Average Medicaid Office Visit Payments in Edgewater, MD: $78.80
Avg. Paid
$78.80
Range
$0.00 – $134.23
Total Claims
70,456
Providers
31
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 Edgewater, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nnegadi Tataw
3025 Solomons Island Rd |
$59.37 | 12 | 12 |
|
Chelsea Hayes Thompson
137 Mitchells Chance Rd Ste 180 |
$119.81 | 13 | 12 |
|
Marylyn Ezenyi
3025 Solomons Island Rd |
$134.23 | 13 | 13 |
|
Perpetua Anthony
20 Mayo Rd, Suite 201 |
$0.00 | 20 | 17 |
|
Susan Signorelli
3059 Solomons Island Rd Ste F-2 |
$40.38 | 21 | 14 |
|
Madhavi Patel
3025 Solomons Island Rd |
$117.89 | 29 | 27 |
|
Rachel Susan Burda
3169 Braverton St Ste 201 |
$73.23 | 44 | 36 |
|
Stephen E Killian
3169 Braverton St |
$88.78 | 74 | 71 |
|
Terry Lee Everhart
3169 Braverton Street |
$98.32 | 116 | 100 |
|
Monee Mickens
224 Mayo Rd Ste A |
$100.67 | 193 | 179 |
|
Luminis Health Medical Group, Llc
3169 Braverton St |
$22.76 | 226 | 186 |
|
Hayat N Aberra
3025 Solomons Island Rd |
$32.04 | 262 | 206 |
|
John Barthelow Classen
3059 Solomons Island Rd |
$105.26 | 307 | 286 |
|
Rosemary Ingado
20 Mayo Road |
$78.25 | 371 | 278 |
|
Holly Ann Mohr
224 Mayo Rd |
$99.52 | 393 | 348 |
|
Carl Jonathan Glienke
3059 Solomons Island Rd |
$95.77 | 400 | 372 |
|
Kimberly Neidig
3158 Braverton St Ste 110 |
$96.94 | 410 | 372 |
|
Gillian Kaye Lowe
3169 Braverton St |
$98.47 | 411 | 365 |
|
1St Medical Of Annapolis, Inc.
20 Mayo Rd Ste 201 |
$29.13 | 719 | 595 |
|
Jason Worobey
69 Mayo Rd Ste 204 |
$65.03 | 887 | 586 |
|
Heather Siobhan Newhard
137 Mitchells Chance Rd Ste 180 |
$65.70 | 1,332 | 949 |
|
Mackenzie Doshi
3168 Braverton St |
$95.60 | 1,430 | 1,202 |
|
Lindsey R Combs
3025 Solomons Island Rd |
$107.37 | 1,648 | 1,532 |
|
Katherine Lynn Selby
137 Mitchells Chance Rd |
$24.03 | 2,278 | 2,063 |
|
Arundel Lodge, Inc.
2600 Solomons Island Rd |
$51.87 | 2,794 | 2,520 |
|
Kennon Harris
224 Mayo Rd |
$95.73 | 2,889 | 2,396 |
|
Babarinde Olagoke Fadirepo
3059 Solomons Island Rd |
$96.70 | 3,173 | 2,821 |
|
Linet Kandie
3025 Solomons Island Rd |
$89.41 | 3,258 | 3,024 |
|
Urgent Care Medicine, Llc
3059 Solomons Island Rd |
$97.42 | 5,437 | 4,715 |
|
Azam Baig
224A Mayo Road |
$97.68 | 14,948 | 12,230 |
|
Arundel Lodge, Inc
2600 Solomons Island Rd |
$65.52 | 26,348 | 23,747 |
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 Edgewater, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Edgewater, MD is $78.80 per claim, based on 70,456 claims from 31 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 Edgewater, MD?
There are 31 Medicaid providers offering Office Visit related services in Edgewater, MD according to public payment data.
What is the price range for Office Visit in Edgewater, MD?
Medicaid reimbursement for Office Visit in Edgewater, MD ranges from $0.00 to $134.23 per claim, with an average of $78.80. 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 Edgewater, MD
Psychiatric Evaluation
Avg $87.45
56,883 claims
Physical Therapy
Avg $27.26
20,524 claims
Vaccines & Immunizations
Avg $21.20
7,721 claims
Behavioral & Mental Health Therapy
Avg $100.16
5,869 claims
Nursing Facility Care
Avg $27.67
3,458 claims
Dental Cleaning & Exam
Avg $47.51
2,981 claims
Blood Work & Lab Tests
Avg $4.63
1,699 claims
Speech Therapy
Avg $49.25
1,689 claims