Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Winchester, VA: $50.11

Avg. Paid

$50.11

Range

$0.00 – $181.77

Total Claims

648,385

Providers

427

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 Winchester, VA

Provider	Avg. Paid	Claims	Patients
Michael J Poss 1818 Amherst St	$76.70	12	12
Suzanne M Gongloff 104 Selma Dr	$10.02	12	12
Bailey Dove 104 Selma Dr	$33.73	12	12
Percival Ofrecio Buenaventura 1880 Amherst St Ste 310	$30.94	12	12
Kristina O Roach 1870 Amherst St Ste 2B	$78.91	12	12
Stuart Preston Childress 190 Campus Blvd Ste 201	$55.57	12	12
Aman Nasir 1828 W Plaza Dr	$112.04	12	12
Victoria Jane Whitlow Lyness 190 Campus Blvd Ste 310	$66.29	13	13
Jeremy Christopher Kelley 1712 Amherst St	$62.06	13	12
Ramsha Shafiq 519 W Jubal Early Dr Ste 200	$80.84	13	13
Randolph H Renzi 1880 Amherst Street	$51.85	13	12
Sarah Byrd 3046 Valley Avenue, Suite100	$49.29	13	13
Marissa Denise Sager 1880 Amherst St Ste And200	$54.34	13	12
Thomas Wright Oliver 1712 Amherst St	$45.80	13	13
Eric Langdon Mcbride 1840 Amherst St	$19.94	13	12
Caitlin L Barnes 152 Linden Dr	$44.37	13	12
Daniel Christian Hobbs 1880 Amherst Street	$96.27	14	14
Marie Ann Gilham 1870 Amherst St Ste 3D	$60.84	14	13
Laurie H Hudson 400 Campus Blvd Ste 100	$80.63	14	13
Angela Amann 104 Selma Dr	$28.11	14	12
Lisa Ann Miller 301 N Cameron St Ste 201	$64.28	14	13
Shalini Rohini Reddy 400 Campus Blvd Ste 210	$31.82	15	12
Charissa Consuelo Carfrey 1830 Amherst St	$14.91	15	13
Katherine Hawkins Gustin 125 Medical Cir	$34.43	15	12
Kristen L Renzi 1880 Amherst Street	$38.50	15	14
Nicholas D Snow 190 Campus Blvd	$58.43	15	13
Ward P Vaughan 1330 Amherst St Ste A	$47.54	15	12
Winchester Neurological Consultants Inc 125-A Medical Circle	$74.62	16	16
Grace L. Shih 190 Campus Blvd	$61.21	16	15
Emad M Botros 104 Selma Dr	$23.51	16	14
William A Houck 400 Campus Blvd Ste 100	$49.55	16	13
Megan C Collins 1880 Amherst St Ste 300	$35.65	16	13
Philip J O'Donnell 104 Selma Dr	$25.95	16	14
Neal S Gaither 1880 Amherst Street	$40.32	16	13
Megan Bing 1712 Amherst St	$23.98	16	12
Richard L Nemec 190 Campus Blvd	$107.42	17	17
Lauren Elizabeth Martin 1880 Amherst Street	$49.13	17	16
Idean Amirjazil 1880 Amherst Street	$46.03	17	15
Michael E Mathieu 1514 Amherst St	$27.05	17	13
Donna M Parsons 104 Selma Dr	$18.90	17	12
Janet Keim Luppino 104 Selma Dr	$25.15	17	14
Apple Blossom Family Practice Pllc 2913 Valley Ave	$45.51	17	16
William B Major 400 Campus Blvd Ste 100	$20.50	18	12
Brandon L Miller 1880 Amherst Street	$33.21	19	12
Valley Physician Enterprise, Inc. 1818 Amherst St Ste 101	$93.27	20	18
William A Bruening 152 Linden Dr	$54.17	24	24
Llewellyn I Kitchin 190 Campus Blvd	$73.50	25	24
Thomas Watkins Wise 128 Medical Cir	$53.02	26	25
Jeffrey A Skiles 1880 Amherst Street	$46.66	26	26
Libby Zan Ruby 10 Baker St	$41.64	26	14

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 Winchester, VA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Winchester, VA is $50.11 per claim, based on 648,385 claims from 427 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 Winchester, VA?

There are 427 Medicaid providers offering Office Visit related services in Winchester, VA according to public payment data.

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

Medicaid reimbursement for Office Visit in Winchester, VA ranges from $0.00 to $181.77 per claim, with an average of $50.11. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Winchester, VA: $50.11

Providers Offering Office Visit in Winchester, VA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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