Average Medicaid Office Visit Payments in Capitol Heights, MD: $103.32
Avg. Paid
$103.32
Range
$73.19 – $182.54
Total Claims
30,109
Providers
8
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 Capitol Heights, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sonja Zaneta Gerald
4744 Marlboro Pike |
$73.19 | 8,570 | 7,476 |
|
Samuel Croff
1458 Addison Rd S |
$116.45 | 8,024 | 6,870 |
|
Allanna D Webb
1458 Addison Rd S |
$100.34 | 4,494 | 3,823 |
|
Debra S Apperson
1458 Addison Rd S |
$108.61 | 4,349 | 3,580 |
|
Razia Parveen Sultana Syed
1442 Addison Rd S |
$133.57 | 2,057 | 1,760 |
|
Letha Mary Healey
1458 Addison Rd S |
$85.33 | 1,176 | 931 |
|
Alexis Mcleod
1442 Addison Rd S |
$182.54 | 1,047 | 849 |
|
Rachel R Mendoza
1442 Addison Rd S |
$152.46 | 392 | 343 |
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 Capitol Heights, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Capitol Heights, MD is $103.32 per claim, based on 30,109 claims from 8 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 Capitol Heights, MD?
There are 8 Medicaid providers offering Office Visit related services in Capitol Heights, MD according to public payment data.
What is the price range for Office Visit in Capitol Heights, MD?
Medicaid reimbursement for Office Visit in Capitol Heights, MD ranges from $73.19 to $182.54 per claim, with an average of $103.32. 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 Capitol Heights, MD
Home Health Visit
Avg $44.47
172,882 claims
Prescription Medications
Avg $0.56
19,549 claims
Behavioral & Mental Health Therapy
Avg $79.26
9,987 claims
Dental Cleaning & Exam
Avg $42.12
8,941 claims
Dental Filling
Avg $117.77
4,263 claims
Vaccines & Immunizations
Avg $0.92
3,348 claims
Hearing Test (Audiometry)
Avg $0.52
1,075 claims
Psychiatric Evaluation
Avg $89.20
839 claims