Average Medicaid Office Visit Payments in Madison Heights, VA: $57.88
Avg. Paid
$57.88
Range
$30.98 – $117.62
Total Claims
44,464
Providers
16
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 Madison Heights, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Thomas Elroy Dobyns
4579 S Amherst Hwy |
$42.66 | 9,178 | 6,504 |
|
Duane Kresge
134 Elon Rd |
$51.85 | 8,141 | 7,642 |
|
Johnson Health Center
109 Clearview Rd |
$35.55 | 6,007 | 5,247 |
|
Brenda Jean Kozak
109 Clearview Rd |
$63.74 | 5,157 | 4,580 |
|
Sandra Esther Zuker
109 Clearview Rd |
$61.08 | 3,593 | 3,208 |
|
Karyn D Asher
134 Elon Rd |
$117.62 | 3,477 | 3,148 |
|
Jennifer Lynn Shumate
134 Elon Rd |
$80.02 | 2,428 | 2,320 |
|
Priscilla A Bullen
134 Elon Rd |
$64.54 | 2,188 | 2,039 |
|
Stephanie Lane Porter
3721 S Amherst Hwy |
$73.05 | 1,290 | 826 |
|
Verna Luz Guanzon
118 Oakwood Dr |
$51.91 | 910 | 792 |
|
Kimberly Stead
109 Clearview Rd |
$53.75 | 836 | 792 |
|
James F. Devoe
4262 S Amherst Hwy Ste 200 |
$30.98 | 546 | 482 |
|
Tina Marie Davis
134 Elon Rd |
$83.79 | 501 | 456 |
|
David S Haga
118 Oakwood Dr |
$33.90 | 101 | 89 |
|
L5 Medical Holdings Llc
4262 S Amherst Hwy Ste 200 |
$41.20 | 91 | 86 |
|
Katherine Pufko
109 Clearview Rd |
$59.12 | 20 | 20 |
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 Madison Heights, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Madison Heights, VA is $57.88 per claim, based on 44,464 claims from 16 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 Madison Heights, VA?
There are 16 Medicaid providers offering Office Visit related services in Madison Heights, VA according to public payment data.
What is the price range for Office Visit in Madison Heights, VA?
Medicaid reimbursement for Office Visit in Madison Heights, VA ranges from $30.98 to $117.62 per claim, with an average of $57.88. 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
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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
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Madison Heights, VA
Dental Cleaning & Exam
Avg $20.77
24,479 claims
Vaccines & Immunizations
Avg $6.19
11,662 claims
Home Health Visit
Avg $135.29
9,827 claims
Blood Work & Lab Tests
Avg $3.85
7,348 claims
Psychiatric Evaluation
Avg $76.59
3,900 claims
Tooth Extraction
Avg $47.73
2,417 claims
Dental Filling
Avg $53.57
2,107 claims
Hearing Test (Audiometry)
Avg $3.13
649 claims