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
Sarah Tomlinson Rives Gray 1200 E Fayette St	$122.15	12	12
Simon Roderick Alfred Best 601 N Caroline St # 6210	$86.29	12	12
Sheldon Gottlieb 4940 Eastern Ave	$76.30	12	12
Ning Cao 600 N Wolfe St	$59.07	12	12
Jaya Swami-Kamboj 9000 Franklin Square Dr	$148.55	12	12
Ibiyinka Windapo 4340 Park Heights Ave	$109.76	12	12
Uri Simcha Soiberman 1800 Orleans St	$90.37	12	12
Karen A Engstrom 2435 W Belvedere Ave	$63.85	12	12
Charles Locke 600 N Wolfe St	$84.35	12	12
Kevin Gordon Schendel 9114 Philadelphia Rd	$0.00	12	12
Shijun Huang 900 Caton Ave	$38.55	12	12
Jennifer Ellen Brady 600 N Wolfe St	$199.31	12	12
John Michael Thompson 600 North Wolfe Street	$128.08	12	12
Francis Lawson Grumbine 419 W Redwood St	$98.58	12	12
Christopher Allen Stenger 201 E University Pkwy	$112.74	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
Philip Jaratsak Nivatpumin 9114 Philadelphia Rd	$73.70	12	12
Calvin Thomas Williams 201 E University Pkwy	$89.36	12	12
Jorge Luis Guerrero 900 S Caton Ave	$95.99	12	12
Robert S Mayer 600 N Wolfe St	$103.96	12	12
Chete Margaret Eze-Nliam 5110 Nathan Shock Drive, Suite 100	$40.74	12	12
Zainab K Turay 3001 S Hanover St Ste 300	$86.73	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

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