Average Medicaid Office Visit Payments in Yorktown, VA: $55.32
Avg. Paid
$55.32
Range
$4.51 – $75.84
Total Claims
28,156
Providers
20
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 Yorktown, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Janelle Marie Wells
100 Enterprise Dr |
$60.21 | 6,293 | 5,848 |
|
Melinda Anna Barker
205 Hampton Hwy |
$35.82 | 4,411 | 3,890 |
|
Evelyn Duran Arboleda
205 Hampton Hwy |
$29.93 | 2,635 | 1,808 |
|
Leelawattie Bisnauth
209 Village Ave Ste P |
$65.74 | 2,170 | 2,047 |
|
Joel M. Jones
209 Village Ave Ste P |
$55.29 | 2,169 | 2,056 |
|
Samantha R. Hughes
209 Village Ave Ste P |
$60.59 | 2,005 | 1,888 |
|
Krista Marie Grimmett
202 Gardenville Dr |
$72.68 | 1,975 | 1,770 |
|
Sashank Pokhrel
209 Village Ave |
$75.84 | 1,641 | 1,526 |
|
Bina A Fenn
6420 B George Washington Memorial Highway |
$57.73 | 1,293 | 1,200 |
|
Warren Paul Weixler
2855 Denbigh Blvd |
$56.40 | 1,023 | 949 |
|
Kimberly A Johnson
100 Enterprise Dr |
$68.06 | 813 | 713 |
|
Darcy J Spurgeon
209 Village Ave Ste P |
$66.73 | 748 | 738 |
|
Ann Marie Defiglio-Smith
307 Cook Rd |
$54.32 | 332 | 275 |
|
Brendan Michael Mcconnell
4030 George Washington Mem Hwy Ste B |
$46.01 | 299 | 236 |
|
Rusty Rivera Duran
205 Hampton Hwy |
$75.30 | 136 | 117 |
|
Yu Guan
307 Cook Rd |
$46.70 | 81 | 52 |
|
Martha Kalasky Overmeyer
1215 George Washington Mem Hwy Ste V |
$43.36 | 64 | 53 |
|
Jesus L. Lizarzaburu
222 Grafton Dr |
$62.83 | 43 | 39 |
|
Beatrice M Klusman
205 Hampton Hwy |
$75.81 | 13 | 12 |
|
Sean Swaney
103 Middle Rd |
$4.51 | 12 | 12 |
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 Yorktown, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Yorktown, VA is $55.32 per claim, based on 28,156 claims from 20 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 Yorktown, VA?
There are 20 Medicaid providers offering Office Visit related services in Yorktown, VA according to public payment data.
What is the price range for Office Visit in Yorktown, VA?
Medicaid reimbursement for Office Visit in Yorktown, VA ranges from $4.51 to $75.84 per claim, with an average of $55.32. 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 Yorktown, VA
Non-Emergency Medical Transportation
Avg $24.35
47,925 claims
Home Health Visit
Avg $130.76
21,364 claims
Psychiatric Evaluation
Avg $69.95
14,717 claims
Ambulance Transport
Avg $51.95
12,387 claims
Speech Therapy
Avg $18.54
10,470 claims
Blood Work & Lab Tests
Avg $3.22
7,753 claims
X-Ray
Avg $4.79
5,774 claims
Physical Therapy
Avg $50.19
5,228 claims