Average Medicaid Office Visit Payments in Washington, DC: $76.54
Avg. Paid
$76.54
Range
$0.00 – $607.91
Total Claims
4,461,887
Providers
2,656
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 Washington, DC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jessica Marie Gogan
900 23Rd St Nw |
$73.49 | 12 | 12 |
|
Katherine Power
102 Irving St Nw |
$54.34 | 12 | 12 |
|
Lauren Brooke Sabot
111 Michigan Ave Nw |
$60.74 | 12 | 12 |
|
Ashlee Metcalf Williams
700 2Nd St Nw |
$106.24 | 12 | 12 |
|
Patrick Evan Gipson
2150 Pennsylvania Ave Nw |
$108.42 | 12 | 12 |
|
Linda K. Bostrom
2150 Pennsylvania Ave Nw # 4-417 |
$69.24 | 12 | 12 |
|
Angelica Gabriella Nocerino
3800 Reservoir Rd Nw |
$107.85 | 12 | 12 |
|
Ferdouse Tariq Sartawi
1145 19Th St Nw |
$66.23 | 12 | 12 |
|
Mia Griffin
900 23Rd St Nw |
$97.85 | 12 | 12 |
|
Margaret L Montgomery
106 Irving St Nw |
$144.09 | 12 | 12 |
|
Stephen Neabore
5100 Wisconsin Ave Nw |
$67.23 | 12 | 12 |
|
Alexandra Rose Lucas
111 Michigan Ave Nw |
$85.00 | 12 | 12 |
|
Klara Milojkovic
111 Michigan Ave Nw |
$102.67 | 12 | 12 |
|
Quan Van
2150 Pennsylvania Ave Nw Fl 6 |
$76.94 | 12 | 12 |
|
Miranda Rozecki
765 Kenwilworth Avenue |
$0.00 | 12 | 12 |
|
Badr Ghailan Alsayab
4200 Wisconsin Ave Nw Ste 4 |
$94.86 | 12 | 12 |
|
Stephanie Staples Hack
2301 M St Nw |
$87.12 | 12 | 12 |
|
Kathryn Pellegrino Walker
102 Irving St Nw |
$88.71 | 12 | 12 |
|
Patrick Narcisse
Howard University Hospital |
$122.30 | 12 | 12 |
|
Alfred Lorenzo Phelps
2041 Georgia Avenue, Nw |
$54.26 | 12 | 12 |
|
Marian Khalili
2150 Pennsylvania Ave Nw |
$149.13 | 12 | 12 |
|
Kavita Krishnakant Patel
5255 Loughboro Rd Nw |
$220.27 | 12 | 12 |
|
Shaheja Sitafalwallla Bandealy
3800 Reservoir Rd Nw |
$47.66 | 12 | 12 |
|
Kavita Natrajan
2150 Pennsylvania Ave Nw |
$32.57 | 12 | 12 |
|
Faraz Sohail
601 New Jersey Ave Nw Ste 200 |
$30.22 | 12 | 12 |
|
Katherine L Garfield
2141 K St Nw Ste 808 |
$75.67 | 12 | 12 |
|
Hailie Maiya Wilson
1629 K St Nw Ste 1100 |
$48.76 | 12 | 12 |
|
Renee Tweneboah-Koduah
2150 Pennsylvania Ave Nw |
$98.26 | 12 | 12 |
|
Michael William Helbig
900 23Rd St Nw |
$36.97 | 12 | 12 |
|
Gysella Begonia Muniz Pujalt
3800 Reservoir Rd Nw |
$72.19 | 12 | 12 |
|
Lisa Parker
110 Irving St Nw |
$37.66 | 12 | 12 |
|
Mulugeta Gebreegzi
110 Irving St Nw |
$21.40 | 12 | 12 |
|
Oscar Emmett Dimant
102 Irving St Nw |
$54.53 | 12 | 12 |
|
Jeffery S Grant
2523 14Th St Nw |
$78.82 | 12 | 12 |
|
Jane Francis Ndenka
1310 Southern Ave Se |
$98.58 | 12 | 12 |
|
Eugenia Gina Chu
3800 Reservoir Rd Nw |
$88.79 | 12 | 12 |
|
Hana Akselrod
2150 Pennsylvania Ave Nw |
$72.16 | 12 | 12 |
|
Asaha Elizabeth Ufei
3300 Pennsylvania Ave Se |
$117.03 | 12 | 12 |
|
Jessica Ann Wisniewski
111 Michigan Avenue N.W. |
$5.56 | 12 | 12 |
|
Muluberhan Bekele
35 K St Ne |
$13.99 | 12 | 12 |
|
Hani Fanous
111 Michigan Ave Nw |
$125.71 | 12 | 12 |
|
Elana Lara Neshkes
111 Michigan Ave Nw |
$80.58 | 12 | 12 |
|
Edward F Aulisi
110 Irving St Nw |
$58.57 | 12 | 12 |
|
Timothy Richard Deklotz
3800 Reservoir Rd Nw Fl 1 |
$84.23 | 13 | 13 |
|
Joseph Darrell Cribb
1525 14Th St Nw |
$20.86 | 13 | 12 |
|
Suvi Bhubendra Rasaiah
106 Irving St Nw |
$98.19 | 13 | 13 |
|
Nicole Costa Mcjilton
3800 Reservoir Rd Nw |
$27.65 | 13 | 13 |
|
Leslie Rose Tate
2120 Bladensburg Rd Ne |
$0.00 | 13 | 12 |
|
Zayd Adnan Eldadah
110 Irving St Nw |
$36.45 | 13 | 13 |
|
Gail S Kerr
1140 Varnum St Ne |
$42.47 | 13 | 12 |
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 Washington, DC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Washington, DC is $76.54 per claim, based on 4,461,887 claims from 2656 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 Washington, DC?
There are 2656 Medicaid providers offering Office Visit related services in Washington, DC according to public payment data.
What is the price range for Office Visit in Washington, DC?
Medicaid reimbursement for Office Visit in Washington, DC ranges from $0.00 to $607.91 per claim, with an average of $76.54. 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 Washington, DC
Home Health Visit
Avg $134.65
9,995,071 claims
Behavioral & Mental Health Therapy
Avg $86.63
8,402,752 claims
Substance Abuse Treatment
Avg $44.95
3,041,260 claims
Emergency Room Visit
Avg $153.94
2,354,612 claims
Blood Work & Lab Tests
Avg $3.91
2,038,554 claims
Dental Cleaning & Exam
Avg $40.35
1,310,251 claims
Physical Therapy
Avg $77.12
1,280,107 claims
X-Ray
Avg $11.11
1,237,971 claims