Average Medicaid Office Visit Payments in Cumberland, MD: $79.07
Avg. Paid
$79.07
Range
$0.00 – $184.15
Total Claims
519,245
Providers
234
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 Cumberland, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Committed To Change, P.C.
200 Glenn St Ste 302 |
$84.13 | 43,568 | 36,625 |
|
Associated Catholic Charities
308 Virginia Ave |
$108.88 | 24,941 | 22,655 |
|
Raymond E Banfer
621 Kelly Rd |
$105.16 | 22,618 | 18,777 |
|
Allegany County Health Department
12503 Willowbrook Rd Se, Brook Building |
$80.04 | 21,889 | 20,633 |
|
Vamsi Kanumuri
1050 W Industrial Blvd |
$70.26 | 21,632 | 20,284 |
|
Upmc Western Maryland Corporation
12500 Willowbrook Rd |
$33.68 | 19,412 | 15,646 |
|
Ronna Mathias Monseau
14302 Barton Blvd Sw |
$98.68 | 15,122 | 13,731 |
|
Surendranath P Ekanayake
12502 Willowbrook Rd |
$104.42 | 14,779 | 10,026 |
|
Miriam Zimela
758 Greene St |
$108.95 | 13,774 | 11,820 |
|
Adaku Obi Ogoke
157 Baltimore St |
$124.05 | 11,818 | 8,798 |
|
Michael Levitas
500 Greene St |
$76.30 | 10,715 | 9,878 |
|
Jeremy R Hunt
1050 W Industrial Blvd Ste 17 |
$96.60 | 10,647 | 9,547 |
|
Daniel Herring
100 Welton Dr |
$90.28 | 10,175 | 9,378 |
|
Crystal Lynne Walls
Western Maryland Health System |
$123.67 | 10,148 | 6,960 |
|
Upmc Western Maryland Corporation
12500 Willowbrook Rd |
$40.78 | 7,880 | 7,180 |
|
Celestino Monzon Menchavez
915 Bishop Walsh Rd |
$79.58 | 7,464 | 6,712 |
|
Peggy A Ottey
Ideal Option |
$97.65 | 7,296 | 4,218 |
|
Mccagh And Herring Md Pa
100 Welton Drive |
$35.85 | 5,572 | 4,959 |
|
Health Matters Llc
14302 Barton Blvd Sw |
$59.73 | 5,542 | 4,932 |
|
Alida I Podrumar
12502 Willowbrook Rd |
$46.77 | 5,374 | 4,205 |
|
Jeremy Alan Herschler
12500 Willowbrook Rd Se |
$61.58 | 5,313 | 3,282 |
|
Ashley Nicole Chucci
12502 Willowbrook Rd Ste 400 |
$65.86 | 5,312 | 4,593 |
|
Sabahat Nawab
1119 Bishop Walsh Rd |
$39.47 | 5,311 | 4,242 |
|
Wmrs Inc
11604 Bedford Rd Ne Ste 7 |
$62.04 | 5,064 | 4,401 |
|
Rodney A Williams
500 Greene St |
$81.03 | 4,946 | 4,637 |
|
Robustiano Jocson Barrera
200 Glenn Street |
$77.89 | 4,861 | 4,072 |
|
Children'S Medical Group, P.A.
500 Greene St |
$53.80 | 4,792 | 3,996 |
|
David Allen Litman
12502 Willowbrook Rd |
$76.33 | 4,763 | 4,287 |
|
Nikkole Amanda Reams
500 Greene St |
$88.05 | 4,662 | 4,379 |
|
Jorge Roberto Andrade
12500 Willowbrook Rd |
$81.87 | 4,571 | 2,798 |
|
Debra B Hurtt
500 Greene St |
$81.44 | 4,509 | 4,232 |
|
Greta J Cain
925 Bishop Walsh Rd |
$89.89 | 4,449 | 3,478 |
|
Melissa Michele Welch
519 N Mechanic St |
$32.97 | 4,421 | 2,439 |
|
Proactive Pain And Neurology, Llc
921 Seton Dr |
$25.30 | 4,089 | 3,386 |
|
Molly Delores Moran
915 Bishop Walsh Rd |
$87.68 | 4,007 | 3,617 |
|
Allaway & Parousis Urology Md Pa
12234 Williams Road |
$18.54 | 3,906 | 3,489 |
|
Susan M Nuber
500 Greene St |
$85.81 | 3,836 | 3,609 |
|
Beth H. Jelinek
12502 Willowbrook Rd Ste 660 |
$79.40 | 3,701 | 2,811 |
|
Upmc Western Maryland Corporation
12502 Willowbrook Rd |
$37.11 | 3,556 | 3,192 |
|
Cpt
249 Henderson Ave |
$18.79 | 3,413 | 2,700 |
|
Anthony H Umpierre
300 E Oldtown Rd |
$68.26 | 3,121 | 3,066 |
|
Patrick Joseph Brown
100 Welton Dr |
$112.37 | 3,091 | 2,858 |
|
Kristina Torrence
12502 Willowbrook Rd Ste 660 |
$119.89 | 3,017 | 2,633 |
|
Jonas Merrill
12252 Williams Rd Se |
$46.65 | 2,898 | 2,498 |
|
Soriayah Marie Zaghab-Mathews
500 Greene St |
$88.58 | 2,656 | 2,459 |
|
Landry Deuboue
157 Baltimore St |
$10.61 | 2,626 | 2,196 |
|
Jessica Emma Miller
925 Bishop Walsh Rd |
$99.86 | 2,595 | 2,093 |
|
Tri-State Community Health Center, Inc
12502 Willowbrook Road |
$22.26 | 2,566 | 1,913 |
|
Bhavani Vaddey
1050 W Industrial Blvd |
$62.19 | 2,485 | 2,265 |
|
Menchavez Pediatrics, Llc
915 Bishop Walsh Rd |
$60.07 | 2,459 | 2,102 |
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 Cumberland, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cumberland, MD is $79.07 per claim, based on 519,245 claims from 234 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 Cumberland, MD?
There are 234 Medicaid providers offering Office Visit related services in Cumberland, MD according to public payment data.
What is the price range for Office Visit in Cumberland, MD?
Medicaid reimbursement for Office Visit in Cumberland, MD ranges from $0.00 to $184.15 per claim, with an average of $79.07. 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 Cumberland, MD
Blood Work & Lab Tests
Avg $10.68
296,660 claims
Psychiatric Evaluation
Avg $100.55
268,643 claims
Substance Abuse Treatment
Avg $66.34
180,064 claims
Physical Therapy
Avg $54.02
138,012 claims
X-Ray
Avg $5.64
113,089 claims
Nursing Facility Care
Avg $45.76
93,967 claims
Speech Therapy
Avg $39.90
86,760 claims
CT Scan (Computed Tomography)
Avg $36.53
56,474 claims