Average Medicaid Office Visit Payments in Sterling, VA: $63.93
Avg. Paid
$63.93
Range
$0.62 – $114.86
Total Claims
129,747
Providers
77
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 Sterling, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Claude Farid Karam
21155 Whitfield Pl Ste 102 |
$66.08 | 27,415 | 24,116 |
|
Jeffrey M. Martin
46440 Benedict Dr |
$61.71 | 12,590 | 10,806 |
|
Patient First Richmond Medical Group Pllc
47100 Community Plz |
$74.73 | 9,363 | 8,913 |
|
Arvinder Chawla
21495 Ridgetop Circle |
$41.58 | 8,297 | 6,092 |
|
Michelle Williams
6 Pidgeon Hill Dr |
$102.06 | 6,238 | 5,874 |
|
Northern Virginia Carenow Urgent Care, Llc
46200 Potomac Run Plz |
$73.79 | 6,115 | 5,332 |
|
Rajeev Khanna
21495 Ridgetop Cir |
$40.93 | 5,175 | 3,771 |
|
Virginia Grace Matheson
46050 Manekin Plz Ste 110 |
$90.97 | 4,407 | 4,208 |
|
Charmaine Tuck
46165 Westlake Dr |
$75.56 | 4,043 | 3,462 |
|
Svetlana Nakatis
2 Pidgeon Hill Drive, Suite 400 |
$24.16 | 3,397 | 2,808 |
|
Scott W Caldwell
46000 Center Oak Plz Ste 200 |
$0.62 | 3,055 | 1,354 |
|
Kristen M Erekson
14 Pidgeon Hill Dr |
$69.28 | 2,912 | 2,702 |
|
Erick Daniel Temoka
46440 Benedict Dr Ste 208 |
$62.68 | 2,858 | 2,542 |
|
Maadhava Ellaurie
21165 Whitfield Pl |
$81.04 | 2,839 | 1,014 |
|
William A Incatasciato
14 Pidgeon Hill Drive |
$74.78 | 2,520 | 2,343 |
|
Kimberly S Kolb
46440 Benedict Dr |
$64.64 | 2,030 | 1,782 |
|
Sarah Cunningham
46165 Westlake Dr Ste 120 |
$56.98 | 1,956 | 1,770 |
|
Ricardo Ferreira Lopez
2 Pidgeon Hill Drive, Suite 400 |
$35.50 | 1,950 | 1,734 |
|
Khodaidad H Basharmal
47100 Community Plz |
$71.79 | 1,799 | 1,688 |
|
Abdurrahman Kandil
24430 Stone Springs Blvd., Suite 100 |
$68.15 | 1,787 | 1,647 |
|
Noriko Sakai Hunter
22636 Glenn Dr |
$45.54 | 1,674 | 1,516 |
|
Joanna Marie Barnett
21100 Dulles Town Cir Ste 297 |
$69.74 | 1,662 | 1,414 |
|
Imran A Khan
46000 Center Oak Plz Ste 260 |
$62.42 | 1,474 | 1,359 |
|
Clen Damon Moore
46440 Benedict Dr |
$74.68 | 1,417 | 1,222 |
|
Nhu Nga Thi Truong
46165 Westlake Dr |
$59.60 | 1,111 | 991 |
|
Charlotte Lane
46200 Potomac Run Plz |
$13.38 | 759 | 441 |
|
Daniel Navarro-Orozco
46000 Center Oak Plaza Suite 190 |
$75.29 | 682 | 602 |
|
Kush S Patel
46000 Center Oak Plz Ste 260 |
$94.02 | 597 | 569 |
|
Lori R Andrew
46440 Benedict Dr |
$65.46 | 542 | 455 |
|
Darrell Steven Reisner
21475 Ridgetop Cir Ste 300 |
$39.94 | 535 | 450 |
|
Ayorinde Akinrinlola
21475 Ridgetop Cir Ste 350 |
$23.47 | 533 | 490 |
|
May Sanda Soe
45305 Catalina Ct Ste 102 |
$90.29 | 487 | 284 |
|
Ralph Albert Leon
46440 Benedict Drive, Suite 107 |
$57.41 | 486 | 446 |
|
Chuks Nwaulu
21335 Signal Hill Plz |
$106.66 | 469 | 400 |
|
Martin Franco Tolentino
47100 Community Plz |
$67.23 | 427 | 417 |
|
Brittany Mcpartland
46200 Potomac Run Plz |
$49.59 | 420 | 279 |
|
Christine A Shuey
21475 Ridgetop Cir Ste 150 |
$107.81 | 418 | 378 |
|
Ayman Boutros
21475 Ridgetop Cir |
$55.54 | 416 | 368 |
|
Nathan Smith Davidson
2 Pidgeon Hill Drive |
$60.19 | 406 | 384 |
|
Aryan Mashid
21475 Ridgetop Circle Suite 300 |
$83.56 | 405 | 389 |
|
Houriya Mahboobi
21475 Ridgetop Circle Suite 300 |
$57.60 | 394 | 367 |
|
Kyung Un Auh
47100 Community Plz Ste 100 |
$60.22 | 271 | 265 |
|
Carolina Pillion
14 Pidgeon Hill Drive |
$61.94 | 258 | 245 |
|
Ashley Rose
46200 Potomac Run Plz |
$72.36 | 256 | 245 |
|
Bryan Charles Daunt
21475 Ridgetop Cir Ste 150 |
$20.27 | 251 | 237 |
|
Rhonda Martin
46440 Benedict Drive, Suite 107 |
$70.96 | 250 | 233 |
|
Hesum A Chegini
21351 Gentry Dr Ste 125 |
$99.38 | 241 | 225 |
|
Reza Sedighi
6 Pidgeon Hill Dr Ste 205 |
$114.86 | 234 | 215 |
|
Sana Asif Kamal
21335 Signal Hill Plz Ste 270 |
$88.15 | 233 | 204 |
|
Mark Shasti
21351 Gentry Dr Ste 125 |
$96.05 | 196 | 189 |
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 Sterling, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sterling, VA is $63.93 per claim, based on 129,747 claims from 77 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 Sterling, VA?
There are 77 Medicaid providers offering Office Visit related services in Sterling, VA according to public payment data.
What is the price range for Office Visit in Sterling, VA?
Medicaid reimbursement for Office Visit in Sterling, VA ranges from $0.62 to $114.86 per claim, with an average of $63.93. 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 Sterling, VA
Home Health Visit
Avg $177.78
505,102 claims
Eye Exam
Avg $46.45
130,067 claims
Dental Cleaning & Exam
Avg $25.02
101,956 claims
Non-Emergency Medical Transportation
Avg $15.28
83,865 claims
Vaccines & Immunizations
Avg $11.13
55,997 claims
Physical Therapy
Avg $49.43
44,980 claims
Psychiatric Evaluation
Avg $59.06
26,031 claims
Nursing Facility Care
Avg $20.44
22,622 claims