Average Medicaid Office Visit Payments in Fairfax, VA: $56.44
Avg. Paid
$56.44
Range
$0.00 – $196.01
Total Claims
654,102
Providers
624
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 Fairfax, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ahmad Z Ziaie
8301 Arlington Blvd |
$61.73 | 36,571 | 32,168 |
|
Jung Gook Lim
11166 Fairfax Blvd |
$2.80 | 20,244 | 12,419 |
|
Fairfax County, Virginia
12011 Government Center Parkway |
$31.09 | 20,115 | 16,215 |
|
Michael Donhyun Kim
10801 Main St |
$22.91 | 17,282 | 13,970 |
|
Kavian S. Milani
9401 Lee Hwy |
$59.31 | 15,116 | 12,146 |
|
Shabnam Sachdeva
3930 Pender Dr |
$55.83 | 14,718 | 12,788 |
|
Christina Jung
12011 Lee Jackson Memorial Hwy Ste 220 |
$65.99 | 14,115 | 12,055 |
|
Zhengyi Cheng
8301 Arlington Blvd |
$19.47 | 13,492 | 9,482 |
|
Reem Tadros
3700 Joseph Siewick Dr |
$77.03 | 13,052 | 12,397 |
|
Dinraj Hegde
10530 Rosehaven St |
$64.85 | 12,394 | 10,920 |
|
Kathrin Stephanie Yoshiko Wilkowski
3650 Joseph Siewick Dr Ste 400 |
$0.55 | 10,995 | 7,163 |
|
Majid H Ghauri
4001 Fair Ridge Dr Ste 202 |
$64.91 | 10,620 | 9,768 |
|
Gopesh Kumar Sharma
8303 Arlington Blvd Ste 203 |
$58.62 | 10,258 | 8,463 |
|
Kiho Min
8408 Arlington Blvd |
$32.43 | 10,235 | 8,252 |
|
Monica Nabil Saleh Valentin
11351 Random Hills Rd |
$75.88 | 7,592 | 7,194 |
|
Mubarik Khan
3930 Pender Dr |
$41.15 | 7,412 | 5,430 |
|
Sadhna Nicky Singh
10640 Main St |
$69.14 | 7,265 | 4,623 |
|
Su Min Ko
11166 Fairfax Blvd |
$3.46 | 7,131 | 3,675 |
|
Hazel E Bowen-Wright
3022 Javier Rd |
$28.76 | 7,038 | 2,792 |
|
Aarti Kapoor
10527 Braddock Rd |
$68.53 | 6,924 | 6,232 |
|
Mariana Sylvia Joanne Middelhof
3023 Hamaker Ct Ste 600 |
$94.88 | 6,769 | 5,831 |
|
Paul Gardner Scanlan
10100 Fairfax Blvd |
$80.62 | 5,839 | 5,665 |
|
James Ernest Clayton
3023 Hamaker Ct Ste 300 |
$72.95 | 5,572 | 5,187 |
|
Sadia Masood
2812 Old Lee Hwy Ste 210B |
$40.79 | 5,545 | 4,130 |
|
Benson W. Yu
3601 Chain Bridge Rd |
$12.19 | 5,477 | 3,726 |
|
Jami Alison Remien
10223 Aspen Willow Dr |
$85.39 | 5,424 | 5,181 |
|
Director Of Finance-County Of Fairfax Va
10777 Main St |
$11.86 | 5,363 | 5,021 |
|
Mi Hei Hei Chung Cho
8301 Arlington Blvd #401 |
$56.92 | 5,199 | 4,366 |
|
Eric Alan Steckler
3601 Pickett Rd Unit 2314 |
$135.02 | 5,010 | 4,423 |
|
Raafat Ali Shabti
9420 Fairfax Blvd Ste 4 |
$51.36 | 5,005 | 3,608 |
|
Elizabeth Palumbo
10527 Braddock Rd |
$71.81 | 4,876 | 4,466 |
|
Naveen Doki
3022 Williams Drive |
$55.17 | 4,413 | 2,936 |
|
Ranjit K Cheriyan
3930 Walnut Street |
$8.27 | 4,267 | 2,661 |
|
Amy Barmes Spoon
8081 Innovation Park Dr |
$33.09 | 4,138 | 3,900 |
|
Laura E.A Gill Sealy
3023 Hamaker Ct Ste 500 |
$77.67 | 3,935 | 3,489 |
|
Sumerta Manchandani
8300 Arlington Blvd Ste G1 |
$34.38 | 3,865 | 3,120 |
|
Michael R Kronen
8505 Arlington Blvd |
$69.83 | 3,628 | 3,147 |
|
Patient First Richmond Medical Group Pllc
10100 Fairfax Blvd |
$72.55 | 3,529 | 3,411 |
|
Ann Rochell Ermitanio
8081 Innovation Park Dr |
$3.06 | 3,502 | 3,211 |
|
Kenneth Jae Yoon Kim
3930 Pender Dr |
$68.19 | 3,441 | 3,143 |
|
Siddharth Bajpai
8500 Executive Park Ave |
$64.62 | 3,339 | 2,709 |
|
Duc Minh Ngo
4004 Burke Station Rd |
$26.78 | 3,337 | 2,717 |
|
Homayoun A Hashemi
8081 Innovation Park Dr Ste 800 |
$34.75 | 3,243 | 2,952 |
|
Philip Smith
8221 Willow Oaks Corporate Dr |
$58.70 | 3,120 | 2,703 |
|
Amberly Michelle Dunn
10390 Democracy Lane |
$55.58 | 2,973 | 1,743 |
|
Minh Khai Tran
10100 Fairfax Blvd |
$74.65 | 2,916 | 2,826 |
|
Renuka Sothinathan
3930 Walnut Street |
$30.75 | 2,863 | 2,128 |
|
Gloria Ayeyidwom Addo Ayensu
10777 Main St |
$11.07 | 2,732 | 2,541 |
|
Rahul H. Dave
8081 Innovation Park Dr Ste 900 |
$83.34 | 2,655 | 2,470 |
|
Raiqa Munis
10803 Main St Ste 800 |
$41.30 | 2,631 | 2,023 |
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 Fairfax, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fairfax, VA is $56.44 per claim, based on 654,102 claims from 624 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 Fairfax, VA?
There are 624 Medicaid providers offering Office Visit related services in Fairfax, VA according to public payment data.
What is the price range for Office Visit in Fairfax, VA?
Medicaid reimbursement for Office Visit in Fairfax, VA ranges from $0.00 to $196.01 per claim, with an average of $56.44. 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 Fairfax, VA
Home Health Visit
Avg $158.57
2,177,978 claims
Blood Work & Lab Tests
Avg $4.75
556,630 claims
X-Ray
Avg $7.28
195,538 claims
Substance Abuse Treatment
Avg $261.43
181,624 claims
Ambulance Transport
Avg $43.79
173,421 claims
Dental Cleaning & Exam
Avg $25.61
167,885 claims
Case Management Services
Avg $272.37
167,643 claims
Non-Emergency Medical Transportation
Avg $34.88
114,339 claims