Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Staunton, VA: $55.86

Avg. Paid

$55.86

Range

$0.00 – $88.18

Total Claims

160,228

Providers

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 Staunton, VA

Provider	Avg. Paid	Claims	Patients
Janna Lindsey Shields 704 Richmond Ave Ste A	$40.24	12	12
Thomas A Shapcott 1429 N Augusta St	$52.61	14	12
Eliza Buelt 103 Valley Center Dr	$67.70	15	14
Susan Klassen 1414 N Augusta St	$73.31	15	15
Ashley Nicole Campbell 42 Lambert St Ste 511	$76.42	16	14
Staunton Treatment Center, Llc 15 Green Hills Drive	$51.99	25	24
Laura Tate Santiago 103 Valley Center Dr	$88.18	34	34
John A Stathos 2010 N Augusta St	$33.45	43	38
Emily S Edwards 2009 N Augusta St Ste B	$49.40	45	30
Sarah Leanne Grow 42 Lambert St Ste 511	$57.68	52	51
Lillian Marie Tidler 103 Valley Center Dr	$24.02	54	39
Paul S Mcconnell 1500 Commerce Rd	$39.35	69	58
William Lee Hereford 108 Mactanly Pl	$48.14	77	55
Matthew Vanden Hoek 103 Valley Center Dr	$73.01	100	90
Amy Elizabeth Ramser 1600 N Coalter St	$80.24	120	106
Comprehensive Health Systems,Plc 25 Myers Corner Dr	$50.41	149	129
Cindy L Sherwood 85 Sangers Ln	$51.03	152	125
Lindsay Brown Moffett 85 Sangers Ln	$78.75	156	149
Jacqueline Groff 42 Lambert St Ste 111	$56.70	189	184
David Richard Suyes 42 Lambert St Ste 511	$63.93	192	181
David Scott Herring 103 Community Way	$54.24	212	187
Octavio De Los Reyes 40 Lambert St	$21.48	228	178
Sadie Spence 103 Valley Center Dr	$25.06	240	227
Kerri Ann Kedene Maxwell-Darby 85 Sangers Ln	$66.07	244	230
Melissa S Fleming 997 Miller Farm Rd	$64.84	251	235
Leigh Taylor Mann 40 Lambert Street	$45.34	273	233
Erica Huffman 103 Community Way	$72.08	281	261
George Austin Godette 108 Mactanly Pl	$57.98	294	265
Justine Elaine Paladino 42 Lambert St Ste 511	$52.01	383	357
Keren Ann Podboy 103 Valley Center Dr	$0.00	388	286
Patti G Moulton 85 Sangers Ln	$38.56	461	126
Liberty Point Behavioral Healthcare 1110 Montgomery Ave	$50.82	482	150
Commonwealth Of Virginia State Board Of Health 1414 N Augusta St	$16.80	536	528
Thomas J Jayne 1228 N Augusta St	$46.87	544	441
Stephanie A Pitsilos 42 Lambert St	$57.98	558	509
Whitney Elan Colella 1600 N Coalter St Ste 19	$67.63	573	549
Kevin Price Miller 1600 N Coalter St Ste 19	$58.86	795	702
Gabrielle Rose Colburn 851 Statler Blvd	$34.89	864	827
Aaron Rechichar 2303 N Augusta St Ste B	$61.24	872	809
Kerry A Alexander 42 Lambert Street Suite 511	$60.67	1,029	942
Julie Ruth Garnett 851 Statler Blvd	$31.78	1,112	1,042
Frank J Johnson 42 Lambert St Ste 511	$53.23	1,143	1,029
Jason Asistores 15 Terry Ct Ste E	$35.25	1,217	958
Grigorii Gennadiyouych Bouldo 40 Lambert St	$75.16	1,723	1,430
Benjamin G Farley 851 Statler Blvd	$40.90	1,902	1,841
Harry Clark Bates 1355 Richmond Road	$51.28	2,272	2,115
Jeffery Kenneth Robbins 85 Sangers Ln	$60.10	2,431	1,344
Stephen B Graham 40 Lambert St Ste 222	$69.06	2,537	1,734
Theodore B Mckee 111 Fairway Ln Ste 100	$38.58	2,784	2,425
Amanda Dawn Fox 42 Lambert St Ste 121	$43.71	3,749	3,294

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 Staunton, VA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Staunton, VA is $55.86 per claim, based on 160,228 claims from 59 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 Staunton, VA?

There are 59 Medicaid providers offering Office Visit related services in Staunton, VA according to public payment data.

What is the price range for Office Visit in Staunton, VA?

Medicaid reimbursement for Office Visit in Staunton, VA ranges from $0.00 to $88.18 per claim, with an average of $55.86. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Staunton, VA: $55.86

Providers Offering Office Visit in Staunton, VA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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