Average Medicaid Office Visit Payments in Roanoke, VA: $63.08
Avg. Paid
$63.08
Range
$0.00 – $620.34
Total Claims
1,419,537
Providers
796
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 Roanoke, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carilion Emergency Services, Inc.
1906 Belleview Ave Se |
$65.01 | 83,594 | 75,392 |
|
Kunal Tushardev Joshi
1906 Belleview Ave Se |
$71.14 | 39,956 | 16,036 |
|
Joseph Waheb Iskandar
24 Walnut Ave Sw |
$74.05 | 34,648 | 25,109 |
|
Richard Lamont Claytor
1127 2Nd St Sw |
$83.63 | 26,648 | 24,312 |
|
Carilion Medical Center
1906 Belleview Ave Se |
$147.68 | 22,525 | 19,485 |
|
Lana Yaroslava Flippo
1906 Belleview Ave Se |
$0.30 | 22,333 | 19,139 |
|
Jitendra S Desai
16 Walnut Ave Sw |
$56.15 | 21,280 | 17,875 |
|
Kuumba Community Health & Wellness Center, Inc.
3716 Melrose Ave Nw |
$46.66 | 20,613 | 17,677 |
|
Elia Boles
Carilion Clinic Roanoke Memorial Hospital |
$64.24 | 20,481 | 13,360 |
|
Blue Ridge Behavioral Healthcare
301 Elm Ave Sw |
$48.26 | 18,860 | 17,242 |
|
Murray E Joiner
2726 Electric Road |
$40.86 | 18,637 | 15,722 |
|
Carilion Healthcare Corporation
213 S Jefferson St Ste 416 |
$61.58 | 18,009 | 16,780 |
|
Roanoke Valley Healthcare Partners, Llc
602 Brandon Ave Sw |
$77.95 | 17,869 | 16,018 |
|
Malak Waheb Yossef Iskandar
3959 Electric Rd Ste 280 |
$40.78 | 17,196 | 12,283 |
|
Michole M Pineda
4348 Electric Rd |
$113.18 | 14,624 | 14,085 |
|
Farahaba Lakhdir
4348 Electric Rd |
$67.05 | 13,359 | 12,259 |
|
Alison Ensor Dunn
4348 Electric Rd |
$61.88 | 13,011 | 11,591 |
|
Silvia Natalia Jaimes Ocazionez
1030 S Jefferson St Ste 106 |
$44.96 | 12,809 | 11,504 |
|
Tabassum Subuhi
2149 Electric Rd |
$62.43 | 11,860 | 10,377 |
|
Joseph B Coates
4035 Electric Rd |
$64.46 | 11,194 | 10,725 |
|
Jason Matthew Tallman
2017 Jefferson St Sw |
$55.33 | 11,053 | 8,571 |
|
Michael S Szilagyi
1906 Belleview Ave Se |
$63.58 | 10,985 | 10,481 |
|
Bradley J Goad
6701 Peters Creek Rd Ste 110 |
$67.28 | 10,390 | 9,604 |
|
Robert Henderson
2145 Mount Pleasant Blvd Se |
$48.59 | 10,278 | 8,859 |
|
Julie Anne Zielinski
2331 Franklin Rd Sw |
$75.84 | 9,897 | 9,324 |
|
Anuradha Reddy
2017 Jefferson St Sw |
$77.17 | 9,555 | 8,680 |
|
David Keilman
4910 Valley View Blvd Nw |
$54.69 | 9,406 | 8,112 |
|
Stephen Ausband
Crmh 1 South |
$57.24 | 9,121 | 8,704 |
|
Howard B Pride
1 Riverside Cir Ste 300 |
$44.99 | 8,764 | 8,573 |
|
Virginia Treatment Center
3208 Hershberger Rd Nw |
$68.36 | 8,482 | 7,303 |
|
Ayesha Nazli
3716 Melrose Ave Nw |
$63.34 | 8,014 | 7,351 |
|
Carilion Medical Center
1906 Belleview Ave Se |
$51.76 | 7,997 | 7,383 |
|
Robert Amick
6415 Peters Creek Rd |
$63.30 | 7,938 | 7,590 |
|
Mark A Mcbride
21 Highland Ave Se |
$64.79 | 7,842 | 7,122 |
|
Kilian H. Brech
21 Highland Ave Se Ste 100 |
$63.53 | 7,183 | 6,641 |
|
David Hartman
213 Mcclanahan St Sw |
$55.10 | 7,058 | 6,112 |
|
Waeil A Nur
21 Highland Ave Se |
$64.30 | 7,056 | 6,430 |
|
Kelly K Nelson
21 Highland Ave Se |
$61.65 | 6,912 | 6,284 |
|
Joseph Tamez
4348 Electric Rd |
$76.15 | 6,865 | 6,604 |
|
Melissa Dawn Garganta
4348 Electric Rd |
$110.06 | 6,864 | 6,715 |
|
Robert C Gard
21 Highland Ave Se |
$62.99 | 6,847 | 6,181 |
|
Pamela Ann Ruppel
3505 Brambleton Ave |
$66.52 | 6,712 | 1,575 |
|
Uyen Viet Le
1906 Belleview Ave Se |
$77.97 | 6,675 | 5,684 |
|
James R Mulinda
3501 Colonial Green Circle |
$48.44 | 6,649 | 5,812 |
|
Esha Rajiv Sharma
6415 Peters Creek Rd |
$65.86 | 6,581 | 5,923 |
|
Stephen Couture
5304 Indian Grave Rd |
$61.81 | 6,341 | 5,658 |
|
Julianna D. Snow
4910 Valley View Blvd Nw Fl 3 |
$52.27 | 6,277 | 5,460 |
|
Elizabeth Stewart
4348 Electric Rd |
$63.99 | 6,052 | 5,697 |
|
Amy Kathleen Barnhart
4040 Postal Dr |
$60.58 | 5,987 | 5,599 |
|
Christina Marie Abraham
1117 S Jefferson St |
$72.77 | 5,971 | 5,564 |
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 Roanoke, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Roanoke, VA is $63.08 per claim, based on 1,419,537 claims from 796 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 Roanoke, VA?
There are 796 Medicaid providers offering Office Visit related services in Roanoke, VA according to public payment data.
What is the price range for Office Visit in Roanoke, VA?
Medicaid reimbursement for Office Visit in Roanoke, VA ranges from $0.00 to $620.34 per claim, with an average of $63.08. 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 Roanoke, VA
Substance Abuse Treatment
Avg $44.31
1,236,004 claims
Blood Work & Lab Tests
Avg $5.46
1,046,555 claims
Behavioral & Mental Health Therapy
Avg $119.20
914,013 claims
Emergency Room Visit
Avg $113.17
568,599 claims
Psychiatric Evaluation
Avg $71.61
465,691 claims
X-Ray
Avg $9.06
397,089 claims
Home Health Visit
Avg $74.87
351,003 claims
Physical Therapy
Avg $81.88
311,788 claims