Average Medicaid Office Visit Payments in Reston, VA: $62.69
Avg. Paid
$62.69
Range
$0.00 – $158.74
Total Claims
131,243
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 Reston, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sandra Chiunda
11484 Washington Plaza W 3Rd Floor |
$76.30 | 12 | 12 |
|
Nayab Chowhan
11930 Democracy Dr |
$89.37 | 12 | 12 |
|
Nam Kyung Senerchia
11800 Sunrise Valley Dr Ste 500 |
$73.09 | 12 | 12 |
|
Tammy Z Rosenthal
11445 Sunset Hills Road |
$66.73 | 12 | 12 |
|
Yusuf Hameed Khan
11484 Washington Paza W |
$47.58 | 12 | 12 |
|
Basil Maghak
1850 Town Center Pkwy |
$48.81 | 12 | 12 |
|
Mukta Gautam-Dhakal
12359 Sunrise Valley Dr Ste 320 |
$36.31 | 13 | 13 |
|
Jamil Manna
1890 Metro Center Dr |
$0.83 | 14 | 12 |
|
Caitlin Noelle Fortune
1860 Town Center Drive |
$64.63 | 14 | 13 |
|
Seonae Pak
11445 Sunset Hills Road |
$87.12 | 16 | 13 |
|
Pamela Dawn Barstow
1800 Town Center Drive Suite 220 |
$58.96 | 17 | 15 |
|
Jennifer L Kallio
1886 Metro Center Dr Ste 650 |
$125.15 | 18 | 18 |
|
New Horizon Pediatrics, P.C.
1760 Reston Pkwy Ste 400 |
$61.67 | 22 | 22 |
|
Andrew J Harding
11800 Sunrise Valley Dr |
$44.56 | 25 | 25 |
|
Lauren Posey
11440 Commerce Park Dr Ste Ll3 |
$30.67 | 27 | 17 |
|
Amy B Kirby
11307 Sunset Hills Rd Ste B |
$78.72 | 28 | 25 |
|
Cindy Sue Anderson
11484 Washington Plz W |
$59.03 | 30 | 29 |
|
Virgil Aurel Balint
1860 Town Center Dr |
$0.00 | 35 | 26 |
|
Farrell Pediatrics
11349 Sunset Hills Rd |
$27.62 | 36 | 30 |
|
Thuan Nguyen
11445 Sunset Hills Rd |
$85.19 | 40 | 40 |
|
Andrew Jay Siegel
1800 Town Center Dr Ste 317 |
$34.55 | 40 | 37 |
|
Shakeel R Shareef
1850 Town Center Pkwy |
$30.61 | 40 | 39 |
|
Nicholas George Lailas
1860 Town Center Drive, Suite 150 |
$46.70 | 41 | 36 |
|
Sidorela Doci
11800 Sunrise Valley Dr Ste 405 |
$41.36 | 44 | 42 |
|
Jennifer B. Durham
11800 Sunrise Valley Dr Ste 500 |
$63.03 | 44 | 43 |
|
Paul Burke
1768 Business Center Dr Ste 100 |
$46.90 | 47 | 44 |
|
Robert A. Shor
1850 Town Center Pkwy |
$26.24 | 49 | 41 |
|
Jeffrey S. Luy
11800 Sunrise Valley Dr Ste 500 |
$51.85 | 54 | 52 |
|
Junsoo Alexander Lee
1830 Town Center Dr Ste 405 |
$39.12 | 63 | 53 |
|
Wesley Raymond Hodgson
1850 Town Center Pkwy |
$47.79 | 63 | 46 |
|
Baris Yildirim
1860 Town Center Dr |
$50.06 | 64 | 62 |
|
Juan Alberto Trinidad
1800 Town Center Dr |
$56.47 | 66 | 42 |
|
Syed Amiry
1800 Town Center Dr Ste 212 |
$51.71 | 67 | 63 |
|
Laura Stephens
11484 Washington Plz W |
$108.23 | 67 | 63 |
|
Neeraja Tandra
1897 Preston White Dr Ste 105 |
$17.36 | 70 | 63 |
|
Nidhi K Malik
1890 Metro Center Dr |
$79.97 | 73 | 66 |
|
Sharon Elizabeth Freeman
1860 Town Center Dr Ste 460 |
$48.10 | 77 | 68 |
|
Scott Michael Butler
11800 Sunrise Valley Dr Ste 500 |
$44.16 | 81 | 78 |
|
Cornelia Hunt
11484 Washington Plz W Ste 300 |
$55.33 | 83 | 82 |
|
Almouhannad Alhammood
11445 Sunset Hills Road |
$83.63 | 88 | 83 |
|
Charles N Seal
1860 Town Center Dr Ste 300 |
$62.04 | 91 | 84 |
|
Tarek Abou-Ghazala
12330 Pinecrest Rd Ste 125 |
$36.79 | 94 | 87 |
|
Daniel Laino
1850 Town Center Pkwy |
$58.64 | 95 | 90 |
|
Sahana Hundal
11901 Baron Cameron Ave |
$47.89 | 97 | 86 |
|
Geannie M Bennett
11445 Sunset Hills Road |
$68.75 | 101 | 99 |
|
Seth Nathaniel Meltzer
11800 Sunrise Valley Dr Ste 500 |
$47.97 | 105 | 100 |
|
Wanda M Patterson
11445 Sunset Hills Rd |
$104.21 | 108 | 106 |
|
Neeharika Repaka
1830 Town Center Dr Ste 306 |
$87.83 | 109 | 109 |
|
Juliana Buendia
1860 Town Center Dr Ste 300 |
$48.62 | 109 | 105 |
|
Ommar Win
11445 Sunset Hills Road |
$121.89 | 112 | 103 |
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 Reston, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Reston, VA is $62.69 per claim, based on 131,243 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 Reston, VA?
There are 128 Medicaid providers offering Office Visit related services in Reston, VA according to public payment data.
What is the price range for Office Visit in Reston, VA?
Medicaid reimbursement for Office Visit in Reston, VA ranges from $0.00 to $158.74 per claim, with an average of $62.69. 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 Reston, VA
Blood Work & Lab Tests
Avg $3.84
130,750 claims
Emergency Room Visit
Avg $138.67
96,483 claims
Vaccines & Immunizations
Avg $21.36
58,619 claims
Home Health Visit
Avg $154.74
45,864 claims
X-Ray
Avg $7.75
43,151 claims
Urinalysis & Urine Tests
Avg $1.79
31,496 claims
Dental Cleaning & Exam
Avg $26.24
28,104 claims
EKG / ECG (Electrocardiogram)
Avg $4.65
27,531 claims