Based on public Medicaid payment data.

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
Sunil K. Gupta, M.D., P.A. 625 Kent Ave Ste 101	$61.23	12	12
Emily J Davis 14302 Barton Blvd Sw	$35.71	12	12
Kacey Barb 12502 Willowbrook Rd Ste 300	$99.94	12	12
Shawn Ricker 50 Greene St	$3.75	12	12
Jade Hensinger 12502 Willowbrook Rd	$0.40	13	13
Gary L Wagoner Md P A 925 Bishop Walsh Rd	$0.17	13	12
Wolff Orthopedic And Sports Medicine Associates, P.A. 805 E Oldtown Rd Ste B	$61.58	13	12
Janice Amabel Lee 12502 Willowbrook Rd Ste 280	$104.72	14	12
Or Cohen-Inbar 12502 Willowbrook Rd Ste 450	$81.78	14	12
Wendye C Vanbrakle 625 Kent Ave	$72.22	14	14
Jennifer Price Corder 12501 Willowbrook Rd	$138.61	15	15
Tina Hyett 12502 Willowbrook Rd Ste 380	$98.23	15	15
Randall A Stroup 500 Greene St	$82.79	16	16
Bethany Nelson 14302 Barton Blvd Sw	$0.00	16	16
Somashekhar V Bellary Md Pa 921 Seton Dr	$55.02	16	14
Katie Winner 13800 Mcmullen Hwy Sw	$74.65	17	17
Kristen Ray 157 Baltimore St Ste 100	$170.03	17	17
Audie George Klingler 203 Greene St	$65.62	18	13
Robin Hogenmiller 12502 Willowbrook Rd Ste 300	$54.16	21	21
Vikramaditya Poonai 924 Seton Dr	$73.65	22	20
Diane Frances Thomas 12502 Willowbrook Rd Ste 640	$65.13	24	24
Richard Gerard Schmitt 12502 Willowbrook Rd	$68.22	25	25
Vinay Kumar Sharma 12500 Willowbrook Rd	$99.83	26	25
Scott Victor Watkins 12500 Willowbrook Rd	$30.35	27	26
Matthew James Allaway 12234 Willliams Road	$58.60	29	26
Solace Family Healthcare 925 Bishop Walsh Rd Ste 7	$33.95	29	26
Precision Orthopedics And Sports Medicine 12414 Naves Cross Rd Ne	$8.20	31	31
Timothy S. Purdy 1602 Ford Ave	$94.01	32	24
Cecilia Ann Trent 200 Glenn St	$0.00	32	28
Jessica Mccarty 12502 Willowbrook Rd Ste 680	$111.05	36	36
Sukhjit S Sidhu 600 Memorial Ave	$7.62	40	37
Michele Kennedy 621 Kelly Rd	$133.38	40	38
Brian Joseph Hasslinger 14302 Barton Blvd Sw Ste 202	$73.63	43	39
Benjamin Goldstein 12502 Willowbrook Rd	$151.15	50	48
Carlos Soriano Santiago 940 Seton Dr	$33.37	51	46
Shannon Sprenkle 12502 Willowbrook Rd	$56.51	51	51
Upmc Western Maryland Health Services, Llc 12500 Willowbrook Rd	$22.32	55	45
Devora Singer 157 Baltimore St Ste 100	$38.55	59	30
Boyd Edwin Sprenkle 12502 Willowbrook Rd	$63.09	64	61
Robert John Carpenter 911 Seton Dr	$115.46	68	66
Dennis Daniel Dey 921 Seton Dr	$112.08	74	65
Ats Of Cecil County, Llc 14701 National Hwy Sw Ste 5, 6 &1B	$46.29	77	72
Krystal Abucevicz-Swick 12502 Willowbrook Rd	$93.74	78	74
Ashley Golden 915 Seton Dr	$116.43	79	76
Noriecel Dimayuga Mendoza 12502 Willowbrook Rd	$37.97	80	62
Somashekhar Veerappa Bellary 921 Seton Dr	$38.30	82	28
Monica Loraine Wilt 11602 Bedford Rd Ne	$136.98	85	68
Concerted Care Group Cumberland Llc 1050 W Industrial Blvd Ste 16	$91.43	89	61
Cumberland Cardiovascular Assoc 3 12502 Willowbrook Road	$100.73	93	93
Christie M. Livengood 12301 Amherst Ave Ne	$107.73	94	91

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.

Average Medicaid Office Visit Payments in Cumberland, MD: $79.07

Providers Offering Office Visit in Cumberland, MD

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Cumberland, MD

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X-Ray

Nursing Facility Care

Speech Therapy

CT Scan (Computed Tomography)