Average Medicaid Office Visit Payments in Warrenton, VA: $58.97
Avg. Paid
$58.97
Range
$8.66 – $109.85
Total Claims
101,008
Providers
77
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 Warrenton, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Samuel Amster
28 Blackwell Park Ln |
$64.40 | 7,501 | 6,708 |
|
Diana Chalmeta
493 Blackwell Rd |
$64.72 | 6,581 | 6,240 |
|
Maria E Juanpere
493 Blackwell Rd |
$70.12 | 6,353 | 5,441 |
|
Katherine Bovee
20 Rock Pointe Ln |
$62.80 | 6,314 | 5,896 |
|
Rappahannock-Rapidan Community Services Board
340 Hospital Dr |
$36.11 | 6,267 | 4,427 |
|
Dennis M Rustom
20 Rock Pointe Ln |
$71.65 | 5,918 | 5,671 |
|
Michael T Lin
400A Hospital Dr |
$58.36 | 5,818 | 4,787 |
|
Ahmad Babar
225 Oak Springs Dr Ste 101 |
$60.44 | 5,618 | 4,856 |
|
Toni Kilyk
210 W Shirley Ave |
$68.12 | 5,401 | 5,072 |
|
Ashutosh B Diwan
493 Blackwell Rd |
$58.18 | 4,927 | 4,083 |
|
Norman Lee Mauroner
555 Hospital Dr |
$52.37 | 4,266 | 3,216 |
|
Lawrence J Finkel
360 Church St |
$53.55 | 3,807 | 3,466 |
|
Candace B Simpson
Child Health Associates, Ltd. |
$71.16 | 2,711 | 2,567 |
|
Robert T. Lin
555 Hospital Dr |
$43.41 | 2,338 | 1,936 |
|
Jorge Minera
493 Blackwell Rd |
$53.48 | 2,062 | 1,688 |
|
Christopher M Ward
493 Blackwell Rd |
$55.45 | 1,729 | 1,511 |
|
Mandy Colegrove
253 Veterans Dr |
$102.71 | 1,675 | 1,524 |
|
Deepthi Gadde
493 Blackwell Rd Ste 305 |
$65.07 | 1,567 | 1,287 |
|
Marena Patronas
45 N Hill Dr Ste 202 |
$52.80 | 1,372 | 1,230 |
|
Ashley Cadwallader Jeniec
28 Blackwell Park Ln Ste 103 |
$64.30 | 1,232 | 1,078 |
|
Gregory S Golub
493 Blackwell Rd |
$44.82 | 1,174 | 998 |
|
Erica Bindrim
82 Main St |
$57.56 | 1,164 | 946 |
|
Rahul Dewan
550 Hospital Dr |
$62.15 | 1,156 | 1,087 |
|
David C Evans
493 Blackwell Rd |
$54.56 | 1,052 | 911 |
|
Zeina Al Saadi
33 N Calhoun St |
$43.59 | 1,015 | 912 |
|
Daniel Seth Heller
52 West Shirley Avenue |
$60.66 | 855 | 744 |
|
Sam Edward Mansour
45 N Hill Dr Ste 202 |
$30.51 | 848 | 642 |
|
Bridget Joseph
493 Blackwell Rd |
$56.06 | 848 | 753 |
|
Demetrius S. Maoury
419 Holiday Court |
$36.92 | 683 | 514 |
|
Joseph P. David
419 Holiday Court |
$64.10 | 678 | 615 |
|
Beverlyn Silberbauer
493 Blackwell Rd Ste 202 |
$55.90 | 647 | 543 |
|
David A Phillips
550 Hospital Drive |
$45.70 | 633 | 588 |
|
Christopher Yongsu Chang
550 Hospital Drive |
$49.71 | 629 | 560 |
|
Stephen A Reiter
340 Hospital Dr |
$12.75 | 530 | 343 |
|
Steven W Von Elten
493 Blackwell Rd |
$54.58 | 512 | 431 |
|
Thomas E Myers
428 Hospital Dr |
$50.93 | 507 | 415 |
|
Louis Magdon
52 W Shirley Ave |
$60.37 | 482 | 451 |
|
Piedmont Pediatrics, Plc
20 Rock Pointe Ln |
$74.23 | 455 | 403 |
|
Jae Y. Lee
419 Holiday Court |
$56.90 | 356 | 305 |
|
Paul Reha Butros
550 Broadview Ave Ste 102 |
$18.45 | 291 | 260 |
|
Jyothi Gadde
493 Blackwell Rd |
$63.87 | 280 | 230 |
|
Alexandre F Gauthier
45 N Hill Dr Ste 202 |
$26.64 | 237 | 188 |
|
Salman S Mufti
550 Broadview Ave Ste 102 |
$25.07 | 212 | 184 |
|
Nandini Chhitwal
500 Hospital Dr |
$32.92 | 206 | 163 |
|
Victoria Saje Mcdonald
253 Veterans Dr Ste 210 |
$34.44 | 186 | 169 |
|
Steven Jay Goldstein
400D Hospital Dr |
$35.05 | 184 | 141 |
|
Mitra Hafezi
436 Hospital Dr |
$32.37 | 166 | 131 |
|
Commonwealth Of Virginia State Board Of Health
330 Hospital Dr |
$14.32 | 160 | 148 |
|
Warrenton Pediatrics, Llc
559 Frost Ave |
$64.10 | 150 | 132 |
|
Amy L Trace
493 Blackwell Rd |
$26.17 | 133 | 123 |
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 Warrenton, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Warrenton, VA is $58.97 per claim, based on 101,008 claims from 77 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 Warrenton, VA?
There are 77 Medicaid providers offering Office Visit related services in Warrenton, VA according to public payment data.
What is the price range for Office Visit in Warrenton, VA?
Medicaid reimbursement for Office Visit in Warrenton, VA ranges from $8.66 to $109.85 per claim, with an average of $58.97. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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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
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Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Warrenton, VA
Blood Work & Lab Tests
Avg $3.24
83,269 claims
Emergency Room Visit
Avg $120.41
66,217 claims
Physical Therapy
Avg $189.64
51,721 claims
Psychiatric Evaluation
Avg $64.77
42,974 claims
Case Management Services
Avg $304.48
32,239 claims
Speech Therapy
Avg $28.52
29,629 claims
Dental Cleaning & Exam
Avg $23.78
26,522 claims
Substance Abuse Treatment
Avg $370.64
24,431 claims