Average Medicaid Office Visit Payments in Lilburn, GA: $80.43
Avg. Paid
$80.43
Range
$11.38 – $786.58
Total Claims
41,768
Providers
18
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 Lilburn, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Babatunde Ibikunle Onasanya
605 Beaver Ruin Rd Nw |
$70.50 | 15,139 | 13,936 |
|
Carol Dawn Davis
4120 Five Forks Trickum Road |
$86.37 | 7,667 | 7,404 |
|
Patrice Leonie Basanta-Henry
625 Beaver Ruin Rd Nw |
$94.29 | 5,698 | 5,334 |
|
Tamara Marie Harris
5155 Shadow Path Ln Sw |
$24.06 | 3,191 | 2,784 |
|
Minsheng Wang
4705 Lawrenceville Hwy Nw Ste B |
$85.96 | 1,671 | 1,592 |
|
Gina Baptiste
4603 Creek Forest Ct |
$308.83 | 1,522 | 1,522 |
|
Anna Carolina Wheeler Wright
707 Planters Row Sw |
$72.68 | 1,352 | 1,219 |
|
Aakar Thaker
3993 Lawrenceville Hwy Nw Ste 140 |
$38.22 | 1,246 | 1,142 |
|
Lissette E. Tirado
625 Beaver Ruin Rd Nw |
$46.60 | 899 | 848 |
|
Harvey Jay Schecter
976 Killian Hill Rd Sw |
$49.81 | 806 | 631 |
|
Andrea Roche Gayden
4120 Five Forks Trickum Rd Sw Ste 105 |
$17.79 | 679 | 569 |
|
Inder Paul Singh
5354 Lawrenceville Hwy Nw |
$11.38 | 618 | 583 |
|
Jonathan Stephen Wood
4120 Five Forks Trickum Rd Sw Ste 102 |
$68.45 | 483 | 471 |
|
Christine I Tolu-Ajayi
4120 Five Forks Trickum Rd Sw Ste 104 |
$104.27 | 433 | 418 |
|
Reneeta Basu
615 Beaver Ruin Rd Nw |
$61.71 | 171 | 148 |
|
Eunmi Hur
4120 Five Forks Trickum Rd Sw |
$63.49 | 78 | 70 |
|
Belinda I Opara
483 Indian Trail Lilburn Rd Nw |
$786.58 | 76 | 60 |
|
Kirpich Joseph
449 Pleasant Hill Rd Nw Ste 104 |
$41.72 | 39 | 39 |
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 Lilburn, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lilburn, GA is $80.43 per claim, based on 41,768 claims from 18 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 Lilburn, GA?
There are 18 Medicaid providers offering Office Visit related services in Lilburn, GA according to public payment data.
What is the price range for Office Visit in Lilburn, GA?
Medicaid reimbursement for Office Visit in Lilburn, GA ranges from $11.38 to $786.58 per claim, with an average of $80.43. 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 Lilburn, GA
Dental Cleaning & Exam
Avg $29.71
186,734 claims
Dental Filling
Avg $88.38
50,696 claims
Nursing Facility Care
Avg $7.65
29,693 claims
Ultrasound
Avg $89.19
20,888 claims
Vaccines & Immunizations
Avg $28.56
8,050 claims
Tooth Extraction
Avg $60.41
6,437 claims
Emergency Room Visit
Avg $95.44
4,852 claims
Psychiatric Evaluation
Avg $84.35
4,711 claims