Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Gainesville, GA: $64.98

Avg. Paid

$64.98

Range

$0.00 – $489.62

Total Claims

242,258

Providers

128

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 Gainesville, GA

Provider	Avg. Paid	Claims	Patients
Ayham Y Haddad 1250 Jesse Jewell Pkwy Se Ste 300	$59.73	36,596	33,479
Shahzad M Hashmi 200 Wisteria Dr	$56.77	29,037	24,640
S.Y.A.H. 1250 Jesse Jewell Pkwy Se	$103.49	23,862	21,949
Northeast Georgia Physicians Group Urgent Care Llc 743 Spring St Ne	$138.68	11,301	10,655
Northeast Georgia Medical Center, Inc. 743 Spring St Ne	$37.77	9,832	8,333
Charles Marcus Bass 1485 Jesse Jewell Pkwy Ne Ste 220A	$53.42	8,312	7,644
Georgia Mountains Community Services 915 Interstate Ridge Dr	$61.40	8,230	7,190
Saksham Sulove 1439 Jesse Jewell Pkwy Ne Ste 202	$58.26	6,303	5,643
Medlink Georgia Inc 520 Jesse Jewell Pkwy Se	$75.62	6,033	4,918
Heather D Butler 1485 Jesse Jewell Pkwy Ne	$63.32	5,013	4,237
Clifford Wesley Lindsey 200 S Enota Dr Ne Ste 400	$114.08	4,604	4,480
Jeff O Elder 1485 Jesse Jewell Pkwy Ne	$67.30	4,556	3,973
James Barksdale 675 White Sulphur Rd Ste 120	$30.06	4,543	3,213
Jennifer Royall 1485 Jesse Jewell Pkwy Ne Ste 200	$60.96	4,476	3,947
William Bradley Boyd 1485 Jesse Jewell Pkwy Ne Ste 200A	$64.64	4,344	3,785
Brenda B Surles 1485 Jesse Jewell Pkwy Ne	$64.12	3,950	3,388
James Terry Bell 2049 Beverly Rd	$75.74	3,870	3,480
Shelley Charmaine Martin 1240 Jesse Jewell Pkwy Se Ste 500	$0.05	3,257	2,370
Radhika Prabhakar 1439 Jesse Jewell Pkwy Ne Ste 202	$0.00	2,929	2,497
Michael Edward Hilton 1485 Jesse Jewell Pkwy Ne	$62.12	2,771	2,385
Erol Onal 1485 Jesse Jewell Pkwy Ne	$63.87	2,602	2,191
Usman Choudhry 1250 Jesse Jewell Pkwy Se	$49.44	2,588	2,072
Lauren Gooch 1485 Jesse Jewell Pkwy Ne Ste 200	$68.10	2,371	2,148
Kristi A Kennedy 1485 Jesse Jewell Pkwy Ne	$62.62	2,347	2,075
Amy H Cochran 1485 Jesse Jewell Pkwy Ne	$58.49	2,149	1,810
Jennifer W Gottsman 1485 Jesse Jewell Pkwy Ne	$61.79	2,109	1,830
Kelly Miller Lathem 200 S Enota Dr Ne	$62.91	2,083	1,787
Catherine Ann Carlson 1315 Jesse Jewell Pkwy Ne	$51.01	2,059	1,942
Kevin Ray Gertsch 1485 Jesse Jewell Pkwy Ne	$69.43	1,843	1,787
Paul Thomas Klas 1439 Jesse Jewell Pkwy Ne Ste 102	$29.42	1,716	1,539
Toni O'Reggio Egolum 1485 Jesse Jewell Pkwy Ne Ste 200	$60.16	1,697	1,457
Samuel Joshua Dotson 1075 Jesse Jewell Pkwy Ne Ste B	$56.80	1,697	1,144
Kevin R Johnson 1485 Jesse Jewell Pkwy Ne	$62.81	1,637	1,395
Quinton Victor Cancel 743 Spring St Ne	$31.57	1,611	1,431
Praveen Kumar Vemuri 1315 Jesse Jewell Pkwy Ne Ste 300	$67.87	1,508	1,350
Maged S Hamza 715 Queen City Pkwy Ste 106	$30.82	1,501	1,212
Venumadhav Reddy Kotla 725 Jesse Jewell Pkwy Se	$16.43	1,463	1,103
Benjamin K Fleming 1315 Jesse Jewell Parkway	$29.20	1,386	1,335
Susan F Carey 1485 Jesse Jewell Pkwy Ne	$65.40	1,325	1,187
Michael F Angel 1485 Jesse Jewell Pkwy Ne	$35.16	1,258	1,074
Danielle Bruce 1485 Jesse Jewell Pkwy Ne Ste 200	$62.82	1,226	1,048
Yamuna Gorantla 1439 Jesse Jewell Pkwy Ne Ste 102	$45.19	1,209	1,179
Pavan Tummala 1315 Jesse Jewell Pkwy Ne Ste 300	$46.65	1,135	1,008
Tembele Yangandawele 1439 Jesse Jewell Pkwy Ne Ste 102	$65.52	1,118	1,021
Jason K Gabrels 1681 Thompson Bridge Rd	$59.63	1,030	995
Margaret Grifa 1285 Sims St	$80.39	1,007	977
Cathryn S Finch 1485 Jesse Jewell Pkwy Ne	$66.24	932	874
Mary Mcgee Hopper 1485 Jesse Jewell Pkwy Ne Ste 200	$67.40	893	802
Angelica Lauren Timmerman 1856 Thompson Bridge Rd Ste 14	$29.47	870	863
Syed Sami Hyder Zaidi 528 Broad Street Pl	$107.67	839	743

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 Gainesville, GA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gainesville, GA is $64.98 per claim, based on 242,258 claims from 128 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 Gainesville, GA?

There are 128 Medicaid providers offering Office Visit related services in Gainesville, GA according to public payment data.

What is the price range for Office Visit in Gainesville, GA?

Medicaid reimbursement for Office Visit in Gainesville, GA ranges from $0.00 to $489.62 per claim, with an average of $64.98. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Gainesville, GA: $64.98

Providers Offering Office Visit in Gainesville, GA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Gainesville, GA

Blood Work & Lab Tests

Emergency Room Visit

X-Ray

Urinalysis & Urine Tests

Physical Therapy

EKG / ECG (Electrocardiogram)

CT Scan (Computed Tomography)

Prescription Medications