Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Portsmouth, VA: $56.69

Avg. Paid

$56.69

Range

$0.23 – $719.00

Total Claims

239,652

Providers

168

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 Portsmouth, VA

Provider	Avg. Paid	Claims	Patients
Nihar R. Bhowmik 301 Goode Way	$36.63	20,483	16,158
Eric J Goldberg 3235 Academy Ave	$45.29	16,758	13,976
Steven Charles Blasdell 3300 High St	$45.31	9,569	8,170
Hermes G Dizon 446 Effingham St.	$51.77	8,605	7,979
Portsmouth Community Health Center, Inc. 1541 High St	$33.51	7,801	6,742
Tiffany Davis 355 Crawford St Ste 102	$64.61	7,560	6,471
David Elliot Rosenberg 664 Lincoln St	$57.03	7,456	6,951
Peter Ross Grinkewitz 3640 High St Ste 1D	$31.63	7,308	6,151
Laarni Serquina Bibay 301 Goode Way	$47.75	7,306	7,037
Stanley L Brittman 3640 High St Ste 3B	$62.27	6,526	5,877
Hemang H Shah 3235 Academy Ave	$42.97	5,565	4,811
Velma A Bacak 3300 Academy Ave	$60.65	4,990	4,450
Thevarajani Rajakumar 664 Lincoln St	$55.71	4,554	4,200
Juan C Beteta 620 John Paul Jones Cir	$74.62	4,405	3,582
Vihang Ajit Bajani 3511 Western Branch Blvd	$51.97	4,403	4,080
Keva Denise Hoyt 4106 Portsmouth Blvd	$58.16	4,357	4,109
City Of Portsmouth 1811 King Street	$26.72	4,195	3,699
Lloyd A Shabazz 355 Crawford St	$38.00	4,064	3,119
Reeta M Arora 3640 High St	$56.30	3,983	3,574
Karo Gary Ohanian 3640 High St Ste 3B	$63.68	3,836	3,516
Theresa G Jackson 3640 High St	$51.10	3,582	3,204
Perla Jamias Soloria 3701 South St	$41.69	3,202	2,374
Eboni X Carter 2929 London Blvd	$48.64	3,012	2,483
Jimmy Cooper 3520 High St Ste 100	$61.70	3,005	2,486
Anna-Christina Bevelaqua 1040 University Blvd Ste 200	$74.72	2,972	2,783
Hayleigh Diamond Slezak 3636 High St	$59.42	2,949	2,804
David Daniel Alcantara 1040 University Blvd	$55.00	2,884	2,606
Gregory Dean Bentz 3640 High St Ste 3B	$72.11	2,580	2,375
Maryview Hospital Llc 3636 High St	$122.84	2,242	2,029
Kenneth Edward Fore 620 John Paul Jones Cir	$48.76	2,210	1,614
Mohammad Yunas 5615A High St W	$48.10	2,039	1,809
Brian R. Budenholzer 3640 High St Ste 3B	$43.42	2,032	1,655
Commonwealth Of Virginia State Board Of Health 1701 High Street	$20.78	1,921	1,779
Abs Lincs Va 1634 London Blvd	$21.97	1,839	1,067
Maria Alavanja 355 Crawford St Ste 333	$72.52	1,779	1,556
Mattie L. Aekins 664 Lincoln St	$55.66	1,742	1,544
Sean Sullivan John Paul Jones Circle	$102.00	1,650	1,415
Jason R. Miller 3300 High St	$37.35	1,617	1,243
Leonard A Rappaport 3235 Academy Ave	$36.75	1,558	1,362
Fishing Point Health Care Llc 2929 London Blvd	$719.00	1,495	1,291
Bruce Stuart Britton 3640 High St Ste 3B	$67.75	1,485	1,367
Elohor Tessy Muagba 3412 Columbia St	$63.62	1,450	1,246
Jon Christopher Brillhart 2929 London Blvd	$55.34	1,413	1,196
Christopher Ingard Ellingson 620 John Paul Jones Cir	$74.02	1,388	1,299
Tonya D Alexander 3300 Academy Ave	$47.59	1,346	1,177
Nancy Doralie Morewitz 3640 High St	$62.91	1,285	1,160
Edward S. Thur 620 John Paul Jones Cir	$83.49	1,245	1,125
Kevin A. Pinkos 620 John Paul Jones Cir	$84.63	1,196	1,117
Jessica Wood 4007 Clifford St	$52.81	1,174	1,072
Elizabeth Ortiz-Natoli Naval Medical Center Portsmouth	$66.72	1,151	1,050

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 Portsmouth, VA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Portsmouth, VA is $56.69 per claim, based on 239,652 claims from 168 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 Portsmouth, VA?

There are 168 Medicaid providers offering Office Visit related services in Portsmouth, VA according to public payment data.

What is the price range for Office Visit in Portsmouth, VA?

Medicaid reimbursement for Office Visit in Portsmouth, VA ranges from $0.23 to $719.00 per claim, with an average of $56.69. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Portsmouth, VA: $56.69

Providers Offering Office Visit in Portsmouth, VA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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