Average Medicaid Office Visit Payments in New Canton, VA: $43.47
Avg. Paid
$43.47
Range
$12.34 – $68.37
Total Claims
45,625
Providers
14
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 New Canton, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Randall T Bashore
25892 N. James Madison Hwy |
$50.41 | 21,084 | 19,217 |
|
Central Virginia Health Services Inc
25892 N. James Madison Hwy |
$38.46 | 7,808 | 6,777 |
|
Central Virginia Health Services Inc
25892 N James Madison Hwy |
$12.34 | 6,469 | 5,808 |
|
Vidyullatha Shivaram
25892 N James Madison Hwy |
$58.02 | 3,286 | 2,901 |
|
Brian K Blackwell
25892 N. James Madison Hwy |
$47.74 | 3,029 | 2,844 |
|
David M Campanelli
25892 N. James Madison Hwy |
$53.69 | 980 | 904 |
|
Judith Evangelus
25892 N James Madison Hwy |
$68.37 | 636 | 445 |
|
Robbie L Lewis Blackwell
25892 N James Madison Hwy |
$41.97 | 613 | 549 |
|
Adam Jeffrey Arnold
25892 N James Madison Hwy |
$48.62 | 546 | 500 |
|
Wondiful A Colbert
25892 North James Madison Hwy |
$47.16 | 409 | 390 |
|
Haley Blackwell
25892 N James Madison Hwy |
$48.49 | 372 | 331 |
|
Alexandra Grace Miller
25892 N James Madison Hwy |
$48.40 | 344 | 327 |
|
Suzanne Mcconnell Paul
25892 North James Madison Highway |
$59.78 | 35 | 30 |
|
Maryanne D Williams
25892 N James Madison Hwy |
$30.12 | 14 | 14 |
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 New Canton, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in New Canton, VA is $43.47 per claim, based on 45,625 claims from 14 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 New Canton, VA?
There are 14 Medicaid providers offering Office Visit related services in New Canton, VA according to public payment data.
What is the price range for Office Visit in New Canton, VA?
Medicaid reimbursement for Office Visit in New Canton, VA ranges from $12.34 to $68.37 per claim, with an average of $43.47. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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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
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Avg $82.40
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Phoenix, AZ
Avg $47.53
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Avg $48.27
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Avg $54.47
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Other Procedures in New Canton, VA
Urinalysis & Urine Tests
Avg $1.68
8,585 claims
Nursing Facility Care
Avg $10.74
4,520 claims
Blood Work & Lab Tests
Avg $8.81
4,016 claims
Dental Cleaning & Exam
Avg $25.50
2,976 claims
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Avg $11.38
1,791 claims
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Avg $82.51
580 claims
Home Health Visit
Avg $268.27
412 claims
Tooth Extraction
Avg $64.98
368 claims