Average Medicaid Office Visit Payments in Burtonsville, MD: $77.52
Avg. Paid
$77.52
Range
$30.82 – $124.70
Total Claims
10,316
Providers
12
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 Burtonsville, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ppns
15646 Old Columbia Pike |
$60.93 | 4,945 | 4,129 |
|
Clinical Solutions
4000 Blackburn Ln Ste 150 |
$124.70 | 1,895 | 1,749 |
|
Lien Van
15300 Spencerville Ct Ste 101 |
$83.01 | 924 | 833 |
|
Gabriel Martin Sevalie
4211 Sugar Pine Ct |
$109.13 | 558 | 519 |
|
Yared Tekle
3923 Dunes Way |
$31.49 | 547 | 363 |
|
Modupe Adekunle
4000 Blackburn Ln Ste 150 |
$121.68 | 393 | 362 |
|
Dhoha Abdulmoneam Alhashim
15646 Old Columbia Pike |
$30.82 | 349 | 245 |
|
Eliane Sandrine Tueche Fankam
4401 Saddle Creek Way |
$80.88 | 292 | 224 |
|
Holy Cross Anesthesiology Associate Pa
4000 Blackburn Ln Ste 220 |
$31.51 | 166 | 162 |
|
Margaret Fri Ndi
14806 Cross River Ct |
$91.85 | 110 | 44 |
|
George C James
3905 National Dr |
$69.27 | 88 | 87 |
|
Natalie Angele Jarian Morales
15646 Old Columbia Pike |
$73.54 | 49 | 48 |
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 Burtonsville, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Burtonsville, MD is $77.52 per claim, based on 10,316 claims from 12 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 Burtonsville, MD?
There are 12 Medicaid providers offering Office Visit related services in Burtonsville, MD according to public payment data.
What is the price range for Office Visit in Burtonsville, MD?
Medicaid reimbursement for Office Visit in Burtonsville, MD ranges from $30.82 to $124.70 per claim, with an average of $77.52. 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 Burtonsville, MD
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Avg $122.22
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Avg $75.52
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Avg $25.64
16,278 claims
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Avg $36.31
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Avg $10.34
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Avg $17.53
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Avg $36.97
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Dental Filling
Avg $87.16
273 claims