Average Medicaid Office Visit Payments in Onancock, VA: $36.52
Avg. Paid
$36.52
Range
$12.88 – $73.73
Total Claims
18,733
Providers
19
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 Onancock, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anthony M Abraham
20486 Market St |
$45.65 | 39 | 27 |
|
Elizabeth Waring
20480 Market St |
$54.08 | 87 | 83 |
|
Jack W Lambert
20486 Market Street |
$46.39 | 320 | 290 |
|
Debra Ann Myers
20486 Market Street |
$49.89 | 326 | 320 |
|
Tiffany Jean Bloom
20480 Market St |
$49.58 | 334 | 329 |
|
Allison Denston
20280 Market St |
$67.56 | 345 | 328 |
|
Debra Kay Spatz
20486 Market Street |
$46.55 | 373 | 362 |
|
Ashan Manohar
20486 Market Street |
$38.40 | 387 | 358 |
|
Heather Colleen Frisby
20280 Market St |
$64.42 | 405 | 372 |
|
Paul Morgan Stevenson
20280 Market St |
$73.73 | 475 | 447 |
|
Alexander A Schult
20486 Market Street |
$46.84 | 494 | 485 |
|
Nicholas M Drake
20480 Market St |
$53.25 | 496 | 356 |
|
Sarah Jayne Shotwell
20486 Market Street |
$65.89 | 605 | 574 |
|
Wayne Yuck Chin
20190 Market St |
$31.34 | 619 | 502 |
|
David Fitzgerald Jones
20486 Market Street |
$34.86 | 1,487 | 1,352 |
|
Sierra Dickman Cuppett
20306 Badger Ln |
$64.03 | 1,577 | 1,475 |
|
Thomas Fisher Hare
20486 Market Street |
$34.13 | 1,653 | 1,516 |
|
Ghias Ahmad Rana
20486 Market Street |
$51.81 | 2,136 | 1,960 |
|
Eastern Shore Rural Health System Incorporated.
20280 Market St |
$12.88 | 6,575 | 6,051 |
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 Onancock, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Onancock, VA is $36.52 per claim, based on 18,733 claims from 19 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 Onancock, VA?
There are 19 Medicaid providers offering Office Visit related services in Onancock, VA according to public payment data.
What is the price range for Office Visit in Onancock, VA?
Medicaid reimbursement for Office Visit in Onancock, VA ranges from $12.88 to $73.73 per claim, with an average of $36.52. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Onancock, VA
Blood Work & Lab Tests
Avg $2.90
122,171 claims
Emergency Room Visit
Avg $151.64
76,655 claims
Urinalysis & Urine Tests
Avg $0.50
46,766 claims
X-Ray
Avg $6.50
27,801 claims
Physical Therapy
Avg $33.54
23,009 claims
Durable Medical Equipment (DME)
Avg $16.57
21,076 claims
EKG / ECG (Electrocardiogram)
Avg $7.14
19,710 claims
CT Scan (Computed Tomography)
Avg $127.18
15,184 claims