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 |
|---|---|---|---|
|
Timothy R Olsen
2125 Langhorne Rd |
$70.04 | 12 | 12 |
|
Ciara Antolin
125 Nationwide Dr |
$71.59 | 12 | 12 |
|
Tiffany G Clark
2215 Landover Pl |
$43.42 | 12 | 12 |
|
Andrew Joseph Anderson
4327 Boonsboro Rd Ste 5 |
$53.42 | 13 | 13 |
|
Kristine Marie Dixon
1901 Tate Springs Rd |
$60.34 | 13 | 13 |
|
Family Care Center Inc
21556D Timberlake Rd |
$46.54 | 13 | 13 |
|
Christie Camille Powers
2321 Atherholt Rd |
$55.37 | 13 | 13 |
|
Elizenda M. Ceballos
116 Nationwide Drive |
$50.69 | 13 | 12 |
|
Michelle Lyne Adams
3300 Rivermont Ave |
$5.19 | 13 | 12 |
|
Richard S Kuk
2410 Atherholt Rd |
$57.06 | 13 | 13 |
|
Olubukola Ojuola
2321 Wards Road |
$58.67 | 13 | 12 |
|
Centra Medical Group, Llc
1901 Tate Springs Rd |
$103.08 | 13 | 13 |
|
Amy Sydell Morse
407 Federal St |
$61.44 | 14 | 13 |
|
Clinton Steven Beverly
1906 Thomson Drive |
$45.03 | 14 | 12 |
|
Stephanie Stewart
125 Nationwide Dr |
$93.68 | 14 | 13 |
|
Matthew Sackett
2410 Atherholt Rd |
$54.89 | 14 | 14 |
|
Peter O'Brien
2410 Atherholt Rd |
$27.59 | 14 | 12 |
|
Molly E Vaughan
1701 Thomson Dr |
$36.35 | 14 | 12 |
|
Jennifer Mccoy Kariuki
1901 Tate Springs Rd |
$25.79 | 14 | 12 |
|
Free Clinic Of Central Virginia, Inc.
1016 Main St |
$0.00 | 14 | 14 |
|
John L Guglielmetti
1906 Thomson Dr |
$81.90 | 15 | 15 |
|
Shields Weaver Callahan
1330 Oak Ln Ste 101 |
$42.73 | 15 | 13 |
|
Samuel P Sawyer
1901 Tate Springs Rd |
$47.89 | 15 | 15 |
|
Tia Latrese Evans
1000 Jefferson St Ste 2C |
$39.98 | 15 | 14 |
|
Hayley Daniels Newland
2405 Atherholt Rd |
$54.90 | 16 | 15 |
|
Joanna B Thomas
1971 University Blvd |
$37.26 | 16 | 16 |
|
Elizabeth Mumper
2015 Tate Springs Rd |
$40.15 | 17 | 13 |
|
Mary Michele Bauman
800 5Th St |
$0.00 | 18 | 12 |
|
F Read Hopkins Pediatric Assoc Inc
1212 Mcconville Rd |
$52.32 | 18 | 18 |
|
Blakley Walker Sproles
2410 Atherholt Rd |
$33.54 | 18 | 17 |
|
Brian Charnock
1920 Atherholt Rd |
$49.92 | 19 | 18 |
|
Lydia E Mckay
2323 Memorial Ave |
$29.51 | 19 | 12 |
|
Allison Bardowell
2321 Wards Rd |
$120.44 | 20 | 17 |
|
Anna Klein
2410 Atherholt Rd |
$37.54 | 21 | 15 |
|
Wojciech Jerzy Rzechorzek
2410 Atherholt Rd |
$56.97 | 21 | 17 |
|
Nikoleta Delis
300 Monticello Ave |
$24.82 | 21 | 12 |
|
Thomas Joseph Carrico
3300 Rivermont Ave |
$9.41 | 22 | 16 |
|
Rachel Hayley Pruitt
125 Nationwide Dr |
$90.87 | 24 | 24 |
|
Beatrice Mclaughlin
3100 Albert Lankford Dr |
$55.18 | 26 | 26 |
|
Larissa S Norman
1715 Thomson Dr |
$6.50 | 26 | 24 |
|
John Daniel Johnson
1007 Sheffield Drive |
$32.89 | 27 | 25 |
|
Kristopher Arndt
2011 Tate Springs Rd |
$42.44 | 27 | 24 |
|
Shauntell Reed Kline
2019 Tate Springs Rd |
$54.37 | 27 | 25 |
|
Hannah Elizabeth Snyder
300 Monticello Ave |
$99.00 | 28 | 25 |
|
Mikhail Michael Levit
2323 Memorial Ave |
$42.96 | 28 | 25 |
|
Teresa M Golden
2542 Langhorne Rd |
$46.90 | 31 | 26 |
|
Erin Megan Alpaugh
300 Monticello Ave Ste B |
$144.21 | 32 | 30 |
|
Moni Baidya
3300 Rivermont Ave |
$53.54 | 33 | 30 |
|
Robert Owen Brennan
2215 Landover Pl |
$35.60 | 33 | 27 |
|
Tana Mccoull
2402 Atherholt Rd |
$55.32 | 33 | 28 |
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