Average Medicaid Office Visit Payments in Tappahannock, VA: $56.76
Avg. Paid
$56.76
Range
$20.71 – $80.45
Total Claims
33,681
Providers
26
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 Tappahannock, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Thomas Leo Cleary
618 Hospital Rd |
$58.09 | 9,479 | 8,745 |
|
Allen Y Tsui
1362 Tappahannock Blvd |
$53.30 | 8,542 | 6,754 |
|
Hani Nazha
618 Hospital Rd |
$61.17 | 2,139 | 1,298 |
|
Tyler Conway Wind
300 Mt Clement Park |
$53.35 | 1,916 | 1,689 |
|
Chad S Forrester
300 Mt Clement Park Ste C |
$77.36 | 1,583 | 1,507 |
|
Lori Jean Sprouse
300 Mt Clement Park Ste C |
$66.61 | 1,533 | 1,461 |
|
James Flinn Donecker
300 Mt Clement Park Ste C |
$58.45 | 1,472 | 1,308 |
|
Paul Franklin
300 Mt Clement Park Ste B |
$57.76 | 1,391 | 1,254 |
|
Anastasia Dumbra Cleary
300 Mt Clement Park |
$44.24 | 1,129 | 991 |
|
Ryan Gentry Williams
300 Mt Clement Park |
$56.87 | 1,010 | 952 |
|
John Timothy Carmack
618 Hospital Rd |
$52.12 | 778 | 592 |
|
Caroline Dorothy Goode
Pavilion A, 659 Hospital Rd, |
$80.45 | 395 | 379 |
|
Anshul Gupta
300 Mt Clement Park |
$31.32 | 355 | 288 |
|
Robert E Briggs
658 Hospital Rd |
$35.57 | 267 | 188 |
|
Robert Macintyre Bennett
658 Hospital Rd |
$30.18 | 257 | 227 |
|
Mary Cristen Hendricks
618 Hospital Rd |
$57.66 | 248 | 240 |
|
Lee G. Gammon
300 Mt Clement Park Ste B |
$72.68 | 183 | 177 |
|
Thomas Henderson
618 Hospital Rd |
$20.71 | 182 | 170 |
|
Abigail Schmalz
300 Mt Clement Park Ste C |
$74.51 | 162 | 149 |
|
Doreen V Fowlkes
300 Mt Clement Park |
$76.54 | 154 | 144 |
|
Pamela R Webb
1362 Tappahannock Blvd |
$21.05 | 152 | 92 |
|
Arun Ranganath
618 Hospital Rd |
$28.34 | 130 | 128 |
|
Jana Hanny
659 Hospital Rd Ste 201 |
$58.83 | 84 | 74 |
|
Lisa Petty
618 Hospital Rd |
$54.36 | 74 | 71 |
|
Tracy A Dzibela
402 Airport Rd |
$37.99 | 50 | 40 |
|
John Linton Press
611 Della Street |
$47.82 | 16 | 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 Tappahannock, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Tappahannock, VA is $56.76 per claim, based on 33,681 claims from 26 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 Tappahannock, VA?
There are 26 Medicaid providers offering Office Visit related services in Tappahannock, VA according to public payment data.
What is the price range for Office Visit in Tappahannock, VA?
Medicaid reimbursement for Office Visit in Tappahannock, VA ranges from $20.71 to $80.45 per claim, with an average of $56.76. 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 Tappahannock, VA
Blood Work & Lab Tests
Avg $4.67
80,195 claims
Emergency Room Visit
Avg $177.84
63,349 claims
X-Ray
Avg $9.77
32,457 claims
Urinalysis & Urine Tests
Avg $0.68
25,871 claims
EKG / ECG (Electrocardiogram)
Avg $2.30
18,770 claims
CT Scan (Computed Tomography)
Avg $163.29
17,853 claims
Culture & Microbiology Tests
Avg $1.28
9,023 claims
Prescription Medications
Avg $0.86
8,434 claims