Based on public Medicaid payment data.

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
Children'S Hospital 111 Michigan Ave Nw	$227.06	281,013	238,092
Medstar Washington Hospital Center 110 Irving St Nw	$192.76	278,670	239,593
Unity Health Care, Inc. 3020 14Th St Nw	$0.22	105,884	78,935
Unity Health Care, Inc 3946 Minnesota Ave Ne	$0.00	57,164	45,863
Unity Health Care, Inc 1500 Galen St Se	$0.01	56,204	42,959
Divya Pana Shenoy 1225 4Th St Ne	$106.05	52,956	49,058
Unity Health Care, Inc 765 Kenilworth Ter Ne	$0.02	51,532	38,744
Whitman-Walker Clinic, Inc 1525 14Th St Nw	$0.21	48,658	34,155
Unity Health Care, Inc 1251 B Saratoga Ave, Ne	$0.01	47,207	35,179
Edwin Charles Chapman 1647 Benning Rd Ne Ste 200	$82.31	35,219	20,224
Mgmc, Llc 3800 Reservoir Rd Nw	$38.52	34,934	30,726
Mary'S Center For Maternal And Child Care, Inc 2333 Ontario Rd. Nw	$4.62	30,845	23,715
Mary'S Center For Maternal & Child Care 3912 Georgia Ave. Nw	$0.07	28,474	22,843
Medical Faculty Associates, Inc 2150 Pennsylvania Ave Nw	$50.23	26,745	22,557
Steven J Pompili 1140 Varnum St Ne Ste 209	$51.66	26,493	23,895
Community Of Hope, Inc. 4 Atlantic Street Sw	$0.24	23,695	18,068
Unity Health Care, Inc 4414 Benning Rd Ne	$0.00	22,728	18,052
Samuel Antwi 1601 18Th St Nw Ste 4	$70.34	22,382	16,475
Facika Tafara 1133 21St St Nw	$0.20	21,080	19,624
Unity Health Care, Inc 425 2Nd St Nw	$0.00	20,905	13,895
Cleveland Williams 2041 Martin Luther King Jr Ave Se	$66.46	20,203	17,850
Unity Health Care, Inc 1660 Columbia Rd Nw	$0.00	19,886	12,911
Not-For-Profit Hospital Corporation 1310 Southern Ave Se	$227.23	19,768	16,852
Medstar - Georgetown Medical Center, Inc. 3800 Reservoir Rd., Nw	$188.71	19,675	16,305
Bread For The City,Inc. 1525 7Th St Nw	$0.00	19,046	13,841
Eric Cornelius Marshall 1160 Varnum St Ne	$67.20	18,374	16,120
Scott Jefferson Whetsell 2112 F St Nw Ste 504	$70.83	17,179	13,335
Community Connections Inc 801 Pennsylvania Ave Se Ste 201	$49.66	15,160	10,500
Gilbert E Daniel 650 Pennsylvania Ave Se Ste 330	$64.31	14,468	12,745
Community Of Hope Inc. 2120 Bladensburg Rd Ne	$0.23	14,234	11,554
Richard Francis Burroughs 6900 Georgia Ave Nw	$25.41	13,328	12,574
Some, Inc 60 O Street Nw	$0.09	13,276	8,717
Kevin S Smith 2041 Georgia Nwave 1700	$5.71	13,003	12,284
Norman W Allen 1647 Benning Rd Ne	$70.14	12,770	10,558
Whc Physician Group Llc 110 Irving St Nw	$32.17	12,756	11,535
District Hospital Partners L P 900 23Rd St Nw	$222.18	12,685	10,868
Josephine C Ignis 101 Q St Nw	$64.71	12,459	3,681
David Rosher King 1160 Varnum St Ne	$59.20	12,374	9,124
Evan Henry Argintar 106 Irving St Nw	$58.47	12,248	11,440
Community Of Hope, Inc 2155 Champlain St Nw	$0.03	11,947	8,707
Kristian Andreas Melby 1525 14Th St Nw	$0.46	11,169	10,190
Ronald Lee Anderson 2041 Martin Luther King Jr Ave Se	$67.50	10,611	9,597
Mir Javid 1150 Varnum St Ne	$89.16	10,590	8,328
Melissa Teresa Fagonde 1160 Varnum Street , Ne	$74.93	10,515	8,926
Preventive Measures Of Wash Dc,Llc 2124 Martin Luther King Jr Ave Se	$60.67	10,384	9,523
Whitman-Walker Clinic, Inc. 1201 Sycamore Dr Se	$0.00	10,333	8,869
Michelle Lynn Gaskins Craig 1160 Varnum St Ne	$64.86	10,025	8,453
Kirk Geter 2041 Gerogia Ave Nw	$42.53	9,869	8,567
Brynn M Farlow 2300 M St Nw	$5.25	9,818	9,040
Mcclendon Center 1338 N Capitol St Nw	$66.80	9,768	9,286

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.

Average Medicaid Office Visit Payments in Washington, DC: $76.54

Providers Offering Office Visit in Washington, DC

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Washington, DC

Home Health Visit

Behavioral & Mental Health Therapy

Substance Abuse Treatment

Emergency Room Visit

Blood Work & Lab Tests

Dental Cleaning & Exam

Physical Therapy

X-Ray