Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Gainesville, VA: $55.59

Avg. Paid

$55.59

Range

$17.29 – $109.77

Total Claims

61,318

Providers

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, VA

Provider	Avg. Paid	Claims	Patients
Anastasia L Williams 8180 Stonewall Shops Sq	$26.01	13,460	9,015
Irving C Williams 7915 Lake Manassas Dr	$70.19	7,197	6,348
Patient First Richmond Medical Group Pllc 14800 Lee Highway	$73.57	6,101	5,858
Vaidehi Archit Shah 7474 Limestone Dr	$67.15	5,851	5,164
Ahmed Tarik Shinaishin 7500 Iron Bar Ln Ste 120	$60.11	3,122	2,767
Jennell E Nelson 13289 Gateway Center Dr # 27	$66.20	2,701	2,571
Elizabeth H Yun 7500 Iron Bar Ln Ste 215	$62.66	2,395	2,193
Alok K Gupta 7350 Heritage Village Plaza	$43.80	2,217	1,739
Veronika Safronovna Bumgardner 7915 Lake Manassas Dr	$59.60	1,690	1,558
Eugene J Louie-Ng 7915 Lake Manassas Drive	$53.27	1,609	1,486
Susanne Blanchette Mackie-Lee 7500 Iron Bar Ln	$63.08	1,528	1,404
Matthew D. Scripps 7001 Heritage Village Plz	$66.45	1,329	1,241
Yasir Abdul-Rahman 13575 Heathcote Blvd Ste 210	$71.67	1,224	1,102
Chelsea R Reamy 7500 Iron Bar Ln	$87.43	1,217	1,190
Victoria C Hammonds 8180 Stonewall Shops Sq	$64.00	1,059	978
Candace K Hall 7915 Lake Manassas Dr Ste 302	$17.29	1,041	970
Theresa B. Shupe 14535 John Marshall Highway	$56.66	923	804
Steven J Tang 8180 Stonewall Shops Sq	$50.91	862	772
Samuel Sang Lee 7901 Lake Manassas Dr	$40.08	810	669
Mina Salehi 14800 Lee Hwy	$72.59	608	589
Jonathan L Siddon 7051 Heathcote Village Way Ste 140	$47.33	515	425
Jay Jongman Kang 14535 John Marshall Hwy Ste 201	$71.82	458	444
Julian Hoang 14535 John Marshall Hwy	$62.27	430	405
Jocelyn Patricia Tan Serrano 13575 Heathcote Blvd Ste 210	$59.15	413	382
Chung Y Woo 14800 Lee Hwy	$66.37	378	355
Esi F Yeboah 7051 Heathcote Village Way Ste 115	$83.15	251	204
Balwinder Singh 7588 Gardner Park Dr	$63.94	204	186
Melissa Lynn Fincham 13575 Heathcote Blvd Ste 210	$73.12	194	185
James Thomas Dingess 13575 Heathcote Blvd Ste 210	$50.15	191	178
Sonia Parker 7915 Lake Manassas Dr Ste 205	$58.55	186	175
Briony Jaine Peachey 7500 Iron Bar Ln	$59.77	123	114
Ludmila Marie Kissi 14800 Lee Hwy	$64.75	120	119
Allison A Lorete 13575 Heathcote Blvd Ste 210	$62.16	90	83
Miriam Saad Lender 13575 Heathcote Blvd	$70.76	90	86
Jin Soo Lim 7001 Heritage Village Plz Ste 170	$35.34	87	66
Anum Hasan 13575 Heathcote Blvd Ste 210	$84.46	73	67
Monica Freidline 7915 Lake Manassas Dr Ste 101	$42.78	54	46
Fatima Arshad 14535 John Marshall Hwy Ste 105	$74.32	54	52
Stacy Ann-Marie Dehal 7915 Lake Manassas Dr	$55.53	49	45
Christy Elizabeth Maxwell 8180 Stonewall Shops Sq	$72.59	47	44
Robert L Marsh 7901 Lake Manassas Dr	$22.23	44	29
Mylan Satchi 7915 Lake Manassas Dr Ste 302	$87.23	42	40
Watoto Pediatric & Adolescent Specialty, Llc 7915 Lake Manassas Drive	$53.17	36	31
Yung J Cho 14800 Lee Hwy	$68.08	33	31
Vipul Virendra Parikh 7051 Heathcote Village Way	$58.63	33	28
David Randell Phelps 7110 Heritage Village Plz Ste 101	$79.25	32	27
Katherine A Silveri 8078 Crescent Park Dr Ste 201	$57.93	30	27
Anam Ali 7430 Heritage Village, Suite 101	$65.79	28	26
Veronica Isabel Hall 14535 John Marshall Hwy Ste 105	$74.45	27	25
Gastroenterology Associates Va, Llc 7915 Lake Manassas Dr Ste 302	$95.10	13	12

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, VA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gainesville, VA is $55.59 per claim, based on 61,318 claims from 54 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, VA?

There are 54 Medicaid providers offering Office Visit related services in Gainesville, VA according to public payment data.

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

Medicaid reimbursement for Office Visit in Gainesville, VA ranges from $17.29 to $109.77 per claim, with an average of $55.59. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Gainesville, VA: $55.59

Providers Offering Office Visit in Gainesville, VA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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