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
Sonia Goel 2500 Limestone Pkwy	$29.90	12	12
Rebecca Suzanne Jackson 725 Jesse Jewell Pkwy Se	$48.43	12	12
Marco Yat Hang Yung 1439 Jesse Jewell Pkwy Ne Ste 301	$66.97	13	13
Adam Matthew Bressler 1211 Sherwood Park Dr Ne Ste B	$20.89	13	13
Emily Cushnie Schaheen 1296 Sims St Ste B	$76.79	14	12
Ian J Hunter 743 Spring St Ne	$29.17	14	14
Kannan M Narayana 1240 Jesse Jewell Pkwy Se Ste 400	$32.75	14	13
Amy Kim 1439 Jesse Jewell Pkwy Ne Ste 202	$19.18	14	14
Alanna Morris 743 Spring St Ne	$47.10	15	12
John V Glisson 725 Jesse Jewell Pkwy Se	$69.90	16	16
Fardeen Ahmed Faiz 743 Spring St Ne Ste 710	$27.88	17	12
Carlos Lucero 597 S Enota Dr Ne	$5.03	17	14
Terri Penna Kemmerer 1240 Jesse Jewell Pkwy Se Ste 500	$75.09	20	12
Vivek Krishna 743 Spring St Ne	$11.18	21	20
Folatomi Agbe-Davies 663 Lanier Park Dr	$26.39	21	16
Jacob Mathew 1250 Jesse Jewell Pkwy Se Ste 300	$111.39	25	25
Richard L Thomas 1211 Sherwood Park Dr Ne Ste A	$72.45	27	25
Gautham Kanagaraj 200 S Enota Dr Ne Ste 480	$50.83	27	24
Emmanuel Olayiwola Amoran 200 S Enota Dr Ne Ste 100	$43.54	28	28
Joong Yong Kwon 1211 Sherwood Park Dr Ne Ste B	$19.70	28	27
Abigail Nevitt 520 Jesse Jewell Pkwy Se	$114.83	29	27
Salman Hemani 743 Spring St Ne	$59.51	29	29
Ramapriya Sinnakirouchenan 1250 Jesse Jewell Pkwy Se Ste 400	$18.95	30	27
Cameron Michael Bergin 743 Spring St Ne	$31.61	30	25
Ashima Choudhary 1224 Sherwood Park Dr Ne	$7.96	35	26
Joseph B Gunn 725 Jesse Jewell Pkwy Se	$70.04	37	37
Anna Sanchez 200 Wisteria Dr	$34.31	44	40
Zachary Hale George 200 S Enota Dr Ne Ste 100	$39.36	44	36
Gurleen Kaur 743 Spring St Ne	$64.13	47	41
Crystal Ann Terrill 725 Jesse Jewell Pkwy Se	$53.45	50	48
Eric M Ferris 705 Jesse Jewell Pkwy Se	$38.29	53	44
Leigh Ann Saunders 440 Washington St Se	$43.26	54	48
Meredith Lynne Pickett 743 Spring St Ne	$40.04	58	53
Danelvis Paredes 743 Spring St Ne	$108.75	60	56
Khaja Salahuddin Mohammed 743 Spring St Ne	$33.73	64	57
Randy H Jackson 743 Spring St Ne	$489.62	64	51
Vijayamala Bondugula 743 Spring St Ne	$24.42	70	67
Northeast Georgia Physicians Group Inc 743 Spring St Ne	$65.75	71	70
Ernie Loza Aldaco 520 Jesse Jewell Pkwy Se	$88.96	76	72
Rahul G Sangani 1439 Jesse Jewell Pkwy Ne Ste 201	$37.61	76	73
Carolyn S Williams 712 Oak St # 5	$19.56	78	70
Frederick Stephen Moore 2324 Limestone Overlook	$50.50	83	83
Erica Francesca Lari Parks 1631 Atlanta Hwy	$3.30	86	83
Shalabh Chandra 200 S Enota Dr Ne Ste 480	$27.59	87	87
Justina Li Vega 743 Spring St Ne	$78.72	88	87
Stephanie J Smith 1250 Jesse Jewell Pkwy Se Ste 200	$12.86	89	87
Mary M Aspin 1485 Jesse Jewell Pkwy Ne Ste 200	$65.52	95	86
Maurice Vernon Jeter 200 Wisteria Dr	$47.92	104	90
Fiona Zwald 974 S Enota Dr Ne	$49.69	109	107
Jessy Abi Mathews 200 S Enota Dr Ne Ste 100	$18.61	114	65

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