Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Baltimore, MD: $85.10

Avg. Paid

$85.10

Range

$0.00 – $688.45

Total Claims

6,638,810

Providers

3,443

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 Baltimore, MD

Provider	Avg. Paid	Claims	Patients
Medstar Medical Group Ii Llc 5601 Loch Raven Blvd	$35.53	150,900	133,982
Patient First Maryland Medical Group Pllc 5100 Eastern Avenue	$21.21	112,562	98,201
Deepak Seth 207 Wise Ave	$74.13	96,658	66,582
University Of Maryland Community Medical Group, Inc. 821 N Eutaw St	$32.43	90,597	74,179
Johns Hopkins Community Physicians, Inc 600 N Wolfe St	$35.13	68,631	62,051
Medstar Urgent Care Llc 6317 York Rd	$2.82	68,123	35,891
Maryland Family Care, Inc. 301 Saint Paul Pl	$35.94	61,305	56,595
Turning Point Clinic Inc. 2401 E North Ave	$74.15	53,172	47,889
Freedom Healthcare, Llc 3310 Eastern Ave Fl 1	$88.46	43,424	26,853
Taofeek Adekunle Bello 2401 Liberty Heights Ave	$97.63	42,079	39,082
Aspen Day Treatment, Llc 1634 Sulphur Spring Rd	$112.27	41,241	34,731
Edwin Francisco Aguilar Lopez 6830 Hospital Dr	$92.29	40,798	35,544
Jacqueline Ebony Ambush 4367 Hollins Ferry Rd	$92.37	40,011	29,046
Patient First Maryland Medical Group Pllc 4924 Campbell Blvd	$31.44	39,790	35,466
Larry H Gaston 2300 Garrison Blvd	$49.87	39,391	30,522
Total Health Care Inc 1501 Division St	$18.63	37,864	32,060
Patient First Maryland Medical Group Pllc 8830 Belair Rd	$32.01	37,267	33,242
Johns Hopkins University 600 N Wolfe St	$22.39	36,305	33,078
Greater Baltimore Medical Center, Inc. 6701 N Charles St	$35.80	35,726	31,182
Changing Lives At Home Mental Health Corporation 4805 Garrison Blvd	$108.43	30,433	17,022
St Agnes Healthcare Inc 900 Caton Ave	$34.05	29,729	25,738
Eric Alvin Ritter 1335 W Baltimore St	$164.99	27,889	11,800
Bnj Health Services Llc Washington Blvd 2701 Washington Blvd	$36.16	27,113	12,591
Claude B Smith 3333 N Calvert St	$113.28	26,273	23,884
Daniel Ray Howard 405 N Paca St	$68.39	25,200	13,687
Nathan Mckoy 401 E Eager St	$118.04	23,297	21,407
Medstar Franklin Square Physicians Llc 9000 Franklin Square Dr	$41.64	23,223	20,221
Hollis Seunarine Mdpa Llc 5010 York Rd	$37.69	22,994	19,992
Maneesh C Sharma 2700 Lighthouse Pt E	$82.21	22,869	12,078
Balance Point Wellness 5820 York Rd Ste 201	$114.59	22,440	20,337
Baltimore Crisis Response,Inc 5124 Greenwich Ave	$91.72	22,248	4,950
Optimum Health Systems Inc 2300 Garrison Blvd	$107.00	21,762	19,443
Health Care For The Homeless, Inc 421 Fallsway	$15.50	20,441	11,574
Netanel G Schwob 4000 Old Court Rd	$61.84	20,279	17,164
Eastern Avenue Health Solutions Inc. 5920 Eastern Ave	$74.48	20,220	18,400
Qi Cao 22 S Greene St, Dept Of Radiology	$61.01	19,851	9,185
Divine Light Residential Treatment Llc 1200 W Baltimore St	$108.41	19,807	7,040
Thrive Behavioral Health, Llc 5720 Executive Dr Ste 100-105	$109.94	19,234	17,531
Mighty Behavioral Health Services 11 E Lexington St Ste 100	$143.50	19,162	13,897
Sheppard Pratt Physicians, P.A. 6501 N Charles St	$40.40	19,087	16,571
National Pike Health Center 5411 Old Frederick Rd	$80.36	18,701	17,277
Phillip Sherman Ragland 3455 Wilkens Ave Ste 100	$60.82	18,218	9,812
Mosaic Community Services, Inc 2225 N Charles St	$78.60	17,737	16,998
Aba Health Services Inc 3939 Reisterstown Rd Ste 150	$92.27	17,421	13,643
Shawn Dhillon 2 Hamill Rd Ste 272	$83.82	17,259	13,829
Harini Balu 821 N Eutaw St Ste 202	$54.00	17,258	15,353
Johns Hopkins University 600 N Wolfe St	$33.79	17,041	14,681
University Of Maryland Midtown Health Inc 36 S Paca St	$27.73	17,035	14,638
Key Point Health Services, Inc. 1012 North Point Rd	$108.83	16,438	15,083
Bryan S. Nolan 5601 Loch Raven Blvd	$114.28	15,950	15,014

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 Baltimore, MD?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Baltimore, MD is $85.10 per claim, based on 6,638,810 claims from 3443 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 Baltimore, MD?

There are 3443 Medicaid providers offering Office Visit related services in Baltimore, MD according to public payment data.

What is the price range for Office Visit in Baltimore, MD?

Medicaid reimbursement for Office Visit in Baltimore, MD ranges from $0.00 to $688.45 per claim, with an average of $85.10. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Baltimore, MD: $85.10

Providers Offering Office Visit in Baltimore, MD

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 Baltimore, MD

Substance Abuse Treatment

Psychiatric Evaluation

Blood Work & Lab Tests

Emergency Room Visit

Dental Cleaning & Exam

X-Ray

EKG / ECG (Electrocardiogram)

Physical Therapy