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 |
|---|---|---|---|
|
Elizabeth Cooperstein
100 15Th St Nw |
$53.27 | 14 | 13 |
|
Kenneth Wayne Smith
96 15Th St Nw |
$30.02 | 15 | 12 |
|
Lisa Whitney Painter
671 Highway 58 E |
$5.07 | 15 | 12 |
|
Blue Ridge Medical Management Corporation
100 15Th St Nw |
$75.68 | 15 | 14 |
|
Sierra Danielle Morgan
482 Hawthorne Dr Ne |
$18.53 | 34 | 24 |
|
Frontier Health
295 Wharton Lane |
$49.33 | 66 | 63 |
|
Vada Alberta Rose
1490 Park Ave Nw |
$67.87 | 73 | 66 |
|
Brittany B Hubbard
611 Trent St Ne |
$49.82 | 77 | 70 |
|
Bernie Norman Sergent
1490 Park Ave Nw |
$54.33 | 79 | 69 |
|
Kelley Duncan Mayden
671 Highway 58 E |
$23.49 | 95 | 80 |
|
Uzma Ehtesham Md Pllc
611 Trent St Ne |
$22.28 | 112 | 76 |
|
Nicanor B. Concepcion
624 Park Avenue Nw |
$23.26 | 128 | 117 |
|
Elie Tony Nader
98 15Th St Nw |
$59.66 | 130 | 126 |
|
Kristin Lea Johnson
671 Highway 58 E |
$56.64 | 139 | 122 |
|
Khalid J Awan
1921 Park Ave Sw |
$35.42 | 140 | 118 |
|
Donovan Logan Mabe
98 15Th St Nw Ste 207A |
$79.81 | 158 | 154 |
|
Roseann J Freundel
102 15Th St Nw |
$61.38 | 170 | 127 |
|
Planning District One Behavioral Health Services
1941 Park Ave Sw |
$43.52 | 188 | 187 |
|
Gregory Vaughn Brewer
1490 Park Ave Nw Ste 3C |
$36.99 | 240 | 222 |
|
Alexander Robert-Charles Buskill
1490 Park Ave Nw Ste 4B |
$46.16 | 308 | 271 |
|
Norton Community Hospital, Inc
100 15Th St Nw |
$119.77 | 314 | 291 |
|
Veronica Robinson
295 Wharton Ln Ne |
$56.45 | 318 | 261 |
|
Mackenzie Trent Rasnake
1490 Park Ave Nw Ste 3C |
$53.19 | 334 | 318 |
|
Jody B. Bentley
96 15Th St Nw |
$41.14 | 341 | 303 |
|
Teresa Lynn Robinson
295 Wharton Ln Ne |
$45.88 | 361 | 266 |
|
Zachary D Miller
100 15Th St Nw |
$18.94 | 404 | 372 |
|
Carrie Ann Burke
340 Anderson Hollow Rd Ste 200 |
$40.69 | 442 | 397 |
|
Norton Community Physician Services Llc
96 15Th St Nw |
$60.99 | 478 | 439 |
|
Shipeng Yu
615 Commonwealth Dr |
$53.84 | 583 | 516 |
|
Shahab M Ehtesham
611 Trent St Ne |
$67.68 | 597 | 511 |
|
Erich L Ernspiker
280 Virginia Ave Ne |
$30.84 | 635 | 548 |
|
Infinity Medical Management, Llc
1761 Park Ave Sw |
$56.73 | 689 | 640 |
|
Stanley Darrell Marlowe
100 15Th St Nw |
$30.58 | 979 | 720 |
|
Misty Mabe
671 Highway 58 E |
$58.04 | 981 | 860 |
|
Carl Randolph Morgan
280 Virginia Ave Ne |
$39.51 | 1,083 | 1,019 |
|
Brian Scott Newberry
1490 Park Ave Nw |
$36.96 | 1,105 | 911 |
|
Nicholas J Sluss
482 Hawthorne Dr Ne |
$42.12 | 1,181 | 1,025 |
|
Kristina Gardner
102 15Th St Nw Ste 301 |
$63.02 | 1,218 | 1,170 |
|
Raymond Michael Moore
280 Va Avenue Ne |
$20.11 | 1,252 | 1,045 |
|
James Lionel Raj
295 Wharton Ln Ne |
$62.25 | 1,335 | 1,165 |
|
Jennifer C Herrell
102 15Th St Nw Ste 301 |
$58.52 | 1,336 | 1,206 |
|
Bria Hairston
620 Park Ave Nw |
$72.87 | 1,410 | 1,206 |
|
April A Wallace
671 Highway 58 E |
$45.56 | 1,427 | 1,313 |
|
Orson Go
615 Commonwealth Dr |
$4.30 | 1,648 | 1,617 |
|
Lona Brooke Swiney
482 Hawthorne Dr Ne |
$53.57 | 1,851 | 1,635 |
|
Roy R Deel
100 15Th St Nw |
$26.15 | 1,940 | 1,671 |
|
Nicholas A. Cook
671 Highway 58 E |
$47.78 | 2,113 | 1,833 |
|
Ronald David Sheppard
338 Coeburn Ave Sw |
$29.75 | 2,282 | 1,785 |
|
Leutshia C Franks
1490 Park Ave Nw Ste 4C |
$17.28 | 2,342 | 1,426 |
|
Vanessa T Salyer
98 15Th St Nw Ste 207A |
$39.54 | 2,357 | 2,123 |
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