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 |
|---|---|---|---|
|
Sarah Evans
101 Elm Ave Se |
$67.38 | 12 | 12 |
|
Yasmeen J M Adams
3 Riverside Cir |
$56.90 | 12 | 12 |
|
Kiley K Fitzgerald
1 Riverside Cir Ste 300 |
$97.27 | 12 | 12 |
|
Matthew Schumaecker
2001 Crystal Spring Ave Sw Ste 203 |
$59.97 | 12 | 12 |
|
Amanda Gail White
3 Riverside Cir |
$41.03 | 12 | 12 |
|
Modupe Oluwaseyi Jolaoso White
3 Riverside Cir |
$115.26 | 13 | 13 |
|
Cristina Hurley
4434 Electric Rd |
$20.16 | 13 | 13 |
|
Charlotta Jornlid
3 Riverside Cir |
$70.20 | 13 | 13 |
|
Erin Caldwell Berry
2331 Franklin Rd Sw |
$73.06 | 13 | 13 |
|
Daniel R Tershak
3 Riverside Circle |
$49.08 | 13 | 13 |
|
David Lawrence Williams
5743 Salisbury Dr |
$52.63 | 13 | 13 |
|
Elizabeth D Skaggs
1906 Belleview Ave Se |
$38.11 | 14 | 13 |
|
Victoria L Carroll
5139 Remington Rd |
$56.49 | 14 | 14 |
|
Sara Boucher
2017 Jefferson St Sw |
$11.04 | 14 | 14 |
|
Mara Cate
523 Arbuttus Ave |
$42.83 | 14 | 13 |
|
Marium Hussein
3 Riverside Cir |
$162.52 | 14 | 14 |
|
Lisa Mollohan Repasky
3707 Brambleton Ave Ste 2 |
$89.61 | 14 | 14 |
|
Laura Finley
1900 Electric Rd |
$58.68 | 14 | 13 |
|
Rahul K Pandey
1906 Belleview Ave Se |
$93.73 | 14 | 13 |
|
Daniel S Temeles
2013 Jefferson St Sw |
$32.71 | 14 | 12 |
|
Kathryn Lyon Tolmie
2331 Franklin Rd Sw |
$36.29 | 14 | 13 |
|
Erin K. Howes
3707 Brambleton Ave Ste 2 |
$95.30 | 14 | 14 |
|
Sangeeta B Shah
2001 Crystal Spring Ave Sw Ste 203 |
$84.79 | 14 | 13 |
|
Nicole M Carroll
1505 Franklin Rd Sw |
$90.95 | 14 | 14 |
|
Jill A Gaines
21 Highland Ave Se |
$46.78 | 14 | 12 |
|
Robert Lee Johnson
1802 Electric Rd |
$69.22 | 14 | 13 |
|
Bridgette Leigh Keene
1234 Franklin Rd Sw |
$42.61 | 14 | 14 |
|
Clifford Nottingham
6415 Peters Creek Rd |
$35.32 | 15 | 12 |
|
Moises Rimmer Cossio
2001 Crystal Spring Ave Sw |
$66.94 | 15 | 15 |
|
Katherine Paige Conkling
3 Riverside Cir |
$40.38 | 15 | 14 |
|
Mclendon Pruette Mcghee
2013 Jefferson St Sw Fl 2 |
$104.19 | 15 | 13 |
|
Oncology And Hematology Associates Of Southwest Virginia, Inc.
2013 Jefferson St Sw |
$62.72 | 15 | 15 |
|
Miles Jeffery Newman
5049 Valley View Blvd Nw |
$45.28 | 15 | 12 |
|
Jamie K Wilson
2001 Crystal Spring Ave Sw |
$58.66 | 16 | 15 |
|
Karen Nicole Marable
1906 Belleview Ave Se |
$72.91 | 16 | 14 |
|
Feras J Ghosheh
4311 Appleton Ave Nw |
$29.13 | 16 | 13 |
|
Thomas Richerson Milam
2017 Jefferson St Sw Fl 2 |
$24.64 | 16 | 16 |
|
Eugenie Yu Quan
1 Riverside Cir Ste 300 |
$70.09 | 16 | 16 |
|
Lanay Amberly Fonda
1111 S Jefferson St Ste B |
$14.66 | 17 | 15 |
|
Taylor Zahn Yengst
2001 Crystal Spring Ave Sw Ste 203 |
$69.08 | 17 | 17 |
|
Theresa Jones
3 Riverside Cir # 2N |
$63.18 | 17 | 17 |
|
Susan P Jones
1505 Franklin Rd Sw |
$21.50 | 17 | 13 |
|
Lee Andrew Learman
902 S Jefferson St |
$52.37 | 18 | 13 |
|
Kuumba Community Health And Wellness Center Inc
1215 3Rd St Sw |
$0.00 | 19 | 19 |
|
Manoj Kumar
3 Riverside Cir |
$91.81 | 19 | 14 |
|
Sabo Uba
2017 Jefferson St Sw |
$136.19 | 19 | 19 |
|
David H. Mortlock
4910 Valley View Blvd Nw |
$49.77 | 20 | 18 |
|
Jessica Partin
3 Riverside Cir |
$18.29 | 20 | 12 |
|
Anne Brighid Callen Washofsky
1906 Belleview Ave Se |
$47.00 | 21 | 19 |
|
Justin Michael Day
1906 Belleview Ave Se |
$61.94 | 21 | 15 |
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