,928 | 4,596 |
|
Anne Adams Norwood
2402 Atherholt Rd |
$60.01 | 4,883 | 4,691 |
|
Sebastian J Ksionski
1330 Oak Ln |
$53.06 | 4,833 | 4,440 |
|
Michele D Morgan
2235 Landover Pl |
$45.76 | 4,611 | 4,246 |
|
Emaculate Verla Tebit
1701 Thomson Dr |
$37.05 | 4,247 | 3,180 |
|
Stephanie J Witt
2321 Wards Rd |
$23.89 | 4,235 | 3,180 |
|
Teresa L. Brennan
2138 Langhorne Rd |
$75.18 | 4,117 | 3,881 |
|
Valerie Renninger
320 Federal St |
$42.59 | 4,116 | 3,370 |
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 Lynchburg, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lynchburg, VA is $57.93 per claim, based on 876,061 claims from 432 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 Lynchburg, VA?
There are 432 Medicaid providers offering Office Visit related services in Lynchburg, VA according to public payment data.
What is the price range for Office Visit in Lynchburg, VA?
Medicaid reimbursement for Office Visit in Lynchburg, VA ranges from $0.00 to $237.73 per claim, with an average of $57.93. 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 Lynchburg, VA
Blood Work & Lab Tests
Avg $7.19
965,700 claims
Substance Abuse Treatment
Avg $88.03
916,923 claims
Emergency Room Visit
Avg $108.68
486,853 claims
Psychiatric Evaluation
Avg $86.77
362,722 claims
Physical Therapy
Avg $72.42
327,473 claims
Behavioral & Mental Health Therapy
Avg $172.15
316,716 claims
Home Health Visit
Avg $69.63
239,863 claims
X-Ray
Avg $7.79
235,893 claims