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
Charles Seth Wade Nmcp Cardiology	$57.25	12	12
Julia Davis Vandrak 620 John Paul Jones Cir	$64.08	12	12
Pediatric Health Partners,Pllc 3701 South St	$48.30	12	12
Tidewater Neurologists Inc, Pc 3235 Academy Ave	$25.77	12	12
Anne Marie Reddy 620 John Paul Jones Cir	$71.71	13	13
Rokshana Raschid Thanadar 301 Goode Way	$47.51	13	13
Roger W Newsom 3235 Academy Ave	$48.48	13	12
Eric S. Rymal 620 John Paul Jones Cir	$54.62	14	13
Megan Diggs 223 Chesapeake Ave	$83.07	14	13
Aaron Cantor 620 John Paul Jones Cir Ste 275	$48.84	14	13
Neil Nigel Hines 620 John Paul Jones Cir	$65.68	15	15
Katie Jane Gerarge 3315 High St	$78.09	15	12
Chung U Chung 2595 Victory Blvd	$9.58	16	13
James Vincent Cornetta 226 Fort Ln	$23.21	17	14
Trinia S Williams 4106 Portsmouth Blvd Ste A	$6.39	17	15
Antonietta Mancao Castanares 3235 Academy Ave	$32.41	18	13
Kathryn Jane Langan 664 Lincoln St	$26.25	18	13
Suzanne Nicole Stammler 620 John Paul Jones Cir	$83.61	19	18
Daniel Lloyd Hooker 620 John Paul Jones Cir	$61.79	26	25
Bhowmik Medical Practice 301 Goode Way	$7.66	27	27
Theodore J Steelman 620 John Paul Jones Cir	$63.55	28	27
Clifford Sander Hecht 1040 University Blvd Ste 205	$32.63	29	29
Micah John Gaspary 620 John Paul Jones Cir	$17.07	30	27
Joseph J Sposato 620 John Paul Jones Cir	$42.84	33	28
Geetanjli Sangwan 3640 High St Ste 1E	$28.88	37	37
Kristina Lynette Ramsey 1098 Frederick Blvd	$78.59	37	34
Sharon Chinyere Enujioke 620 John Paul Jones Cir	$89.26	43	41
Emily Connell Kemner Naval Medical Center Portsmouth	$72.56	46	41
Michael P Malone 3636 High St	$54.48	51	50
Richard Jason Gerber 620 John Paul Jones Cir	$152.12	53	49
Amber Sue Mulally 620 John Paul Jones Cir	$71.98	59	53
Maria Nguyen 620 John Paul Jones Cir	$81.38	67	58
Bernice V Francis 640 North St	$43.95	69	59
Christopher James Dunbar 620 John Paul Jones Cir	$43.18	71	61
Thomas Allen Craig 620 John Paul Jones Cir	$76.42	74	60
Adebimpe Olufemi Howells-Solesi 4106 Portsmouth Blvd	$0.23	78	65
Timothy Patrick O'Malley 27 Effingham St	$62.38	80	72
Lorna Ann Ringwood 3640 High St Ste 3B	$74.36	83	79
William Paul Magdycz Naval Medical Center Portsmouth	$43.50	96	89
Jeffrey Lynn Riblet 3640 High St	$24.83	115	97
Maryam M Nowroozi 4106 Portsmouth Blvd	$23.84	123	84
Owen Villagonzalo Muana 3960 Turnpike Road	$148.49	124	111
Karen Olmo 3315 High St	$9.20	127	96
Cecilia Otoo 355 Crawford St	$24.13	128	99
Federico Vizcaino 3300 Academy Ave	$19.07	128	91
Aaron James Ballantyne 620 John Paul Jones Cir	$40.98	143	137
Debra J Aleck 3511 Western Branch Blvd	$20.70	150	117
Lisa Eleanor Jefferson 4106 Portsmouth Blvd	$40.08	150	129
James Richard Cochran 3300 High St	$30.00	155	124
Ahmad Rashad Clemmons 664 Lincoln St	$42.95	158	148

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

Office Visit in Other Cities

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Other Procedures in Portsmouth, VA

Home Health Visit

Physical Therapy

Blood Work & Lab Tests

Emergency Room Visit

Dental Cleaning & Exam

Non-Emergency Medical Transportation

Substance Abuse Treatment

Psychiatric Evaluation