Average Medicaid Office Visit Payments in South Boston, VA: $57.41
Avg. Paid
$57.41
Range
$2.58 – $86.24
Total Claims
194,176
Providers
81
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 South Boston, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nonna Lyn M Ebalo
2212 Wilborn Ave |
$65.10 | 41,538 | 36,615 |
|
Duc K Trieu
2212 Wilborn Ave |
$62.64 | 20,155 | 16,396 |
|
Jacquelyn Elizabeth Adams
3601 Old Halifax Rd Ste 100 |
$74.21 | 8,111 | 7,538 |
|
Candace Renee Clocker
2100 Wilborn Ave |
$70.78 | 6,681 | 6,093 |
|
Bakul Kumar Patel
1129 N Main St Ste G |
$54.86 | 6,441 | 5,807 |
|
Brooklin Raechel Callahan
3601 Old Halifax Rd |
$76.21 | 6,266 | 5,860 |
|
Habib Fouad Bassil
2232 Wilborn Ave |
$40.25 | 6,118 | 4,856 |
|
Suresh Gehan Jayatilaka
1129 N Main St Ste G |
$54.57 | 5,739 | 5,148 |
|
Halifax Regional Hospital, Inc
2100 Wilborn Ave |
$71.31 | 4,823 | 4,238 |
|
Matthew Alexander Petrilli
504 Wilborn Ave Fl 5 |
$61.24 | 4,700 | 4,193 |
|
Amy C Mills
1054 Bold Springs Rd |
$72.20 | 4,326 | 3,545 |
|
Gareth Murchison Titus
2232 Wilborn Ave |
$40.00 | 4,315 | 3,570 |
|
James F Witko
2210 Wilborn Ave |
$32.16 | 4,270 | 3,458 |
|
Tessie Otero-Truitt
2232 Wilborn Ave |
$34.81 | 3,561 | 2,791 |
|
Terrance J Truitt
2210 Wilborn Ave |
$35.94 | 3,424 | 2,950 |
|
Samantha Y King
1627 Seymour Dr |
$53.19 | 3,250 | 2,757 |
|
Jon M Hughes
2204 Wilborn Ave |
$66.47 | 3,166 | 2,953 |
|
Halifax Regional Hospital, Inc
101 Aubreys Loop |
$51.98 | 3,156 | 2,867 |
|
Virgilus Ozoude
101 Aubreys Loop |
$46.50 | 3,085 | 2,411 |
|
Michael K Kyles
422 Hamilton Blvd |
$44.55 | 3,071 | 2,677 |
|
Senecca Elliott Kirkhart
2100 Wilborn Ave |
$71.64 | 2,651 | 2,415 |
|
Carlos Alberto Pottinger
2206 Wilborn Ave Bldg 1 |
$49.59 | 2,641 | 2,292 |
|
Babita B Patel
1129 N Main St Ste H |
$32.69 | 2,635 | 2,075 |
|
Amar A Parikh
2045 Hamilton Boulevard |
$43.83 | 2,407 | 2,091 |
|
Broderick Daryl King
101 Aubreys Loop |
$63.85 | 2,202 | 2,058 |
|
Maria Precious Tangan Torres
2100 Wilborn Ave |
$65.81 | 2,054 | 1,929 |
|
James Anthony Treadwell
422 Hamilton Blvd |
$67.72 | 1,857 | 1,628 |
|
Halifax Regional Hospital, Inc
2206 Wilborn Ave |
$45.91 | 1,826 | 1,603 |
|
Debra Toombs Collins
2232 Wilborn Ave Ste G |
$58.64 | 1,786 | 1,624 |
|
Jonathan M Lenzen
2210 Wilborn Ave |
$22.58 | 1,707 | 1,147 |
|
Philip Holzknecht
422 Hamilton Blvd |
$64.10 | 1,666 | 1,503 |
|
Akpomevigho A Avbovbo
2100 Wilborn Ave |
$63.09 | 1,617 | 1,455 |
|
Christi Lea Hughart
2232 Wilborn Ave Ste C |
$26.48 | 1,283 | 932 |
|
Lindsay Spencer
3320 Old Halifax Rd |
$47.15 | 1,268 | 1,042 |
|
Piedmont Access To Health Services, Inc
2524 Houghton Ave |
$25.86 | 1,207 | 1,007 |
|
Pawanjit Singh Sarna
2210 Wilborn Ave |
$64.13 | 1,178 | 1,052 |
|
Paul Carpenter Maccarty
4157 River Rd |
$56.34 | 1,152 | 1,104 |
|
Fallon Andrea Mattis
101 Aubreys Loop |
$24.98 | 1,076 | 715 |
|
Whitney Heather Rae Holley
101 Aubreys Loop |
$38.04 | 1,031 | 820 |
|
Charles William Rosche
2206 Wilborn Ave |
$29.18 | 1,000 | 813 |
|
Gahear F Hamlor
101 Aubreys Loop |
$49.54 | 943 | 777 |
|
Janardhan Srinivasan
2232 Wilborn Ave |
$21.10 | 925 | 634 |
|
John L Trotter
422 Hamilton Blvd |
$63.81 | 921 | 865 |
|
Sowmya Srimanthula
101 Aubreys Loop |
$62.81 | 756 | 709 |
|
Maggie Ford Bane
2206 Wilborn Ave |
$56.27 | 738 | 676 |
|
Boris M Darovsky
2232 Wilborn Ave Ste D |
$44.86 | 726 | 547 |
|
Devmith Chinthaka Gajadeera
101 Aubreys Loop |
$50.91 | 720 | 596 |
|
Neil Fredric Schacht
2232 Wilborn Ave, Suite D |
$22.92 | 645 | 485 |
|
Victor Mihal
2204 Wilborn Ave |
$60.09 | 553 | 530 |
|
Kelly Smith
2232 Wilborn Ave Ste D |
$35.94 | 537 | 457 |
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 South Boston, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in South Boston, VA is $57.41 per claim, based on 194,176 claims from 81 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 South Boston, VA?
There are 81 Medicaid providers offering Office Visit related services in South Boston, VA according to public payment data.
What is the price range for Office Visit in South Boston, VA?
Medicaid reimbursement for Office Visit in South Boston, VA ranges from $2.58 to $86.24 per claim, with an average of $57.41. 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 South Boston, VA
Blood Work & Lab Tests
Avg $4.16
176,474 claims
Home Health Visit
Avg $90.36
150,086 claims
Non-Emergency Medical Transportation
Avg $32.17
133,807 claims
Emergency Room Visit
Avg $110.99
106,244 claims
X-Ray
Avg $6.81
64,747 claims
Vaccines & Immunizations
Avg $10.47
56,206 claims
Psychiatric Evaluation
Avg $43.09
53,792 claims
Urinalysis & Urine Tests
Avg $1.17
50,441 claims