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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Dumfries, VA: $62.26

Avg. Paid

$62.26

Range

$15.55 – $117.91

Total Claims

74,268

Providers

29

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 Dumfries, VA

Provider Avg. Paid Claims Patients
Shailesh K Gohel

3733 Fettler Park Dr

 $63.18 18,988 16,179
Indira Sinha

17618 Main St

 $65.93 16,452 14,913
Francesse M Bataille

3771 Fettler Park Dr

 $48.63 9,143 5,284
Ravinder P Singh

17193 Wayside Dr

 $70.82 5,524 4,897
Aliona Bortun

3700 Fettler Park Drive

 $70.07 3,262 2,812
Benedict Sales

3600 Pointe Center Ct Ste 110

 $54.74 2,654 2,251
Mark J Tedesco

3990 Fettler Park Dr

 $64.13 2,440 2,242
Manisha Kunwar

3600 Pointe Center Ct Ste 110

 $68.85 2,335 2,079
Maria Elena Claros

17739 Main St Ste 130

 $58.09 2,242 2,003
Greater Prince William Area Community Health Center Inc

17739 Main St

 $117.91 1,849 1,479
Naeem Khan

17017 Dumfries Rd

 $55.48 1,835 1,577
Alf Karl Adler

16830 Dumfries Rd

 $62.23 1,495 1,323
Judith Olkaba

3700 Fettler Park Dr

 $37.68 1,223 1,037
Alexandra Murphy

3990 Fettler Park Dr

 $51.45 998 948
Judy Lorraine Reynolds

700 Fettler Park

 $49.22 939 806
Aminah L Jones

3779 Fettler Park Dr

 $51.35 536 437
Selwyn A Adams

3700 Fettler Park

 $15.55 480 339
Brooke M. Schmerfeld

3990 Fettler Park Dr

 $57.21 367 347
Jeffrey A Gall

Mainspring Recovery

 $34.35 312 252
Children First, Inc

17618 Main St

 $70.26 247 225
Hermon Mesfin

3990 Fettler Park Dr

 $24.28 245 209
Angela Ann Fasanella

17739 Main St Ste 110

 $18.37 131 112
Latoya R Greene

18124 Moss Garden Rd

 $54.52 119 99
Boulevard Center Pediatrics

3733 Fettler Park Dr.

 $59.90 119 104
Jinhee Park Kim

7300 Fettler Park Drive

 $33.17 116 113
Kedest Gebreselassie

16712 Jefferson Davis Hwy

 $78.17 65 62
Mariah Eze

4222 Fortuna Center Plz Ste 607

 $57.11 63 49
Sonica Mahat

16830 Dumfries Rd

 $111.34 59 52
Kelvin D Kemp

3700 Fettler Park Dr

 $27.08 30 27

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 Dumfries, VA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Dumfries, VA is $62.26 per claim, based on 74,268 claims from 29 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 Dumfries, VA?

There are 29 Medicaid providers offering Office Visit related services in Dumfries, VA according to public payment data.

What is the price range for Office Visit in Dumfries, VA?

Medicaid reimbursement for Office Visit in Dumfries, VA ranges from $15.55 to $117.91 per claim, with an average of $62.26. 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 Dumfries, VA

Home Health Visit

Avg $178.67

325,432 claims

Dental Cleaning & Exam

Avg $22.16

71,186 claims

Physical Therapy

Avg $260.29

63,285 claims

Vaccines & Immunizations

Avg $11.70

32,195 claims

Non-Emergency Medical Transportation

Avg $57.59

30,890 claims

Dental Filling

Avg $64.42

24,848 claims

Substance Abuse Treatment

Avg $454.61

23,205 claims

Hearing Test (Audiometry)

Avg $9.38

11,845 claims