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
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
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Richmond, VA
Blood Work & Lab Tests
Avg $4.30
4,017,522 claims
Non-Emergency Medical Transportation
Avg $26.22
2,907,745 claims
Substance Abuse Treatment
Avg $53.32
2,490,009 claims
Behavioral & Mental Health Therapy
Avg $179.96
2,168,703 claims
Emergency Room Visit
Avg $137.78
2,065,177 claims
X-Ray
Avg $7.41
1,597,204 claims
Physical Therapy
Avg $84.50
1,259,338 claims
Home Health Visit
Avg $104.93
1,204,643 claims