Average Medicaid Office Visit Payments in Dunkirk, MD: $78.98
Avg. Paid
$78.98
Range
$0.00 – $162.67
Total Claims
34,828
Providers
13
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 Dunkirk, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Andrew Thomas Gergely
3175 W Ward Rd |
$81.50 | 15,959 | 15,265 |
|
Patricia Ann Kane
3175 West Ward Road |
$77.81 | 9,541 | 9,099 |
|
Eric Bernon
10845 Town Center Blvd |
$103.27 | 4,029 | 3,780 |
|
Andrew T Gergely, Md & Associates, Llc
3175 W Ward Rd |
$18.46 | 2,839 | 2,641 |
|
Immirne Monet Ouwinga
10845 Town Center Blvd |
$162.67 | 607 | 526 |
|
Carolyn G Stone
10095 Ward Rd |
$35.98 | 535 | 453 |
|
Glynis Moody
10845 Town Center Blvd Ste 204 |
$81.68 | 479 | 448 |
|
Jeanine Yvette Swan
10095 Ward Rd |
$116.60 | 399 | 365 |
|
David Robert Gallatin
10845 Town Center Blvd Ste 204 |
$87.27 | 321 | 292 |
|
Victorine Apai Agbor
10095 Ward Rd |
$56.15 | 52 | 43 |
|
Oluwakemi Ayobami Ajiboye
10095 Ward Rd |
$73.58 | 40 | 31 |
|
Lauren Elizabeth Hare
10845 Town Center Blvd Ste 108 |
$120.47 | 14 | 13 |
|
Andrew T. Gergely, M.D. & Associates Llc
3175 W Ward Rd |
$0.00 | 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 Dunkirk, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Dunkirk, MD is $78.98 per claim, based on 34,828 claims from 13 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 Dunkirk, MD?
There are 13 Medicaid providers offering Office Visit related services in Dunkirk, MD according to public payment data.
What is the price range for Office Visit in Dunkirk, MD?
Medicaid reimbursement for Office Visit in Dunkirk, MD ranges from $0.00 to $162.67 per claim, with an average of $78.98. 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 Dunkirk, MD
Dental Cleaning & Exam
Avg $37.93
48,801 claims
Eye Exam
Avg $14.76
11,159 claims
Dental Filling
Avg $106.97
10,689 claims
Physical Therapy
Avg $28.54
10,232 claims
Psychiatric Evaluation
Avg $89.25
788 claims
Tooth Extraction
Avg $121.92
637 claims
Urinalysis & Urine Tests
Avg $2.34
553 claims
X-Ray
Avg $21.83
106 claims