Average Medicaid Office Visit Payments in Berlin, MD: $75.31
Avg. Paid
$75.31
Range
$0.00 – $184.27
Total Claims
59,569
Providers
57
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 Berlin, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicki Akstinas
11107 Racetrack Road |
$68.72 | 12 | 12 |
|
Jason Alan Smith
314 Franklin Ave Ste 302 |
$91.77 | 15 | 12 |
|
Ginger Renee Wille
9950 Main St |
$126.00 | 20 | 18 |
|
Mark T Edney
314 Franklin Ave Ste 302 |
$90.55 | 26 | 26 |
|
Flavio W Kruter
11105 Cathage Rd |
$49.79 | 39 | 38 |
|
Tammy Lynn Donoway
11101 Cathage Rd |
$82.05 | 43 | 40 |
|
Jonathan D Bell
314 Franklin Ave |
$75.50 | 45 | 16 |
|
Thomas D Beck
314 Franklin Ave |
$75.02 | 47 | 43 |
|
Wadid Youssef Zaky Salama
10231 Old Ocean City Blvd Ste 208 |
$67.75 | 52 | 50 |
|
Franko And Gordana Stepcic, M.D., P.A.
10231 Old Ocean City Blvd |
$28.64 | 53 | 52 |
|
David Gannon
9956 N Main St |
$94.44 | 57 | 50 |
|
John A Hancock
9715 Healthway Dr |
$15.56 | 64 | 12 |
|
Todd M Bescak
10231 Old Ocean City Blvd |
$108.03 | 70 | 69 |
|
Monte Sean Meltzer
9948 N Main St Ste 1 |
$66.91 | 82 | 75 |
|
Vanessa Sparta
9714 Healthway Dr |
$62.72 | 84 | 79 |
|
Xin Zhong
10231 Old Ocean City Blvd |
$101.90 | 85 | 76 |
|
Christopher M Farrell
314 Franklin Ave Ste 201 |
$105.83 | 87 | 76 |
|
Gena Denice Nance
314 Franklin Ave Ste 304 |
$116.77 | 131 | 119 |
|
Yvonne Etenyi Fomengia
9715 Healthway Dr |
$88.12 | 133 | 121 |
|
Christine Neto
1107 Racetrack Road |
$93.79 | 150 | 133 |
|
Worcester County Health Department
9730 Healthway Dr |
$0.00 | 153 | 125 |
|
Megan Karin Tyndall
9950 Main St |
$102.29 | 166 | 138 |
|
Jacques R Conaway
11107 Cathage Rd Unit 201 |
$99.63 | 174 | 124 |
|
Atlantic Orthopaedics Pa
314 Franklin Ave |
$9.58 | 175 | 151 |
|
Lee Warren Klepper
314 Franklin Ave |
$79.26 | 208 | 134 |
|
Alae Zarif
9956 North Main Street |
$99.15 | 213 | 189 |
|
Ashley Elizabeth Hamilton
253 Powell Cir |
$118.86 | 237 | 221 |
|
David Michael Wanalista
10231 Old Ocean City Blvd |
$86.23 | 259 | 232 |
|
Julianne Judge Mcbride
314 Franklin Ave Ste 103 |
$94.11 | 269 | 179 |
|
Edwin Tatoy Castaneda
10324 Old Ocean City Blvd |
$77.40 | 296 | 274 |
|
Knj Properties Llc
10308 Old Ocean City Blvd |
$1.95 | 368 | 331 |
|
Kristen Renee Abbott
11101 Cathage Rd |
$98.56 | 389 | 349 |
|
Bryce Edward Blanton
11101 Cathage Rd |
$83.20 | 419 | 353 |
|
Angela Marie Simmons
9956 North Main Street |
$80.22 | 449 | 393 |
|
Emily Catherine Laustsen
9714 Healthway Drive |
$93.47 | 521 | 458 |
|
Angela Borrell
11312 Manklin Creek Rd Unit 5 |
$157.21 | 599 | 543 |
|
Alison L. Diesel
10324 Old Ocean City Blvd. |
$111.00 | 607 | 534 |
|
Jordan Pearson Braniff
11101 Cathage Rd |
$108.29 | 690 | 490 |
|
Allison Paige Pusey
11107 Racetrack Rd |
$94.51 | 751 | 626 |
|
Charleen Gonden
29 Broad St Ste 202A |
$128.41 | 896 | 638 |
|
Preeti Bhanot Yonker
9733 Healthway Drive |
$80.57 | 1,020 | 938 |
|
Heather Kohli-Werner
11101 Cathage Rd |
$111.91 | 1,022 | 675 |
|
Philip J Spinuzza
314 Franklin Ave |
$73.01 | 1,071 | 866 |
|
Scott Sweeney
9950 Main Street |
$98.57 | 1,086 | 833 |
|
Brookellen Rider
314 Franklin Ave |
$76.53 | 1,160 | 793 |
|
Erin Elizabeth Hollenbach
9958 N Main St |
$184.27 | 1,175 | 920 |
|
Jeffrey R Scheirer
11101 Cathage Rd. |
$91.88 | 1,255 | 1,047 |
|
Liezl G. Irisari
11107 Racetrack Rd |
$46.22 | 1,737 | 1,672 |
|
Rabindra N Paul
10231 Old Ocean City Blvd |
$94.69 | 2,125 | 1,578 |
|
Atlantic General Hospital Corporation
9714 Healthway Dr |
$134.08 | 2,157 | 1,490 |
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 Berlin, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Berlin, MD is $75.31 per claim, based on 59,569 claims from 57 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 Berlin, MD?
There are 57 Medicaid providers offering Office Visit related services in Berlin, MD according to public payment data.
What is the price range for Office Visit in Berlin, MD?
Medicaid reimbursement for Office Visit in Berlin, MD ranges from $0.00 to $184.27 per claim, with an average of $75.31. 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 Berlin, MD
Physical Therapy
Avg $29.38
49,369 claims
Psychiatric Evaluation
Avg $80.92
23,357 claims
Emergency Room Visit
Avg $101.57
14,718 claims
Blood Work & Lab Tests
Avg $9.81
5,405 claims
Dental Cleaning & Exam
Avg $53.47
4,941 claims
Speech Therapy
Avg $58.95
4,232 claims
Substance Abuse Treatment
Avg $61.49
2,786 claims
Vaccines & Immunizations
Avg $15.13
2,575 claims