Average Medicaid Office Visit Payments in Norton, VA: $54.22
Avg. Paid
$54.22
Range
$4.30 – $119.77
Total Claims
278,912
Providers
78
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 Norton, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James Thomas Potter
611 Trent St Ne Ste A |
$61.44 | 25,011 | 21,050 |
|
Samuel Patton Deel
338 Coeburn Ave Sw |
$66.17 | 20,521 | 18,394 |
|
Charles Jeff Begley
102 15Th St Nw |
$67.16 | 19,254 | 17,476 |
|
Uzma Ehtesham
611 Trent St Ne |
$24.20 | 15,671 | 8,530 |
|
Maurice Eugene Nida
295 Wharton Ln |
$44.13 | 14,658 | 12,930 |
|
Jill Kristen Couch
100 15Th St Nw Ste 307 |
$49.91 | 13,683 | 11,247 |
|
Wendy N Rumley
601 Commonwealth Dr |
$59.85 | 12,639 | 12,080 |
|
Melissa Caroline Green Begley
102 15Th St Nw Ste 303 |
$74.96 | 12,475 | 11,392 |
|
Vijay N Kumar
610 Park Ave Nw |
$45.55 | 11,624 | 9,313 |
|
James Wesley Campbell
388 Coeburn Ave Sw |
$61.63 | 11,242 | 10,181 |
|
Christopher M Basham
482 Hawthorne Dr Ne |
$50.86 | 10,651 | 8,947 |
|
Kyle A Ward
96 15Th St Nw Ste 104 |
$50.90 | 10,447 | 9,438 |
|
Samantha G Addison
280 Virginia Ave Ne |
$57.85 | 6,531 | 5,958 |
|
Lindsey Province Mccurry
280 Virginia Ave Ne Ste 102 |
$62.04 | 6,451 | 4,982 |
|
Michael W Wheatley
482 Hawthorne Dr Ne |
$47.58 | 5,956 | 5,131 |
|
Ashley Reba Bevins
482 Hawthorne Dr Ne |
$45.54 | 4,988 | 4,230 |
|
Smita S Akkinapally
338 Coeburn Ave Sw |
$79.69 | 4,809 | 4,273 |
|
Kimberly Nicole Pilkenton
100 15Th St |
$56.91 | 4,676 | 3,887 |
|
Chasity Collins
601 Commonwealth Dr |
$60.86 | 4,300 | 4,121 |
|
Jodie Ann Bolling
601 Commonwealth Dr |
$62.49 | 3,772 | 3,615 |
|
Stephanie Williams
102 15Th St Nw |
$60.00 | 3,770 | 3,536 |
|
Gary Carl Hubbard
608 Trent St Ne |
$46.39 | 3,551 | 2,874 |
|
Lauren Burns
96 15Th St Nw Ste 104 |
$58.00 | 3,506 | 3,137 |
|
Heather R Penniman
482 Hawthorne Dr Ne |
$44.33 | 2,880 | 2,472 |
|
Rubye Dee Washington-Moore
102 15Th St Nw |
$37.16 | 2,672 | 2,219 |
|
Alexandria Rain Ward
1725 Park Ave Sw |
$77.93 | 2,561 | 1,779 |
|
Alli D. Delp
1490 Park Ave Nw Ste 3 |
$59.40 | 2,559 | 2,343 |
|
James Matthew Wilson
482 Hawthorne Dr Ne |
$51.07 | 2,522 | 2,221 |
|
Vanessa T Salyer
98 15Th St Nw Ste 207A |
$39.54 | 2,357 | 2,123 |
|
Leutshia C Franks
1490 Park Ave Nw Ste 4C |
$17.28 | 2,342 | 1,426 |
|
Ronald David Sheppard
338 Coeburn Ave Sw |
$29.75 | 2,282 | 1,785 |
|
Nicholas A. Cook
671 Highway 58 E |
$47.78 | 2,113 | 1,833 |
|
Roy R Deel
100 15Th St Nw |
$26.15 | 1,940 | 1,671 |
|
Lona Brooke Swiney
482 Hawthorne Dr Ne |
$53.57 | 1,851 | 1,635 |
|
Orson Go
615 Commonwealth Dr |
$4.30 | 1,648 | 1,617 |
|
April A Wallace
671 Highway 58 E |
$45.56 | 1,427 | 1,313 |
|
Bria Hairston
620 Park Ave Nw |
$72.87 | 1,410 | 1,206 |
|
Jennifer C Herrell
102 15Th St Nw Ste 301 |
$58.52 | 1,336 | 1,206 |
|
James Lionel Raj
295 Wharton Ln Ne |
$62.25 | 1,335 | 1,165 |
|
Raymond Michael Moore
280 Va Avenue Ne |
$20.11 | 1,252 | 1,045 |
|
Kristina Gardner
102 15Th St Nw Ste 301 |
$63.02 | 1,218 | 1,170 |
|
Nicholas J Sluss
482 Hawthorne Dr Ne |
$42.12 | 1,181 | 1,025 |
|
Brian Scott Newberry
1490 Park Ave Nw |
$36.96 | 1,105 | 911 |
|
Carl Randolph Morgan
280 Virginia Ave Ne |
$39.51 | 1,083 | 1,019 |
|
Misty Mabe
671 Highway 58 E |
$58.04 | 981 | 860 |
|
Stanley Darrell Marlowe
100 15Th St Nw |
$30.58 | 979 | 720 |
|
Infinity Medical Management, Llc
1761 Park Ave Sw |
$56.73 | 689 | 640 |
|
Erich L Ernspiker
280 Virginia Ave Ne |
$30.84 | 635 | 548 |
|
Shahab M Ehtesham
611 Trent St Ne |
$67.68 | 597 | 511 |
|
Shipeng Yu
615 Commonwealth Dr |
$53.84 | 583 | 516 |
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 Norton, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Norton, VA is $54.22 per claim, based on 278,912 claims from 78 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 Norton, VA?
There are 78 Medicaid providers offering Office Visit related services in Norton, VA according to public payment data.
What is the price range for Office Visit in Norton, VA?
Medicaid reimbursement for Office Visit in Norton, VA ranges from $4.30 to $119.77 per claim, with an average of $54.22. 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 Norton, VA
Blood Work & Lab Tests
Avg $5.16
211,441 claims
Emergency Room Visit
Avg $91.40
138,128 claims
Substance Abuse Treatment
Avg $283.17
75,551 claims
Vaccines & Immunizations
Avg $8.74
61,068 claims
Urinalysis & Urine Tests
Avg $2.30
35,006 claims
Psychiatric Evaluation
Avg $81.70
32,018 claims
Behavioral & Mental Health Therapy
Avg $74.46
31,735 claims
Durable Medical Equipment (DME)
Avg $21.74
31,722 claims