Average Medicaid Office Visit Payments in Duluth, GA: $78.30
Avg. Paid
$78.30
Range
$2.29 – $123.41
Total Claims
115,061
Providers
66
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 Duluth, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Caroline Bai
2660 Satellite Blvd |
$94.01 | 16,343 | 16,094 |
|
Nitisha Mahajan
2660 Satellite Blvd |
$87.86 | 10,071 | 9,930 |
|
Young Won Kang
4855 River Green Pkwy Ste 140 |
$26.94 | 9,243 | 7,897 |
|
Olabisi Pearse
2660 Satellite Blvd |
$93.95 | 8,875 | 8,744 |
|
Robert Montero
2270 Duluth Hwy Ste 100 |
$86.05 | 7,729 | 7,384 |
|
Farida Kwaji
2660 Satellite Blvd |
$93.71 | 7,720 | 7,575 |
|
Arletis Fernandez
3855 Pleasant Hill Rd Ste 480 |
$121.08 | 5,672 | 5,547 |
|
Martha Bailey
2660 Satellite Blvd |
$94.33 | 4,593 | 4,533 |
|
Morgan Kelly Setteducato
2660 Satellite Blvd |
$82.08 | 4,316 | 4,204 |
|
Nikki Orciuch Traylor
3850 Pleasant Hill Rd |
$52.05 | 4,068 | 3,818 |
|
Elizabeth Demander
2660 Satellite Blvd |
$89.96 | 3,697 | 3,647 |
|
Janet Jung
2518 Duluth Hwy |
$75.00 | 3,650 | 3,358 |
|
Yejin Kim
3435 Duluth Park Ln |
$94.84 | 3,473 | 3,423 |
|
Sinan Haddad
1630 Pleasant Hill Rd Ste 340 |
$47.87 | 3,433 | 3,251 |
|
Dana E Gillespie Webb
3650 Steve Reynolds Blvd |
$70.46 | 2,409 | 2,289 |
|
Leah Springer Umbehant
3850 Pleasant Hill Rd |
$71.94 | 1,686 | 1,599 |
|
Elisabeth Olsen Peterson
2660 Satellite Blvd |
$84.42 | 1,577 | 1,535 |
|
Karly Marie Kincaid Moss
3850 Pleasant Hill Rd |
$37.95 | 1,468 | 1,404 |
|
Kiran Patel
2660 Satellite Blvd |
$89.59 | 1,392 | 1,361 |
|
Wossen Adinew Asfaw
3575 Koger Blvd Ste 116 |
$35.44 | 1,276 | 1,126 |
|
Charles Jacob Douchy
3850 Pleasant Hill Rd |
$44.60 | 1,244 | 1,067 |
|
Sara Barr
3850 Pleasant Hill Rd |
$48.49 | 1,198 | 1,108 |
|
James H Lin
3500 Duluth Park Ln |
$55.68 | 940 | 875 |
|
Holly Musgrove Guttshall
3850 Pleasant Hill Rd |
$60.71 | 904 | 882 |
|
Teresa Marie Petros
2660 Satellite Blvd |
$87.16 | 902 | 895 |
|
Yoon Jae Lee
3400 Mcclure Bridge Rd |
$22.02 | 869 | 692 |
|
Ty A. Bullington
3650 Steve Reynolds Blvd |
$56.39 | 709 | 663 |
|
Sudeshna Nandi
10160 Medlock Bridge Rd |
$75.84 | 644 | 558 |
|
Seema Faiyaz
3650 Steve Reynolds Blvd |
$45.44 | 554 | 453 |
|
Galal Y. Gargodhi
3840 Peachtree Industrial Blvd Ste 225 |
$107.11 | 426 | 411 |
|
Jacqueline Mache Walters
3630 Savannah Pl Ste 100 |
$64.70 | 365 | 349 |
|
Cynthia Oquendo
3075 Breckinridge Blvd |
$20.38 | 364 | 304 |
|
Rachel Aba Orleans
3850 Pleasant Hill Rd |
$82.25 | 315 | 296 |
|
Ali Muhammad Memon
2660 Satellite Blvd |
$81.69 | 279 | 277 |
|
Priya Arcot-Joshi
3460 Summit Ridge Pkwy Ste 304 |
$46.52 | 270 | 263 |
|
Abhik Damian Dhar
3850 Pleasant Hill Rd |
$51.57 | 252 | 241 |
|
Anna Leigh Vonck
6300 Hospital Pkwy Ste 100 |
$74.54 | 252 | 251 |
|
Mark Majoch
3855 Pleasant Hill Rd |
$24.35 | 239 | 153 |
|
Pamela D Freeman
Wellness Solution 360 |
$46.31 | 173 | 169 |
|
Tina Betty Ezeolisah
3355 Mcdaniel Rd |
$66.36 | 165 | 134 |
|
Orlin Marquez
3840 Peachtree Industrial Blvd Ste 250 |
$31.27 | 158 | 148 |
|
Cecilia Park
3636 Satellite Blvd |
$2.29 | 127 | 124 |
|
Alicia Michele Cole
2131 Pleasant Hill Rd |
$94.33 | 99 | 95 |
|
Anjana M Patel
3850 Pleasant Hill Rd |
$58.76 | 96 | 92 |
|
Kim Elaine Schmitt
3855 Pleasant Hill Rd Ste 420 |
$69.11 | 89 | 85 |
|
Suresh Enjeti
6325 Hospital Pkwy |
$12.75 | 84 | 77 |
|
Simone Whitmore
3460 Summit Ridge Pkwy |
$40.61 | 82 | 56 |
|
Oluseun Afolabi Olufade
3855 Pleasant Hill Rd |
$34.32 | 80 | 75 |
|
Michael John Pickford
3855 Pleasant Hill Rd |
$30.24 | 75 | 66 |
|
Mary-Sydney Karsh
3650 Steve Reynolds Blvd |
$67.51 | 60 | 60 |
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 Duluth, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Duluth, GA is $78.30 per claim, based on 115,061 claims from 66 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 Duluth, GA?
There are 66 Medicaid providers offering Office Visit related services in Duluth, GA according to public payment data.
What is the price range for Office Visit in Duluth, GA?
Medicaid reimbursement for Office Visit in Duluth, GA ranges from $2.29 to $123.41 per claim, with an average of $78.30. 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 Duluth, GA
Dental Cleaning & Exam
Avg $23.00
33,185 claims
Behavioral & Mental Health Therapy
Avg $170.92
33,096 claims
Psychiatric Evaluation
Avg $87.96
14,637 claims
Emergency Room Visit
Avg $79.85
11,304 claims
Eye Exam
Avg $16.49
9,539 claims
Vaccines & Immunizations
Avg $22.89
7,413 claims
Blood Work & Lab Tests
Avg $4.43
5,365 claims
Physical Therapy
Avg $31.89
5,251 claims