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 |
|---|---|---|---|
|
Atlantic General Hospital Corporation
10026 Old Ocean City Blvd Ste 1 |
$34.36 | 17,691 | 14,555 |
|
Daniel R Pascucci
314 Franklin Ave |
$79.55 | 3,955 | 3,154 |
|
Chesapeake Urology Associates, Llc
314 Franklin Ave Ste 302 |
$8.78 | 3,183 | 2,637 |
|
Munna Garg
11107 Racetrack Road |
$86.21 | 3,181 | 2,859 |
|
Anita Pascucci
9714 Healthway Dr |
$91.18 | 2,995 | 2,679 |
|
Danielle J Orr
11107 Racetrack Rd |
$101.12 | 2,866 | 2,534 |
|
Katerina Bozhikova Todorov
9958 North Main Street |
$168.39 | 2,756 | 2,331 |
|
Atlantic General Hospital Corporation
9714 Healthway Dr |
$134.08 | 2,157 | 1,490 |
|
Rabindra N Paul
10231 Old Ocean City Blvd |
$94.69 | 2,125 | 1,578 |
|
Liezl G. Irisari
11107 Racetrack Rd |
$46.22 | 1,737 | 1,672 |
|
Jeffrey R Scheirer
11101 Cathage Rd. |
$91.88 | 1,255 | 1,047 |
|
Erin Elizabeth Hollenbach
9958 N Main St |
$184.27 | 1,175 | 920 |
|
Brookellen Rider
314 Franklin Ave |
$76.53 | 1,160 | 793 |
|
Scott Sweeney
9950 Main Street |
$98.57 | 1,086 | 833 |
|
Philip J Spinuzza
314 Franklin Ave |
$73.01 | 1,071 | 866 |
|
Heather Kohli-Werner
11101 Cathage Rd |
$111.91 | 1,022 | 675 |
|
Preeti Bhanot Yonker
9733 Healthway Drive |
$80.57 | 1,020 | 938 |
|
Charleen Gonden
29 Broad St Ste 202A |
$128.41 | 896 | 638 |
|
Allison Paige Pusey
11107 Racetrack Rd |
$94.51 | 751 | 626 |
|
Jordan Pearson Braniff
11101 Cathage Rd |
$108.29 | 690 | 490 |
|
Alison L. Diesel
10324 Old Ocean City Blvd. |
$111.00 | 607 | 534 |
|
Angela Borrell
11312 Manklin Creek Rd Unit 5 |
$157.21 | 599 | 543 |
|
Emily Catherine Laustsen
9714 Healthway Drive |
$93.47 | 521 | 458 |
|
Angela Marie Simmons
9956 North Main Street |
$80.22 | 449 | 393 |
|
Bryce Edward Blanton
11101 Cathage Rd |
$83.20 | 419 | 353 |
|
Kristen Renee Abbott
11101 Cathage Rd |
$98.56 | 389 | 349 |
|
Knj Properties Llc
10308 Old Ocean City Blvd |
$1.95 | 368 | 331 |
|
Edwin Tatoy Castaneda
10324 Old Ocean City Blvd |
$77.40 | 296 | 274 |
|
Julianne Judge Mcbride
314 Franklin Ave Ste 103 |
$94.11 | 269 | 179 |
|
David Michael Wanalista
10231 Old Ocean City Blvd |
$86.23 | 259 | 232 |
|
Ashley Elizabeth Hamilton
253 Powell Cir |
$118.86 | 237 | 221 |
|
Alae Zarif
9956 North Main Street |
$99.15 | 213 | 189 |
|
Lee Warren Klepper
314 Franklin Ave |
$79.26 | 208 | 134 |
|
Atlantic Orthopaedics Pa
314 Franklin Ave |
$9.58 | 175 | 151 |
|
Jacques R Conaway
11107 Cathage Rd Unit 201 |
$99.63 | 174 | 124 |
|
Megan Karin Tyndall
9950 Main St |
$102.29 | 166 | 138 |
|
Worcester County Health Department
9730 Healthway Dr |
$0.00 | 153 | 125 |
|
Christine Neto
1107 Racetrack Road |
$93.79 | 150 | 133 |
|
Yvonne Etenyi Fomengia
9715 Healthway Dr |
$88.12 | 133 | 121 |
|
Gena Denice Nance
314 Franklin Ave Ste 304 |
$116.77 | 131 | 119 |
|
Christopher M Farrell
314 Franklin Ave Ste 201 |
$105.83 | 87 | 76 |
|
Xin Zhong
10231 Old Ocean City Blvd |
$101.90 | 85 | 76 |
|
Vanessa Sparta
9714 Healthway Dr |
$62.72 | 84 | 79 |
|
Monte Sean Meltzer
9948 N Main St Ste 1 |
$66.91 | 82 | 75 |
|
Todd M Bescak
10231 Old Ocean City Blvd |
$108.03 | 70 | 69 |
|
John A Hancock
9715 Healthway Dr |
$15.56 | 64 | 12 |
|
David Gannon
9956 N Main St |
$94.44 | 57 | 50 |
|
Franko And Gordana Stepcic, M.D., P.A.
10231 Old Ocean City Blvd |
$28.64 | 53 | 52 |
|
Wadid Youssef Zaky Salama
10231 Old Ocean City Blvd Ste 208 |
$67.75 | 52 | 50 |
|
Thomas D Beck
314 Franklin Ave |
$75.02 | 47 | 43 |
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