Average Medicaid Office Visit Payments in St Thomas, VI: $107.66
Avg. Paid
$107.66
Range
$3.41 – $309.24
Total Claims
67,302
Providers
36
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 St Thomas, VI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nachet J. Williams-Prince
4605 Tutu Park Mall Ste 207 |
$156.16 | 8,152 | 5,969 |
|
Barbara G Douglas
4605 Tutu Park Mall |
$136.46 | 7,308 | 6,430 |
|
Jamie Morgan Schmidt
6500 Red Hook Plz Ste 205 |
$32.95 | 5,470 | 4,960 |
|
Joseph Smolarz
9149 Estate Thomas Ste 308 |
$72.21 | 4,734 | 4,428 |
|
James Dallas Nelson
9003 Havensight Shopp Ctr Ste 305 |
$103.97 | 4,587 | 4,089 |
|
Betty Christian
4605 Tutu Park Mall Ste 207 |
$168.08 | 3,853 | 3,482 |
|
Adam Marc Shapiro
9149 Estate Thomas |
$83.15 | 3,738 | 3,536 |
|
Audria A Thomas
9149 Estate Thomas |
$134.67 | 3,086 | 2,592 |
|
Jeffrey M Chase
9149 Estate Thomas |
$71.84 | 2,997 | 2,654 |
|
Brian Carlos Bacot
9149 Estate Thomas |
$74.59 | 2,372 | 1,960 |
|
George Adam Flowers
9151 Estate Thomas |
$64.30 | 2,069 | 1,737 |
|
Danielle Blood
9048 Sugar Est |
$46.94 | 2,048 | 1,592 |
|
Vi Government Hospital And Health Facilities Corp
9048 Sugar Estate |
$309.24 | 2,046 | 1,369 |
|
Ahmet R Sayan
9149 Estate Thomas Ste 104 |
$67.10 | 2,013 | 1,834 |
|
Reva A Richardson
9149 Estate Thomas |
$68.28 | 1,614 | 1,525 |
|
Tai Camille Hunte
9150 Estate Thomas |
$202.94 | 1,592 | 1,464 |
|
Carmen M Quinones
9149 Estate Thomas Ste 104 |
$65.75 | 1,454 | 1,336 |
|
Janet E. Lewis
9150 Estate Thomas Ste 105 |
$74.34 | 1,325 | 1,058 |
|
David Duane Weisher
9149 Estate Thomas |
$93.25 | 968 | 900 |
|
Anthony H. Francis
9003 Havensight Shopp Ctr Ste 310 |
$45.40 | 814 | 725 |
|
Margaret E. Sprauve
9149 Estate Thomas |
$86.11 | 806 | 647 |
|
Jvonne Lorenzo
St. Thomas East End Medical Center |
$116.97 | 799 | 466 |
|
Jessica Kaplan Langston
6500 Red Hook Plz Ste 205 |
$62.38 | 710 | 636 |
|
John Roland Franklin
9003 Havensight |
$65.98 | 691 | 516 |
|
Denita Marie Boschulte
9149 Estate Thomas Ste 204 |
$117.41 | 481 | 432 |
|
Lee Carl Whitaker
1901 9Th Street |
$111.97 | 462 | 408 |
|
Walter Helmut Rohloff
9149 Estate Thomas Ste 209A |
$70.54 | 445 | 424 |
|
Oshana Garcia
9150 Estate Thomas Ste 203 |
$105.88 | 217 | 151 |
|
Frank Alphonso Odlum
9149 Estate Thomas |
$100.14 | 175 | 148 |
|
Tracy Lynn Genovese
4605 Tutu Park Mall Ste 207 |
$126.12 | 114 | 95 |
|
Cecilia Naa-Sakle Penn
6501 Red Hook Plz |
$140.31 | 58 | 54 |
|
Nikole Czapp
9150 Estate Thomas Ste 201 |
$32.07 | 33 | 27 |
|
John Daggett Lenahan
6500 Red Hook Plz Ste 205 |
$3.41 | 32 | 28 |
|
Richard Beevers
6500 Red Hook Plz Ste 205 |
$36.75 | 14 | 13 |
|
Imnett Habtes
9149 Estate Thomas Ste 202 |
$30.65 | 13 | 13 |
|
Jessi Grostefon
9149 Estate Thomas Ste 308 |
$78.52 | 12 | 12 |
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 St Thomas, VI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in St Thomas, VI is $107.66 per claim, based on 67,302 claims from 36 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 St Thomas, VI?
There are 36 Medicaid providers offering Office Visit related services in St Thomas, VI according to public payment data.
What is the price range for Office Visit in St Thomas, VI?
Medicaid reimbursement for Office Visit in St Thomas, VI ranges from $3.41 to $309.24 per claim, with an average of $107.66. 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 St Thomas, VI
Blood Work & Lab Tests
Avg $50.71
157,273 claims
Emergency Room Visit
Avg $51.04
69,316 claims
Urinalysis & Urine Tests
Avg $21.54
46,673 claims
Dental Cleaning & Exam
Avg $94.35
27,707 claims
Dental Filling
Avg $223.56
16,998 claims
Culture & Microbiology Tests
Avg $31.42
13,106 claims
Prescription Medications
Avg $62.54
12,123 claims
Vaccines & Immunizations
Avg $27.24
11,572 claims