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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Richmond, VA: $68.82

Avg. Paid

$68.82

Range

$0.00 – $241.64

Total Claims

2,636,996

Providers

1,705

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 Richmond, VA

Provider Avg. Paid Claims Patients
Virginia Commonwealth University Health System Authority

1250 E Marshall St

$160.18 344,376 282,072
Tharta Rena King

110 N. Robinson Street

$41.66 48,456 37,696
Richmond Behavioral Health Authority

107 S 5Th St

$23.84 35,784 15,814
Joseph Weldon Boatwright

211 E Clay St

$60.65 27,822 20,656
Richard Allen Jackson

304 E Leigh St

$52.07 25,840 19,461
Lillie Robinson Bennett

2809 North Avenue

$51.03 25,605 20,668
Salman M Akbar

7834 Forest Hill Ave

$60.46 22,533 16,502
James Matthew Gardner

1510 N 28Th St Ste 101

$69.81 22,295 15,895
James J. Morris

703 N Courthouse Rd

$0.00 19,649 9,709
Tonjanika Ballard

4901 Fitzhugh Ave Ste 200

$66.92 18,766 15,423
Sobia Hassan Halim

3603 Grove Ave

$67.48 17,401 16,058
Aleksandra Stjepanovic

3603 Grove Ave

$72.79 17,316 16,132
Cecilia Ong Oh Andaya

3603 Grove Ave

$71.29 16,812 15,570
Richard Leroy Bennett

1510 North 28Th Street

$53.48 16,241 12,429
Matthew Dale Doerr

8720 Stony Point Pkwy

$88.10 15,785 14,572
David W Gould

1000 Boulders Pkwy

$77.58 14,756 13,508
Charmaine Elliott

1250 E Marshall St

$59.56 14,395 13,030
Pearl J Bader

107 S 5Th St

$15.15 13,997 6,045
Adam M Falik

7605 Forest Ave

$66.44 13,205 11,865
Patricia Taylor Cook

517 W Grace St

$54.09 12,584 10,534
Sarah M Kirchner

7023 Old Jahnke Rd

$57.50 12,382 11,183
Prakash G Ettigi

6530 Hull Street Rd

$69.59 11,619 9,839
Muhammad Rais

909 Hioaks Rd Ste F

$66.90 11,128 10,060
Rodney Harry Cowans

719 N 25Th St

$1.58 10,923 9,244
Peter B Breslin

5540 Falmouth St Ste 103

$50.47 10,775 7,455
Tasha Brooks Dickerson

304 E Leigh St

$51.90 10,652 7,913
Sarah Elizabeth De Boer

719 N 25Th St

$56.88 10,417 9,570
Justin Michael Haught

1250 E Marshall St

$73.31 10,195 9,188
Patient First Richmond Medical Group Pllc

8110 Midlothian Tpke

$68.06 9,814 9,476
Stephen John Popovich

1510 N 28Th St

$57.48 9,808 7,587
Jennifer Hollar Domer

7023 Old Jahnke Rd

$51.18 9,149 8,515
Harold T Green

2421 Chamberlayne Ave

$48.37 9,014 7,140
Muhammad S. Raza

1308 Sherwood Ave

$84.95 8,983 8,451
James S Cook

2105 E Parham Rd

$40.93 8,839 5,419
Michael Scott Murchie

8600 Quioccasin Rd

$67.52 8,760 8,119
Usama Samaan

1770 N Parham Rd Ste 100

$68.15 8,716 7,597
The Daily Planet Inc

517 W Grace St

$48.88 8,620 6,945
Kari Gilliam

7023 Old Jahnke Rd

$57.95 8,561 7,964
Suzanne M Greth

7023 Old Jahnke Rd

$55.56 8,538 7,955
Philip P Valmores

7001 Forest Ave Ste 103

$61.76 8,114 7,305
Larry L Benson

7858 Shrader Rd

$71.79 7,690 7,294
Nenita Otadoy Estrera

1308 Sherwood Ave

$24.49 7,621 3,798
Donald Alan Taylor

5875 Bremo Rd

$67.02 7,562 7,183
Franklin C Ognelodh

505 W Leigh St

$22.83 7,454 6,469
Jawad W Bhatti

7025 Old Jahnke Rd

$19.68 7,418 5,637
Charles E Hall

100 Boulders Pkwy

$62.36 7,386 6,660
Timothy E O'Neil

1001 Hioaks Rd

$66.44 7,265 6,734
Dariush Ashrafi

4620 S Laburnum Ave

$43.78 7,117 5,841
Kenneth G Tilghman

10442 Midlothian Tpke

$53.08 7,073 5,625
Azhar A Talibi

7023 Old Jahnke Rd

$55.83 7,056 6,436

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 Richmond, VA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Richmond, VA is $68.82 per claim, based on 2,636,996 claims from 1705 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 Richmond, VA?

There are 1705 Medicaid providers offering Office Visit related services in Richmond, VA according to public payment data.

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

Medicaid reimbursement for Office Visit in Richmond, VA ranges from $0.00 to $241.64 per claim, with an average of $68.82. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Richmond, VA