Average Medicaid Office Visit Payments in Denton, MD: $114.25
Avg. Paid
$114.25
Range
$0.00 – $202.39
Total Claims
75,392
Providers
28
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 Denton, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Statcare Group Iii, Pc
8 Denton Plaza |
$104.57 | 13,369 | 11,994 |
|
Dara Karmel Winfield
808 S 5Th Ave |
$126.05 | 8,991 | 5,306 |
|
Choptank Community Health System Inc
301 Randolph St |
$11.28 | 5,462 | 4,876 |
|
Wafik I Zaki
836 S 5Th Ave |
$97.19 | 5,457 | 4,781 |
|
Adeline Lee Melvin
808 S 5Th Ave |
$174.81 | 4,732 | 3,942 |
|
Caroline County Health Department
18 Denton Plz |
$77.46 | 4,710 | 4,276 |
|
Umms Ambulatory Care Llc
8 Denton Plz |
$99.28 | 4,249 | 3,940 |
|
Rachel Malinda Spellman
303 Sharp Rd |
$149.03 | 4,238 | 3,447 |
|
Michell M Jordan
410 Lockerman St |
$115.70 | 3,359 | 2,662 |
|
John Matthews Eglseder
808 S 5Th Ave |
$167.22 | 3,232 | 2,712 |
|
Medha Satyarengga
1140 Blades Farm Rd Ste 101 |
$105.20 | 2,225 | 1,987 |
|
Eunice Afuah Asare
808 S 5Th Ave |
$183.41 | 1,994 | 1,606 |
|
Kim R Herman
836 S 5Th Ave |
$99.26 | 1,947 | 1,703 |
|
Kira Thrift
303 Sharp Rd |
$168.33 | 1,649 | 1,297 |
|
Laura Bland
808 S 5Th Ave |
$171.34 | 1,605 | 1,245 |
|
Kevin D Tate
609 Daffin Ln |
$114.32 | 1,554 | 1,378 |
|
Elizabeth Anne Buckshaw
808 S 5Th Ave |
$166.64 | 1,449 | 1,274 |
|
For All Seasons, Inc.
322 Market St Ste 207 |
$113.00 | 1,400 | 1,338 |
|
Bernadette Morrissey Wood
8 Denton Plz |
$87.39 | 1,179 | 980 |
|
Laurence John Pezor
808 S 5Th Ave |
$100.93 | 1,002 | 884 |
|
Ashley Lynn Schreppel
1140 Blades Farm Rd Ste 101 |
$100.80 | 589 | 490 |
|
Megan Wojtko
808 S 5Th Ave |
$127.22 | 275 | 247 |
|
Binta Bojang
808 S 5Th Ave |
$76.34 | 262 | 213 |
|
Erin Elizabeth Harvey
808 S 5Th Ave |
$202.39 | 172 | 161 |
|
Samantha Elyse Hoffman
808 S 5Th Ave |
$187.51 | 163 | 149 |
|
Shayna Marie Kerr
8 Denton Plz |
$88.41 | 88 | 72 |
|
Leland Spencer
403 S 7Th St |
$0.00 | 27 | 25 |
|
Oluwaseun Oluwadamilola Ross
8 Denton Plz |
$93.15 | 13 | 13 |
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 Denton, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Denton, MD is $114.25 per claim, based on 75,392 claims from 28 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 Denton, MD?
There are 28 Medicaid providers offering Office Visit related services in Denton, MD according to public payment data.
What is the price range for Office Visit in Denton, MD?
Medicaid reimbursement for Office Visit in Denton, MD ranges from $0.00 to $202.39 per claim, with an average of $114.25. 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 Denton, MD
Physical Therapy
Avg $20.05
74,251 claims
Psychiatric Evaluation
Avg $91.03
35,346 claims
Speech Therapy
Avg $36.79
34,817 claims
Case Management Services
Avg $140.83
21,847 claims
Substance Abuse Treatment
Avg $56.54
12,240 claims
Ambulance Transport
Avg $78.46
11,078 claims
Dental Cleaning & Exam
Avg $5.36
8,783 claims
Vaccines & Immunizations
Avg $1.99
7,352 claims