Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Herndon, VA: $61.30

Avg. Paid

$61.30

Range

$14.82 – $98.96

Total Claims

127,138

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 Herndon, VA

Provider	Avg. Paid	Claims	Patients
Ernest N Quaye 464 Herndon Pkwy	$52.43	28,471	22,780
Sithu Win 110 Elden St	$69.54	22,220	18,997
Rajitha Siddineni 1043 Sterling Rd Ste 104	$61.45	12,123	10,579
Salah M Neberai 110 Elden St	$52.18	7,327	6,501
Priyanka Kalidindi 1043 Sterling Rd Ste 104	$73.75	7,279	6,526
Tajammul Ehsan 722 Grant St	$36.32	5,786	4,878
Robin L. Donald 1141 Elden St	$53.19	4,526	3,951
Shamim Akhtar Imam 504 Elden St # 3	$48.04	3,921	3,166
Kalpana Thammineni 171 Elden Street	$84.39	3,831	3,585
Tara Locke 464 Herndon Pkwy Ste 216	$58.83	3,694	3,447
Deepa Pullathu Mony 131 Elden St Ste 140	$93.63	2,759	2,600
Bao-Chau Audrey T Nguyen 600 Herndon Pkwy Ste 200	$82.12	2,680	2,488
Loudoun Community Health Center 1141 Elden Street	$57.42	2,083	1,842
Eden Solomon Woredekal 905 Herndon Pkwy	$81.99	2,052	1,987
Jason Leo Maslow 13350 Franklin Farm Rd	$47.70	2,005	1,745
Carolyn Louise Garcia 1141 Elden St Ste 300	$66.91	1,792	1,620
Valerie Cherise Williamson Healthworks For Northern Virginia	$49.04	1,529	1,327
Stanley Idiculla 112 Elden St	$50.09	1,218	1,004
Shabih U Hasan 722 Grant St	$53.64	1,058	904
Musaab Esmael 13000 Elm Tree Dr	$79.83	898	804
Kevin Charles Lutta 13350 Franklin Farm Road	$58.79	891	828
Deniece Batichon 464 Herndon Pkwy Ste 126	$96.31	792	773
Ngoc Vu 100 Elden St	$87.78	776	731
Eskender Beyene 1037 Sterling Rd	$87.21	613	565
Fella Ezzekmi-Aksouh 201 Elden St	$65.11	585	531
Diviyalaxmi Muruganandam 381 Elden St Ste 1000	$71.43	566	494
Marsabeth Amhayes Floyd 1141 Elden Street	$54.52	562	531
Parkway Pediatrics 464 Herndon Pkwy	$54.05	517	453
Sameer I Ahmad 171 Elden St	$29.29	456	382
Deepika Mathialagan 590 Grove St	$74.08	444	389
Nair Maya 12950 Highland Crossing Drive	$66.44	412	391
Anna Marie Lisowski 100 Elden St	$42.75	357	323
Jaclyn Michelle Hamlin 555 Herndon Pkwy	$72.48	314	264
Sabita M. Ittoop 171 Elden St	$86.86	297	272
Amin Akhlaghi 12950 Highland Crossing Dr Ste H	$56.04	288	272
Nirupama Kopparti 1043 Sterling Rd Ste 104	$50.67	263	212
Della Query 12950 Highland Crossing Drive	$60.54	236	226
India Chantel Schluderberg 365 Herndon Pkwy Ste 105	$66.69	230	215
Gachard Jean Pierre 600 Herndon Pkwy Ste 200	$72.63	210	197
Carolyn Mars Angioli 12950 Highland Crossing Drive	$80.29	170	164
Han Tonthat 1035 Sterling Rd Ste 104	$35.08	166	118
Children'S Heart Institute 171 Elden Street, Ste. 2C4	$98.96	146	145
Ravi R Iyer 13505 Dulles Technology Drive, Suite 1A	$41.26	99	69
Abigail Vanderweyden 1062 Elden St	$14.82	84	82
Jennifer Bischoff Pedicano 100 Elden St Ste 10	$90.35	81	77
Merrill Lee Myers 100 Elden St Ste 10	$78.58	77	72
Nathan William Coleman 13350 Franklin Farm Rd Ste 220	$62.47	47	44
Heba K Elzawahry 3570 Joseph Siewick Dr. Suite 400	$21.87	45	42
Theresa M. Soto 150 Elden St	$77.69	42	40
Jahnnavi Madiraju 1031 Sterling Rd Ste 101	$21.12	31	31

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 Herndon, VA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Herndon, VA is $61.30 per claim, based on 127,138 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 Herndon, VA?

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

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

Medicaid reimbursement for Office Visit in Herndon, VA ranges from $14.82 to $98.96 per claim, with an average of $61.30. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Herndon, VA: $61.30

Providers Offering Office Visit in Herndon, VA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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