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 |
|---|---|---|---|
|
Crossroads Treatment Center Of Winchester, Pc
500 Pegasus Court Business Center |
$11.90 | 104,758 | 16,543 |
|
Anil Suwal
607 E Jubal Early Dr |
$71.70 | 32,171 | 29,740 |
|
Meenakshi Gopal
812 Amherst St |
$22.88 | 15,070 | 4,950 |
|
Winchester Community Mental Health Center, Inc.
36 Ricketts Dr |
$63.68 | 14,866 | 12,310 |
|
Harjit S Bagri
2505 Valley Ave |
$69.70 | 13,232 | 12,190 |
|
Grafton School Inc
120 Bellview Ave |
$27.13 | 12,668 | 5,583 |
|
Valley Regional Enterprises, Inc
607 E Jubal Early Dr |
$67.95 | 11,728 | 10,638 |
|
Winchester Pediatric Clinic Pc
190 Campus Blvd |
$58.58 | 11,164 | 8,995 |
|
Jordan Le Tran
125 Prosperity Dr |
$30.61 | 10,500 | 4,507 |
|
Chad L Dansie
190 Campus Blvd |
$58.47 | 10,176 | 9,241 |
|
Paul Joseph Russell
190 Campus Blvd |
$56.16 | 10,146 | 9,196 |
|
Dorothy Baker Eisenberg
190 Campus Blvd |
$56.90 | 9,758 | 9,024 |
|
Ashley Godwin Blansett
190 Campus Blvd |
$57.59 | 9,431 | 8,496 |
|
Bryan Asher Kornreich
1002 Amherst St |
$69.24 | 8,602 | 8,092 |
|
Leda Broderick Duck
190 Campus Blvd |
$58.43 | 8,423 | 7,713 |
|
Mavis A Agyeiwaah
1440 Amherst St |
$63.02 | 8,342 | 7,348 |
|
Jason W Robertson
190 Campus Blvd |
$56.72 | 7,325 | 6,672 |
|
John Bryant Volinsky
190 Campus Blvd |
$57.61 | 6,966 | 6,333 |
|
Vicki Simmons Freilich
1002 Amherst St |
$70.81 | 6,750 | 6,363 |
|
Susan Jane Gawalt
1002 Amherst St |
$71.52 | 6,729 | 6,008 |
|
Arthur Sterling Ticknor
160 Merchant St Ste 100 |
$52.83 | 6,659 | 5,899 |
|
Alethea J. Allen
480 W Jubal Early Dr |
$70.20 | 6,508 | 5,663 |
|
Dr Terry Sinclair Health Clinic Inc
301 N Cameron St |
$53.60 | 6,398 | 5,649 |
|
Mounira Dahimene
1002 Amherst St |
$77.10 | 6,278 | 5,676 |
|
Valley Physician Enterprise, Inc
1870 Amherst St |
$66.28 | 5,985 | 5,467 |
|
Waheed S Baksh
1839 West Plaza Drive |
$10.88 | 5,538 | 4,702 |
|
Amanda C Higgs
500 Pegasus Ct |
$37.37 | 5,226 | 3,161 |
|
Vivek Kumar Gupta
1870 Amherst St Ste 3A |
$54.79 | 5,219 | 4,499 |
|
Su Fairchild
2251 Valley Ave |
$97.83 | 4,893 | 3,884 |
|
Daniel Joseph Fitzsimmons
1330 Amherst St |
$57.06 | 4,697 | 4,300 |
|
Winchester Medical Center, Inc.
1840 Amherst St |
$55.39 | 4,656 | 3,769 |
|
Rhonda L Davis
621 E Jubal Early Dr |
$32.79 | 4,456 | 2,870 |
|
Philip A Schultz
1002-C Amherst Street |
$76.18 | 4,371 | 4,116 |
|
Emily T Keenan
2281 Valley Ave |
$105.52 | 4,101 | 3,486 |
|
Mark A Landrio
905 Cedar Creek Grade |
$51.80 | 4,097 | 3,225 |
|
Shyama Rosenfeld
1440 Amherst St |
$69.67 | 4,058 | 3,653 |
|
John C Henry
125 Medical Cir |
$59.40 | 3,966 | 3,568 |
|
Lakuma R Mogili
1840 Amherst St |
$42.50 | 3,865 | 3,291 |
|
Candy Lamas Rodriguez
1330 Amherst St |
$55.09 | 3,836 | 3,358 |
|
Shenandoah Valley Medical System, Inc.
1330 Amherst St |
$21.30 | 3,778 | 3,227 |
|
Paul D Lyons
125A Medical Cir |
$60.13 | 3,626 | 3,321 |
|
Kristen Cercone
190 Campus Blvd Ste 400 |
$60.93 | 3,412 | 3,204 |
|
Hugh Labree
607 E Jubal Early Dr |
$69.60 | 3,369 | 3,182 |
|
Victor Appiah
500 W Jubal Early Drive |
$56.24 | 3,295 | 2,695 |
|
Winchester Womens Specialists
1870 Amherst St Ste 2E |
$74.22 | 3,177 | 2,048 |
|
Namita Kattal
1870 Amherst St |
$62.50 | 3,120 | 2,795 |
|
Foot & Ankle Center, Pc
912 S Pleasant Valley Rd |
$57.32 | 2,993 | 2,580 |
|
Lisa Pierce
207 Gateway Dr |
$59.86 | 2,938 | 2,557 |
|
David Brandt Essaff
190 Campus Blvd Ste 410 |
$75.49 | 2,909 | 2,653 |
|
Daniel C Schiavone
337 Westside Station Dr |
$48.58 | 2,894 | 2,375 |
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