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 |
|---|---|---|---|
|
Cecilia Jeanne Winowiecki
46440 Benedict Drive, Suite 107 |
$69.34 | 12 | 12 |
|
Tamer Mansour
21475 Ridgetop Circle Suite 300 |
$37.49 | 13 | 12 |
|
Kirsten L Pierson
46440 Benedict Dr Ste 208 |
$68.93 | 13 | 12 |
|
Pranav Reddy
14 Pidgeon Hill Dr Ste 230 |
$94.21 | 14 | 13 |
|
Mohammed Kairy Barazi
21351 Ridgetop Cir |
$14.83 | 17 | 13 |
|
Christina L. Butera
21475 Ridgetop Circle Suite 300 |
$59.18 | 18 | 17 |
|
John H. Jones
20 Pidgeon Hill Drive |
$1.85 | 19 | 18 |
|
Raju S Alluri
4710 Community Plaza |
$60.96 | 25 | 25 |
|
Maite Jacquay Corbin
46440 Benedict Drive , Suite 107 |
$60.32 | 30 | 27 |
|
Kristen M Green
46200 Potomac Run Plz |
$87.81 | 30 | 27 |
|
Sarah Susan Fletcher
21135 Whitfield Pl Ste 107 |
$68.17 | 34 | 27 |
|
Shelby Kloosterboer
46440 Benedict Drive, Suite 107 |
$64.82 | 40 | 37 |
|
Kristi M Phillips
22000 Dulles Retail Plz Ste 124 |
$16.89 | 41 | 27 |
|
Issam Khayata
20 Pidgeon Hill Dr |
$50.27 | 46 | 46 |
|
Liana Sustento Seneriches
47100 Community Plz |
$75.92 | 49 | 47 |
|
Stuti Patel
46000 Center Oak Plz # 260 |
$76.64 | 56 | 56 |
|
Rahel G Yirga
20 Pidgeon Hill Dr Ste 208 |
$19.50 | 56 | 28 |
|
Suvi Hyytiainen
46090 Lake Center Plz |
$67.54 | 62 | 54 |
|
Erin Elizabeth Collier
46440 Benedict Dr |
$10.78 | 66 | 41 |
|
Hala Mohammad Abdallah
20 Pidgeon Hill Dr |
$23.10 | 66 | 52 |
|
Anjali D Chandela
14 Pidgeon Hill Dr |
$30.42 | 67 | 52 |
|
Linda Elaine Coleman
2 Pidgeon Hill Drive, Suite 400 |
$54.86 | 73 | 66 |
|
Suzanne Obrien
46440 Benedict Dr |
$80.26 | 84 | 77 |
|
Felicia L Donald
21135 Whitfield Pl |
$43.19 | 121 | 99 |
|
Vijaya M Subramanian
4710 Community Plaza, Ste. 100 |
$60.15 | 137 | 125 |
|
Deena Tailor
21475 Ridgetop Cir Ste 300 |
$73.70 | 137 | 125 |
|
Laurel Ann Blymyer
46440 Benedict Drive, Suite 107 |
$65.13 | 171 | 152 |
|
Mark Shasti
21351 Gentry Dr Ste 125 |
$96.05 | 196 | 189 |
|
Sana Asif Kamal
21335 Signal Hill Plz Ste 270 |
$88.15 | 233 | 204 |
|
Reza Sedighi
6 Pidgeon Hill Dr Ste 205 |
$114.86 | 234 | 215 |
|
Hesum A Chegini
21351 Gentry Dr Ste 125 |
$99.38 | 241 | 225 |
|
Rhonda Martin
46440 Benedict Drive, Suite 107 |
$70.96 | 250 | 233 |
|
Bryan Charles Daunt
21475 Ridgetop Cir Ste 150 |
$20.27 | 251 | 237 |
|
Ashley Rose
46200 Potomac Run Plz |
$72.36 | 256 | 245 |
|
Carolina Pillion
14 Pidgeon Hill Drive |
$61.94 | 258 | 245 |
|
Kyung Un Auh
47100 Community Plz Ste 100 |
$60.22 | 271 | 265 |
|
Houriya Mahboobi
21475 Ridgetop Circle Suite 300 |
$57.60 | 394 | 367 |
|
Aryan Mashid
21475 Ridgetop Circle Suite 300 |
$83.56 | 405 | 389 |
|
Nathan Smith Davidson
2 Pidgeon Hill Drive |
$60.19 | 406 | 384 |
|
Ayman Boutros
21475 Ridgetop Cir |
$55.54 | 416 | 368 |
|
Christine A Shuey
21475 Ridgetop Cir Ste 150 |
$107.81 | 418 | 378 |
|
Brittany Mcpartland
46200 Potomac Run Plz |
$49.59 | 420 | 279 |
|
Martin Franco Tolentino
47100 Community Plz |
$67.23 | 427 | 417 |
|
Chuks Nwaulu
21335 Signal Hill Plz |
$106.66 | 469 | 400 |
|
Ralph Albert Leon
46440 Benedict Drive, Suite 107 |
$57.41 | 486 | 446 |
|
May Sanda Soe
45305 Catalina Ct Ste 102 |
$90.29 | 487 | 284 |
|
Ayorinde Akinrinlola
21475 Ridgetop Cir Ste 350 |
$23.47 | 533 | 490 |
|
Darrell Steven Reisner
21475 Ridgetop Cir Ste 300 |
$39.94 | 535 | 450 |
|
Lori R Andrew
46440 Benedict Dr |
$65.46 | 542 | 455 |
|
Kush S Patel
46000 Center Oak Plz Ste 260 |
$94.02 | 597 | 569 |
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