Average Medicaid Office Visit Payments in Dacula, GA: $65.56
Avg. Paid
$65.56
Range
$4.58 – $120.59
Total Claims
22,761
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 Dacula, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Audrey Jara
2240 Hamilton Creek Pkwy |
$76.67 | 8,927 | 8,770 |
|
Casey Sommerfeld
2240 Hamilton Creek Pkwy |
$87.32 | 4,425 | 4,325 |
|
Sumathi Puttu
852 Dacula Rd |
$51.12 | 1,883 | 1,729 |
|
Kiran Singh
3619 Braselton Hwy Ste 103 |
$4.75 | 1,482 | 1,412 |
|
David A. Cuna
1362 Skipping Stone Ct |
$105.34 | 1,451 | 1,134 |
|
Cristina Tippins
2089 Teron Trce Ste 120 |
$9.88 | 1,364 | 326 |
|
Shashvat Sukhal
2075 Hamilton Creek Pkwy Ste 200 |
$46.96 | 703 | 679 |
|
Henry S Moon
2098 Teron Trce |
$48.67 | 477 | 335 |
|
Carla M Price
3575 Braselton Hwy |
$4.58 | 356 | 340 |
|
John Michael Buchanan
3575 Braselton Hwy |
$71.12 | 324 | 289 |
|
Shannon Marie Jones
2069 Teron Trce Ste 300 |
$120.59 | 234 | 226 |
|
Caron Bowen Kelly
3027 Jim Moore Rd |
$5.60 | 215 | 174 |
|
Rolandine Vaughan
1862 Auburn Rd Ste 118-X1 |
$58.15 | 208 | 208 |
|
Amelia Hassan
1234 Bentley Estates Dr |
$47.10 | 202 | 188 |
|
Enoch Marrell Lowe
3613 Braselton Hwy |
$47.46 | 199 | 181 |
|
Jamie Ann Wells
2240 Hamilton Creek Pkwy Ste 600 |
$41.28 | 154 | 116 |
|
Michael F Leonard
505 Dacula Rd |
$20.82 | 95 | 93 |
|
Nicole Killian
3619 Braselton Hwy Ste 103 |
$37.87 | 30 | 30 |
|
Sarah Lentz
3625 Braselton Hwy Ste 202 |
$4.69 | 16 | 15 |
|
Chioma Chinonyerem Ekwueme
720 Dacula Rd |
$53.22 | 16 | 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 Dacula, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Dacula, GA is $65.56 per claim, based on 22,761 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 Dacula, GA?
There are 20 Medicaid providers offering Office Visit related services in Dacula, GA according to public payment data.
What is the price range for Office Visit in Dacula, GA?
Medicaid reimbursement for Office Visit in Dacula, GA ranges from $4.58 to $120.59 per claim, with an average of $65.56. 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 Dacula, GA
Speech Therapy
Avg $57.96
35,160 claims
Psychiatric Evaluation
Avg $120.14
29,308 claims
Home Health Visit
Avg $110.02
22,578 claims
Physical Therapy
Avg $79.98
11,291 claims
Dental Cleaning & Exam
Avg $26.06
10,741 claims
Behavioral & Mental Health Therapy
Avg $220.24
3,414 claims
Dental Filling
Avg $69.50
2,316 claims
Blood Work & Lab Tests
Avg $1.41
1,905 claims