Average Medicaid Office Visit Payments in Falls Church, VA: $61.53
Avg. Paid
$61.53
Range
$0.00 – $255.71
Total Claims
524,218
Providers
382
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 Falls Church, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hamza Alim Shaikh
3300 Gallows Rd |
$96.53 | 12 | 12 |
|
Kendal M Endicott
2921 Telestar Ct |
$69.20 | 12 | 12 |
|
Susan E Kohn
6565 Arlington Blvd. |
$52.72 | 12 | 12 |
|
Han Ton-That, M.D., P.C.
6305 Castle Pl |
$13.34 | 12 | 12 |
|
Miriam Niktash
3300 Gallows Rd |
$56.60 | 12 | 12 |
|
Jesse K Liu
201 N Washington St |
$53.62 | 12 | 12 |
|
Alexander Jow
201 N Washington St |
$255.71 | 12 | 12 |
|
Noah Isadore Wallace
502 W Broad St Ste 2 |
$68.02 | 12 | 12 |
|
William M. Epps
201 N Washington St |
$40.70 | 12 | 12 |
|
Meghan Edwards
3300 Gallows Rd |
$56.53 | 12 | 12 |
|
Hansel Lee
201 N Washington St |
$79.45 | 12 | 12 |
|
Neil Thomas Phippen
6400 Arlington Blvd Ste 210 |
$72.70 | 12 | 12 |
|
Reverly John
3300 Gallows Rd |
$41.60 | 13 | 12 |
|
Natalie Susan Hauser
3300 Gallows Rd |
$168.99 | 13 | 13 |
|
Timothy Steven Welch
2901 Telestar Ct Ste 200 |
$73.24 | 13 | 12 |
|
Drew Joseph Martin
3300 Gallows Rd |
$25.77 | 13 | 12 |
|
Minoo Mcfarland
6305 Castle Pl |
$56.39 | 13 | 13 |
|
Elizabeth E Davies
3300 Gallows Rd |
$39.86 | 13 | 12 |
|
Jonathan Joseph Fausey
3300 Gallows Rd |
$18.58 | 13 | 13 |
|
V Sharma Md Pc
2841 Hartland Rd |
$53.72 | 14 | 12 |
|
Holly Elizabeth Spanier
3300 Gallows Rd |
$70.26 | 14 | 13 |
|
Jean Sue He
3300 Gallows Rd |
$61.72 | 14 | 14 |
|
Palak Shah
3300 Gallows Rd |
$86.52 | 15 | 12 |
|
Jessica Gem Edwards
3300 Gallows Rd |
$67.99 | 15 | 15 |
|
Kimberly Oh
3300 Gallows Rd |
$62.35 | 15 | 15 |
|
Sheila Khianey
3300 Gallows Rd |
$17.48 | 15 | 13 |
|
Catherine Denkler
3300 Gallows Rd |
$80.14 | 15 | 14 |
|
Sadiya Naseem
3300 Gallows Rd |
$96.54 | 16 | 16 |
|
Van Ngoc Pho
6003 Leeburg Pike |
$82.08 | 16 | 13 |
|
Cecilia I Martinez
5860 Columbia Pike Ste 105 |
$52.53 | 16 | 14 |
|
Sun-Jae Kim
3300 Gallows Rd |
$0.00 | 16 | 15 |
|
Apoorv Chebolu
6565 Arlington Blvd Ste 400 |
$60.43 | 16 | 15 |
|
Ifrah Ali Nur
5601 Seminary Rd Apt 1214N |
$41.55 | 16 | 14 |
|
An Quoc Lu
2946 Sleepy Hollow Rd Ste 3A |
$31.00 | 16 | 15 |
|
Amy Stoffregen Weissbarth
6400 Arlington Blvd. |
$58.51 | 18 | 16 |
|
Xcel Urgent Care Llc
3517 S Jefferson St |
$81.92 | 18 | 13 |
|
Andres R Mendez Munoz
500 W Annandale Rd |
$15.67 | 18 | 12 |
|
Accessible Physician Home Care, Llc
5860 Columbia Pike |
$65.79 | 20 | 15 |
|
Richard Francis Neville
3300 Gallows Rd |
$33.87 | 20 | 12 |
|
Allan Ali Azarion
3300 Gallows Rd |
$142.42 | 21 | 21 |
|
Firoozeh Hosseini Shahidi
313 Park Ave |
$2.89 | 24 | 12 |
|
Tammy D. Nguyen
134 W Broad St |
$20.20 | 24 | 24 |
|
Leslie Doucette
3300 Gallows Rd |
$59.03 | 25 | 24 |
|
Rachel N Rubin
2901 Telestar Ct Ste 200 |
$36.42 | 25 | 24 |
|
Allman Toombs Rollins
3300 Gallows Rd |
$89.01 | 26 | 25 |
|
Deepak Kumar Kashyap
201 N Washington St |
$54.96 | 26 | 26 |
|
Seyed A Shobeiri
3300 Gallows Rd |
$44.87 | 26 | 25 |
|
Andrew M Hopkins
510 W Annandale Rd |
$57.20 | 27 | 25 |
|
Sun Kyung Kim
2901 Telestar Ct # 501 |
$122.34 | 27 | 27 |
|
Desiree Moro
3300 Gallows Rd |
$21.42 | 28 | 24 |
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 Falls Church, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Falls Church, VA is $61.53 per claim, based on 524,218 claims from 382 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 Falls Church, VA?
There are 382 Medicaid providers offering Office Visit related services in Falls Church, VA according to public payment data.
What is the price range for Office Visit in Falls Church, VA?
Medicaid reimbursement for Office Visit in Falls Church, VA ranges from $0.00 to $255.71 per claim, with an average of $61.53. 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 Falls Church, VA
Home Health Visit
Avg $168.97
1,412,998 claims
Emergency Room Visit
Avg $120.18
862,078 claims
Blood Work & Lab Tests
Avg $4.91
471,714 claims
Speech Therapy
Avg $18.49
396,586 claims
Vaccines & Immunizations
Avg $11.92
361,821 claims
Dental Cleaning & Exam
Avg $27.36
317,132 claims
X-Ray
Avg $6.86
297,465 claims
Physical Therapy
Avg $35.37
172,409 claims