Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Cumming, GA: $53.66

Avg. Paid

$53.66

Range

$0.00 – $248.18

Total Claims

67,186

Providers

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 Cumming, GA

Provider	Avg. Paid	Claims	Patients
Joseph Anthony Sciarrino 4150 Deputy Bill Cantrell Memorial Rd	$72.55	9,593	9,183
Swati Mahajan 410 Peachtree Pkwy	$90.14	4,512	4,446
Georgia Mountains Community Services 125 N Corners Pkwy	$37.61	4,210	3,847
Ronald Soelimto 5965 Parkway North Blvd Ste C	$1.78	3,930	3,228
Dayna London 2450 Atlanta Hwy	$15.45	3,885	3,689
Michael Patterson 410 Peachtree Pkwy	$84.80	3,718	3,647
Carol Hall 410 Peachtree Pkwy	$71.14	3,628	3,574
Sarah Ashley Mun 3970 Deputy Bill Cantrell Mem Ste 220	$42.58	2,976	2,885
Natalie Vercillo Sciarrino 4150 Deputy Bill Cantrell Memorial Rd	$66.65	2,826	2,720
Katherine Ann Fulco 3850 Windermere Pkwy Ste 105	$43.25	2,630	1,676
Michael Douglas Scott 308 Oakwood Dr	$27.22	2,459	2,427
Wallace Edwin Wilson 410 Peachtree Pkwy Ste 300	$50.37	2,427	2,196
Deirdre Stewart 410 Peachtree Pkwy	$90.33	2,294	2,264
Kumud Sharma Rangaraj 1505 Northside Blvd Ste 4600	$25.01	2,265	1,879
Sebastiaan Michael Bens 2450 Atlanta Hwy Ste 903	$16.95	1,849	1,726
Tej Bipin Bhavsar 3970 Deputy Bill Cantrell Mem # 203	$129.06	1,637	1,607
Dennis Wiles 410 Peachtree Pkwy	$88.74	1,428	1,403
Nickolas Bernard Reimer 2000 Howard Farm Dr Ste 305	$40.80	1,398	1,306
Tonia Danyel Stevenson 1800 Northside Forsyth Dr	$0.00	1,100	730
Rishita Patel 2825 Keith Bridge Rd Ste 100	$51.18	824	789
Smita Kapoor 2860 Ronald Reagan Blvd Ste 200	$71.61	775	693
Rishana Latrice Richardson 2450 Atlanta Hwy Ste 904	$45.74	762	686
Abigail Kaley Quincy 5520 Tallantworth Trl	$71.30	732	661
Karen Joan Melde 410 Peachtree Pkwy Ste 4260	$46.02	608	564
Bhaskar Reddy 960 Sanders Rd Ste 700	$15.06	507	422
Anu Vellanki 900 Sanders Rd Ste A	$18.20	507	462
Weston Thomas Waxweiler 105 Professional Park Dr	$52.88	318	307
Ebimoboere Okoro 1800 Northside Forsyth Dr Ste 450	$30.42	303	297
Ekta Rani Rathee 1200 Northside Forsyth Dr	$20.49	301	259
Chunzhi Xia 1505 Northside Blvd Ste 3100	$24.87	287	254
George Nelson Guild 2000 Howard Farm Dr Ste 200	$22.02	271	245
Gwendolyn A Delaney 410 Peachtree Pkwy Ste 4260	$82.21	224	204
Mariann Simpson 1100 Northside Forsyth Dr	$69.99	219	203
Mobeen Rehman 1505 Northside Blvd Ste 3600	$37.30	216	174
Akansha Chowdhary 1505 Northside Blvd Ste 4600	$32.85	186	184
Jeremy S Khan 759 Peachtree Pkwy	$105.70	181	178
Leah Eve Mickelson Macklin 2860 Ronald Reagan Blvd Ste 200	$39.91	140	129
Philip Shaffer 1230 Bald Ridge Marina Rd Ste 100	$46.14	139	110
Nadine Sonja Halliburton-Foster 2575 Peachtree Pkwy Ste 100	$90.27	125	121
Ramya Jayaraman 1080 Sanders Rd	$29.40	115	107
Amita Thakkar 2000 Howard Farm Dr Ste 400	$17.70	101	42
Anita R Bhandiwad 1505 Northside Blvd Ste 3600	$42.52	99	95
Jigishu J Dhabuwala 3970 Deputy Bill Cantrell Mem	$21.36	78	68
Margot Waldman 102 Mary Alice Park Rd Ste 201	$17.39	77	74
Eric Eck 2000 Howard Farm Dr Ste 200	$37.97	54	41
Loren Golden 3970 Deputy Bill Cantrell Mem	$25.00	54	52
Marc J Veneziano 634 Peachtree Pkwy	$50.48	44	38
Natalia Vladimirovna Muravieva 2635 Sentinel Chase Way	$23.63	43	43
Kimberly Dawn Dyckman 1100 Northside Forsyth Dr	$126.83	40	36
Jennifer Lynn Newton 1505 Northside Blvd Ste 3100	$21.28	18	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 Cumming, GA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cumming, GA is $53.66 per claim, based on 67,186 claims from 55 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 Cumming, GA?

There are 55 Medicaid providers offering Office Visit related services in Cumming, GA according to public payment data.

What is the price range for Office Visit in Cumming, GA?

Medicaid reimbursement for Office Visit in Cumming, GA ranges from $0.00 to $248.18 per claim, with an average of $53.66. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Cumming, GA: $53.66

Providers Offering Office Visit in Cumming, GA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Cumming, GA

Psychiatric Evaluation

Dental Cleaning & Exam

EKG / ECG (Electrocardiogram)

Physical Therapy

Speech Therapy

Emergency Room Visit

Blood Work & Lab Tests

Dental Filling