Average Medicaid Office Visit Payments in Va Beach, VA: $56.27
Avg. Paid
$56.27
Range
$14.42 – $107.86
Total Claims
15,200
Providers
24
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 Va Beach, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tysheena Lanee Jones
225 Clearfield Ave |
$82.43 | 2,241 | 2,042 |
|
Joel Okechukwu Anyiwo
1925 Glenn Mitchell Dr Ste 100 |
$65.01 | 2,074 | 1,791 |
|
Rebecca M Parker
1925 Glenn Mitchell Dr |
$60.67 | 1,780 | 1,606 |
|
Matthew V Backens
351 Edwin Dr Ste 102 |
$32.23 | 1,572 | 1,069 |
|
Malena M Taylor
1925 Glenn Mitchell Dr Ste 100 |
$54.04 | 1,327 | 1,077 |
|
Elizabeth M Barea
1925 Glenn Mitchell Dr Ste 100 |
$60.22 | 1,082 | 973 |
|
Timothy C Petersen
100 Constitution Dr |
$65.94 | 839 | 789 |
|
Warren E Austin
1925 Glenn Mitchell Dr Ste 100 |
$37.34 | 726 | 560 |
|
Chad R Manke
1975 Glenn Mitchell Dr |
$28.65 | 715 | 562 |
|
Zachary Rasor
4421 Virginia Beach Blvd Ste 114 |
$49.06 | 633 | 545 |
|
Jennifer U Miles-Thomas
225 Clearfield Ave |
$25.41 | 483 | 367 |
|
Tricia Marshall
2401 Seaboard Rd Ste 105 |
$69.17 | 444 | 342 |
|
Tayler Wheeler
225 Clearfield Ave |
$50.32 | 340 | 311 |
|
Sandie Katrina Elliott
104 N. Witchduck Rd. |
$60.80 | 275 | 238 |
|
Todd William Gensler
397 Little Neck Rd Ste 120 |
$24.73 | 182 | 152 |
|
Ellie Treece Harrison
225 Clearfield Ave |
$47.25 | 164 | 154 |
|
Rebecca S Hartneck
1925 Glenn Mitchell Dr Ste 100 |
$58.71 | 122 | 115 |
|
Sharon J Apperson
397 Little Neck Rd |
$14.42 | 43 | 41 |
|
John M Morina
1800 Camelot Dr |
$37.23 | 40 | 38 |
|
Nima Rezaie
1975 Glenn Mitchell Dr Ste 200 |
$66.54 | 28 | 27 |
|
Stephen Jurko
2025 Glenn Mitchell Dr |
$45.17 | 27 | 20 |
|
Austin M Brett
4092 Foxwood Dr |
$72.21 | 27 | 27 |
|
George Raymond Payne
1800 Camelot Drive |
$49.90 | 18 | 14 |
|
Lauren K Paluch
4092 Foxwood Dr |
$107.86 | 18 | 18 |
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 Va Beach, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Va Beach, VA is $56.27 per claim, based on 15,200 claims from 24 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 Va Beach, VA?
There are 24 Medicaid providers offering Office Visit related services in Va Beach, VA according to public payment data.
What is the price range for Office Visit in Va Beach, VA?
Medicaid reimbursement for Office Visit in Va Beach, VA ranges from $14.42 to $107.86 per claim, with an average of $56.27. 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 Va Beach, VA
Home Health Visit
Avg $126.67
49,183 claims
Emergency Room Visit
Avg $68.27
48,750 claims
EKG / ECG (Electrocardiogram)
Avg $4.50
11,677 claims
Nursing Facility Care
Avg $21.76
2,512 claims
Urinalysis & Urine Tests
Avg $1.53
2,473 claims
Behavioral & Mental Health Therapy
Avg $1,742
1,111 claims
Psychiatric Evaluation
Avg $10.43
648 claims
Non-Emergency Medical Transportation
Avg $10.69
466 claims