Average Medicaid Office Visit Payments in Rocky Mount, VA: $55.55
Avg. Paid
$55.55
Range
$0.00 – $79.17
Total Claims
74,196
Providers
46
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 Rocky Mount, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicholas Raymond Tallman
490 S Main St |
$45.71 | 10,621 | 8,889 |
|
Vydia Permashwar
681 S Main St |
$68.58 | 9,846 | 9,167 |
|
Robert L Lazo
390 S Main St Ste 201 |
$55.59 | 9,047 | 8,128 |
|
Kodanda Ramulu Shali Valusa
591 Old Fort Rd |
$55.52 | 6,497 | 5,729 |
|
Brittany Hayes
390 S Main St |
$62.37 | 6,313 | 5,855 |
|
Vergel S Atienza
390 S Main St |
$44.86 | 3,193 | 2,763 |
|
Kristen Elise Ross
390 S Main St Ste 201 |
$45.92 | 3,148 | 2,998 |
|
Allison Renee Thornton
390 S Main St Ste 201 |
$68.95 | 3,006 | 2,827 |
|
Henry Ivey
390 S Main St Ste 201 |
$60.20 | 2,598 | 2,225 |
|
James Allen Maxey
796 Old Franklin Tpke |
$49.33 | 1,988 | 1,775 |
|
Timothy Beirne
390 S Main St Ste 201 |
$54.73 | 1,662 | 1,467 |
|
Jonathan C. Saks
390 S Main St Ste 201 |
$66.33 | 1,450 | 1,335 |
|
Kirstin Rose Holland
21230 Virgil H Goode Hwy |
$79.12 | 1,429 | 1,320 |
|
Rhonda Gail Johnson
30 Technology Dr |
$44.97 | 1,406 | 1,075 |
|
Carilion Giles Community Hospital
390 S Main St Ste 201 |
$49.00 | 1,069 | 1,012 |
|
Sarah Longest Stubbs
796 Old Franklin Tpke |
$40.37 | 1,023 | 864 |
|
Ahmad Tayyab Haq
390 S Main St |
$55.68 | 1,016 | 966 |
|
Lyne B Aigner
180 Floyd Ave |
$36.20 | 997 | 841 |
|
Earl Mark Watts
390 S Main St Ste 201 |
$65.51 | 989 | 866 |
|
Kyle Allen Johnson
30 Technology Dr |
$79.17 | 944 | 915 |
|
Craig F Turner
263 Franklin St |
$37.29 | 943 | 759 |
|
Adam Tate
796 Old Franklin Tpke |
$67.34 | 859 | 813 |
|
Commonwealth Of Virginia State Board Of Health
365 Pell Ave |
$16.75 | 672 | 650 |
|
Benjamin Davis
390 S Main St Ste 201 |
$17.70 | 632 | 466 |
|
Anita Register
390 S Main St |
$51.88 | 525 | 444 |
|
Francis X Moffitt
390 S Main St |
$42.53 | 471 | 370 |
|
Carilion Giles Community Hospital
796 Old Franklin Tpke |
$43.41 | 222 | 217 |
|
Julie Taylor
390 S Main St |
$58.46 | 217 | 207 |
|
Kathleen Patt Bogacz
390 S Main St Ste 201 |
$75.37 | 198 | 184 |
|
Elizabeth Christman
401 Goode Mountain Rd |
$55.49 | 197 | 165 |
|
Angela Williams Bowman
120 Cromwell Drive |
$68.90 | 154 | 149 |
|
David Whittier O'Neil
490 S Main St |
$78.97 | 129 | 119 |
|
Brian Lee Beacham
390 S Main St Ste 302 |
$56.20 | 128 | 114 |
|
Courtney Lynn Mason
390 S Main St Ste 201 |
$54.99 | 104 | 100 |
|
Michael Patrick Jeremiah
390 S Main St Ste 201 |
$51.29 | 83 | 77 |
|
Derek Ryan Holmes
390 S Main St Ste 101 |
$42.33 | 77 | 72 |
|
Agenacare Urgent Care
21230 Virgil H Goode Hwy |
$66.66 | 67 | 59 |
|
Ryan Matthew Bradley
390 S Main St Ste 101 |
$49.08 | 61 | 56 |
|
Christine E Barrett
70 N Main St |
$28.77 | 45 | 42 |
|
Claytor Clinic, Inc.
1625 Franklin St |
$0.00 | 45 | 45 |
|
Wanda Hilliard
30 Technology Dr |
$42.68 | 40 | 37 |
|
Monica Lynn Wiltjer
1625 Franklin St |
$0.00 | 27 | 14 |
|
Jose R Torres
390 S Main St Ste 101 |
$30.38 | 15 | 15 |
|
Emily Marie Waller
390 S Main St |
$12.24 | 15 | 12 |
|
Sheila Viviana Garnica
390 S Main St Ste 101 |
$45.95 | 15 | 15 |
|
Lauren Ellis Mcguire
796 Old Franklin Tpke |
$56.65 | 13 | 13 |
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 Rocky Mount, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rocky Mount, VA is $55.55 per claim, based on 74,196 claims from 46 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 Rocky Mount, VA?
There are 46 Medicaid providers offering Office Visit related services in Rocky Mount, VA according to public payment data.
What is the price range for Office Visit in Rocky Mount, VA?
Medicaid reimbursement for Office Visit in Rocky Mount, VA ranges from $0.00 to $79.17 per claim, with an average of $55.55. 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 Rocky Mount, VA
Home Health Visit
Avg $86.75
104,067 claims
Blood Work & Lab Tests
Avg $3.53
82,479 claims
Emergency Room Visit
Avg $154.43
76,799 claims
Speech Therapy
Avg $25.82
51,948 claims
Physical Therapy
Avg $148.83
29,611 claims
X-Ray
Avg $8.83
22,888 claims
Ambulance Transport
Avg $44.33
22,346 claims
Urinalysis & Urine Tests
Avg $0.33
20,609 claims