Average Medicaid Office Visit Payments in Palmyra, VA: $58.78
Avg. Paid
$58.78
Range
$11.69 – $68.16
Total Claims
11,625
Providers
10
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 Palmyra, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Melissa Gilbert Gomes
14 Bridlewood Dr |
$51.26 | 4,335 | 3,670 |
|
Lissette Kinsella
77 Market St Ste E |
$68.16 | 2,558 | 2,320 |
|
Katherine Smyth
33 Rebecca Dr |
$65.80 | 1,842 | 1,705 |
|
Brett L. Castrodale
77 Market St |
$61.97 | 1,226 | 1,124 |
|
Laura C Howard
33 Rebecca Dr |
$56.04 | 769 | 677 |
|
Randolph Marshall Baker
33 Rebecca Dr |
$54.28 | 489 | 424 |
|
Sailey Nimmagadda
77 Market St Ste E |
$56.01 | 302 | 275 |
|
Ashley Gomez Caley
174 Manor Blvd |
$27.56 | 39 | 39 |
|
Commonwealth Of Virginia State Board Of Health
132 Main Street |
$11.69 | 34 | 29 |
|
Phyllis Blattstain Montellese
2599 Central Plains Rd |
$48.05 | 31 | 25 |
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 Palmyra, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Palmyra, VA is $58.78 per claim, based on 11,625 claims from 10 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 Palmyra, VA?
There are 10 Medicaid providers offering Office Visit related services in Palmyra, VA according to public payment data.
What is the price range for Office Visit in Palmyra, VA?
Medicaid reimbursement for Office Visit in Palmyra, VA ranges from $11.69 to $68.16 per claim, with an average of $58.78. 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
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Palmyra, VA
Psychiatric Evaluation
Avg $88.75
11,306 claims
Ambulance Transport
Avg $59.10
6,052 claims
Non-Emergency Medical Transportation
Avg $61.28
5,896 claims
Speech Therapy
Avg $41.63
3,733 claims
Eye Exam
Avg $22.06
3,326 claims
Blood Work & Lab Tests
Avg $2.10
1,059 claims
Vaccines & Immunizations
Avg $10.92
450 claims
Physical Therapy
Avg $44.34
81 claims