Average Medicaid Office Visit Payments in Martinsville, VA: $58.73
Avg. Paid
$58.73
Range
$0.00 – $135.24
Total Claims
396,698
Providers
110
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 Martinsville, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David W Seamon
15 Cleveland Ave |
$63.71 | 50,116 | 44,170 |
|
Mary Elizabeth Noonan
314 Fairy Street Ext Ste A |
$68.91 | 33,447 | 27,365 |
|
Piedmont Regional Community Services Board
24 Clay St |
$62.32 | 33,085 | 30,315 |
|
Ayokunle Fatade
1 E Market St |
$45.19 | 29,206 | 22,388 |
|
John Patrick Favero
2696 Greensboro Rd |
$47.88 | 24,228 | 19,456 |
|
Dr. Jon'S Urgent Care Center, Llc
2871 Greensboro Rd |
$93.65 | 16,581 | 15,276 |
|
Jon T Peterson
2871 Greensboro Rd |
$80.37 | 13,721 | 12,029 |
|
Mary Quentin Barnes
15 Cleveland Ave |
$63.82 | 12,238 | 10,088 |
|
Francis X Walsh
101 Cleveland Ave Ste A |
$41.08 | 9,167 | 7,510 |
|
Mark T Mahoney
100 College Drive |
$47.39 | 8,400 | 6,895 |
|
Tracie Barksdale Hampton
101 Cleveland Ave Ste D |
$70.16 | 8,007 | 7,314 |
|
Ned Jay Gross
314 Fairy Street Ext |
$61.57 | 7,574 | 6,663 |
|
Amanda Weatherford Pallone
1107A Brookdale St |
$60.10 | 7,088 | 6,297 |
|
Merris A Stambaugh
1107 Brookdale St |
$54.73 | 7,072 | 6,384 |
|
Martha Willis Cole
1107A Brookdale St |
$67.31 | 6,519 | 5,889 |
|
Deepak D. Banerjee
435 Commonwealth Blvd E |
$61.13 | 6,097 | 5,612 |
|
Twana Jaff
1107A Brookdale St |
$50.72 | 5,646 | 4,711 |
|
Valenica Eggleston-Clark
1107A Brookdale St |
$61.22 | 5,615 | 5,009 |
|
Jane Spera Hayes Kestner
314 Fairy Street Ext Ste A |
$65.08 | 5,397 | 4,589 |
|
Michael Kevin David
2696 Greensboro Rd |
$55.72 | 4,914 | 4,134 |
|
Commonwealth Of Virginia State Board Of Health
295 Commonwealth Blvd W |
$17.38 | 4,870 | 4,756 |
|
Wendy Buchanan Gilraine
319 Hospital Dr Ste 105 |
$64.55 | 4,591 | 4,081 |
|
Kareem Adel Hamdy
110 Commonwealth Blvd W |
$23.38 | 4,289 | 2,750 |
|
Shyam Easwarapillai Balakrishnan
1107A Brookdale St |
$43.17 | 3,848 | 3,316 |
|
John Henry Velyvis
1100 E Church St |
$53.47 | 3,664 | 3,286 |
|
Brittany Nicole Wurst
2871 Greensboro Rd |
$65.51 | 3,650 | 3,033 |
|
Richard Scott Galos
2690 Greensboro Rd |
$62.55 | 3,487 | 3,198 |
|
Caren Tobin Aaron
319 Hospital Dr |
$30.05 | 3,227 | 2,526 |
|
Bennett Ira Fein
319 Hospital Dr |
$60.02 | 3,001 | 2,729 |
|
Susanne Brinegar Washburn
1107A Brookdale St |
$60.12 | 2,950 | 2,636 |
|
Carilion Giles Community Hospital
1107A Brookdale St |
$39.60 | 2,721 | 2,525 |
|
Ronikka Charvelle Hannans
319 Hospital Dr Ste 103 |
$54.91 | 2,546 | 2,262 |
|
William Zimmer
1107A Brookdale St |
$52.61 | 2,508 | 2,153 |
|
George Andrew Gehrken
101 Cleveland Ave |
$39.48 | 2,399 | 1,867 |
|
Scott Mark Oneil
319 Hospital Dr |
$43.74 | 1,886 | 1,565 |
|
Piedmont Access To Health Services, Inc
315 Hospital Dr |
$51.76 | 1,880 | 1,601 |
|
Clarence E Pearson
1107B Brookdale St |
$54.17 | 1,876 | 1,790 |
|
Lisa A Stull
1836 Virginia Ave |
$77.34 | 1,831 | 856 |
|
May Ann Gaviola Coleman
319 Hospital Dr |
$75.53 | 1,662 | 1,347 |
|
Tiffany Quinn Plunk
319 Hospital Dr Ste 202 |
$48.93 | 1,607 | 1,387 |
|
Spero Health Of Virginia, Llc
314 Fairy Street Ext |
$62.70 | 1,557 | 986 |
|
Kathryn Cabot Self
1109 Brookdale St |
$62.71 | 1,505 | 1,378 |
|
Kristi Barnes Monroe
24 Clay St |
$40.89 | 1,440 | 1,300 |
|
Benjamin Lowell Mann
312 Fairy Street Ext Ste 201 |
$57.36 | 1,426 | 1,137 |
|
Cynthia Sue Shively
320 Hospital Dr |
$46.04 | 1,409 | 1,128 |
|
Ashley H Williams
320 Hospital Dr |
$66.25 | 1,390 | 1,257 |
|
Amanda Jo Hundley
320 Hospital Dr |
$27.37 | 1,367 | 1,134 |
|
Vishwanath N Halukurike
429 Commonwealth Blvd E |
$35.70 | 1,265 | 1,050 |
|
Kelly Dawn Short
320 Hospital Dr |
$31.75 | 1,264 | 666 |
|
Pravinchandra C Patel
24 Clay St |
$28.12 | 1,260 | 1,154 |
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 Martinsville, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Martinsville, VA is $58.73 per claim, based on 396,698 claims from 110 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 Martinsville, VA?
There are 110 Medicaid providers offering Office Visit related services in Martinsville, VA according to public payment data.
What is the price range for Office Visit in Martinsville, VA?
Medicaid reimbursement for Office Visit in Martinsville, VA ranges from $0.00 to $135.24 per claim, with an average of $58.73. 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 Martinsville, VA
Non-Emergency Medical Transportation
Avg $25.99
260,091 claims
Blood Work & Lab Tests
Avg $4.86
246,881 claims
Substance Abuse Treatment
Avg $157.24
243,861 claims
Behavioral & Mental Health Therapy
Avg $99.92
222,841 claims
Home Health Visit
Avg $100.56
199,611 claims
Emergency Room Visit
Avg $111.38
124,271 claims
Physical Therapy
Avg $64.39
95,735 claims
Psychiatric Evaluation
Avg $87.35
69,969 claims