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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
Kathleen S Wrona

8830 Belair Rd

$110.98 12 12
Abdul Malik Fofanah

2115 N Charles St

$133.26 12 12
Karla Susan Alwood

600 N Wolfe St

$79.25 12 12
Uni Wong

22 S Greene St

$85.97 12 12
Natalie Hirsch

600 N Wolfe St

$81.39 12 12
Tracey Reinecke-Kashima

900 Caton Ave

$98.58 12 12
Stephen M. Harris

5601 Loch Raven Blvd

$70.11 12 12
W. Andrew Eglseder

22 S Greene St

$21.80 12 12
Compassionate Care Services, Llc

2901 Druid Park Dr Ste 103

$138.61 12 12
Paulina Liberman Salazar

600 N Wolfe St

$133.26 12 12
Sarah J. Riley

601 N Caroline St

$143.16 12 12
Francis Xavier Creighton

601 N Caroline St Rm 6210

$87.23 12 12
Siddharth Swarup Gupta

600 N Wolfe Street

$165.87 12 12
Paul Byron Fowler

5601 Loch Raven Blvd

$141.49 12 12
Swati D Phatak

2112 Dundalk Ave

$93.55 12 12
Jay Perman

22 S Greene St

$185.11 12 12
Metro Renal Associates Llc

821 N Eutaw St Ste 407

$24.48 12 12
Bryce Chiang

1800 Orleans St

$18.79 12 12
Michael Schofield Phipps

16 S Eutaw St

$92.62 12 12
John Arnold Woller

1800 Orleans St

$44.79 12 12
Alexandra Marie Abbate

4940 Eastern Ave

$222.84 12 12
Emerson Tan Que

1800 Orleans St

$21.40 12 12
Vadim V. Morozov

419 W Redwood St

$107.37 12 12
Brynn Donnelly O'Laughlin

2411 W Belvedere Ave Ste 407

$88.44 12 12
Marina Pulini-Franks

5100 Eastern Ave

$100.60 12 12
Anne Margaret Murphy

600 N Wolfe St

$99.18 12 12
Mary Elizabeth Yaden

4940 Eastern Ave Fl Commons4

$138.61 12 12
New Beginnings Behavioral Health Corporation

1055 Taylor Ave Ste 203

$161.71 12 12
George Stojan

600 N Wolfe St

$79.74 12 12
Andrew Junha Ro

900 S Caton Ave

$125.00 12 12
Jeffrey A Lafferman

1634 Sulphur Spring Rd

$130.07 12 12
Andrew Rising Carey

600 N Wolfe St

$112.72 12 12
Jean G Ford

600 N Wolfe St

$3.81 12 12
Stephen M. Kavic

22 S Greene St

$80.54 12 12
Saikrishna Chaitanya Gourishetti

601 N Caroline St Fl 6

$93.30 12 12
Alexander Lewis Coon

1800 Orleans St

$38.58 12 12
Sumeska Thavarajah

4940 Eastern Ave

$105.73 12 12
Hyun S Kim

22 S Greene St

$20.32 12 12
Johns Hopkins University

600 N Wolfe St

$7.51 12 12
Gregory Krauss

600 N Wolfe St

$88.48 12 12
Dian Patricia Grandison

4940 Eastern Ave

$103.00 12 12
Johns Hopkins University

600 N Wolfe St

$12.07 12 12
Anwar I. Khokhar, M.D., P.A.

821 N Eutaw St

$100.03 12 12
Benjamin Barnes

1800 Orleans St

$93.61 12 12
Lydia Kim

200 N Wolfe St Ste 3075

$130.00 12 12
Belina Yi

600 N Wolfe St

$197.46 12 12
Christina Buchanan Valero

707 N Broadway

$138.24 12 12
Esther I Krug

2435 W Belvedere Ave

$89.18 12 12
Neal J Naff

2700 Quarry Lake Dr

$102.16 12 12
Seth Alexander Vann

3001 S Hanover St

$127.06 12 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 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.

Office Visit in Other Cities

Other Procedures in Baltimore, MD