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 |
|---|---|---|---|
|
Aman Nasir
1828 W Plaza Dr |
$112.04 | 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 |
|
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 |
|
Michael J Poss
1818 Amherst St |
$76.70 | 12 | 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 |
|
Marissa Denise Sager
1880 Amherst St Ste And200 |
$54.34 | 13 | 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 |
|
Angela Amann
104 Selma Dr |
$28.11 | 14 | 12 |
|
Lisa Ann Miller
301 N Cameron St Ste 201 |
$64.28 | 14 | 13 |
|
Laurie H Hudson
400 Campus Blvd Ste 100 |
$80.63 | 14 | 13 |
|
Marie Ann Gilham
1870 Amherst St Ste 3D |
$60.84 | 14 | 13 |
|
Daniel Christian Hobbs
1880 Amherst Street |
$96.27 | 14 | 14 |
|
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 |
|
Charissa Consuelo Carfrey
1830 Amherst St |
$14.91 | 15 | 13 |
|
Katherine Hawkins Gustin
125 Medical Cir |
$34.43 | 15 | 12 |
|
Shalini Rohini Reddy
400 Campus Blvd Ste 210 |
$31.82 | 15 | 12 |
|
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 |
|
William A Houck
400 Campus Blvd Ste 100 |
$49.55 | 16 | 13 |
|
Emad M Botros
104 Selma Dr |
$23.51 | 16 | 14 |
|
Winchester Neurological Consultants Inc
125-A Medical Circle |
$74.62 | 16 | 16 |
|
Grace L. Shih
190 Campus Blvd |
$61.21 | 16 | 15 |
|
Apple Blossom Family Practice Pllc
2913 Valley Ave |
$45.51 | 17 | 16 |
|
Janet Keim Luppino
104 Selma Dr |
$25.15 | 17 | 14 |
|
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 |
|
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 |
|
Libby Zan Ruby
10 Baker St |
$41.64 | 26 | 14 |
|
Thomas Watkins Wise
128 Medical Cir |
$53.02 | 26 | 25 |
|
Jeffrey A Skiles
1880 Amherst Street |
$46.66 | 26 | 26 |
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.
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 Winchester, VA
Blood Work & Lab Tests
Avg $7.04
747,108 claims
Substance Abuse Treatment
Avg $15.29
704,284 claims
Home Health Visit
Avg $95.73
307,004 claims
X-Ray
Avg $8.04
266,540 claims
Emergency Room Visit
Avg $131.99
231,446 claims
Physical Therapy
Avg $76.55
220,531 claims
Non-Emergency Medical Transportation
Avg $68.54
193,619 claims
Psychiatric Evaluation
Avg $67.60
185,967 claims