Average Medicaid Office Visit Payments in Edgewood, MD: $72.95
Avg. Paid
$72.95
Range
$21.73 – $171.85
Total Claims
39,654
Providers
18
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 Edgewood, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Renee Antonette Fletcher
1401 Pulaski Hwy Ste W |
$80.85 | 9,376 | 7,681 |
|
Nova Interventional Pain Management
1952 Pulaski Hwy |
$31.04 | 6,229 | 5,265 |
|
Changing Turn Community Healthcare Services
500 Edgewood Rd Ste 210 |
$98.20 | 3,883 | 3,380 |
|
Temitayo Bosede Olaniyi
2203 Philadelphia Rd |
$40.75 | 3,284 | 2,047 |
|
Rts Edgewood
2205 Pulaski Hwy |
$45.38 | 2,653 | 2,276 |
|
Project Chesapeake, Llc
1308 Business Center Way Ste 102 |
$115.85 | 2,636 | 2,080 |
|
Rochelle Crystal Clark
1707 Judy Way |
$71.69 | 2,047 | 1,788 |
|
Lifebridge Community Physicians, Inc
1401 Pulaski Hwy |
$41.20 | 1,641 | 1,415 |
|
Empowering Mind Resource Center
1833 Pulaski Hwy Ste A |
$90.85 | 1,525 | 1,222 |
|
Diana L. Chou
1321 Woodbridge Station Way |
$87.02 | 1,481 | 1,270 |
|
Joan Kariuki
1952 Pulaski Hwy |
$69.12 | 1,427 | 919 |
|
Global Healthcare Systems, Inc
2203 Philadelphia Rd |
$171.85 | 861 | 649 |
|
Celeste Ann Saunders
500 Edgewood Rd Ste 106 |
$136.73 | 776 | 595 |
|
Harford County Health Department
1321 Woodbridge Station Way |
$44.45 | 727 | 659 |
|
Cecilia Lariba Bibio
1020 Edgewood Rd |
$135.78 | 478 | 447 |
|
Avawell, Llc
1308 Business Center Way Ste 101 |
$137.77 | 387 | 357 |
|
Harford On-Call Medical Services, Llc
2120 Emmorton Park Rd |
$91.61 | 145 | 115 |
|
Infinite Medical Express Llc
1401 Pulaski Hwy Ste W |
$21.73 | 98 | 85 |
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 Edgewood, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Edgewood, MD is $72.95 per claim, based on 39,654 claims from 18 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 Edgewood, MD?
There are 18 Medicaid providers offering Office Visit related services in Edgewood, MD according to public payment data.
What is the price range for Office Visit in Edgewood, MD?
Medicaid reimbursement for Office Visit in Edgewood, MD ranges from $21.73 to $171.85 per claim, with an average of $72.95. 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 Edgewood, MD
Substance Abuse Treatment
Avg $97.94
261,273 claims
Case Management Services
Avg $199.49
30,393 claims
Psychiatric Evaluation
Avg $126.07
28,717 claims
Behavioral & Mental Health Therapy
Avg $105.60
8,475 claims
Urinalysis & Urine Tests
Avg $5.80
3,376 claims
Physical Therapy
Avg $13.84
2,875 claims
Nursing Facility Care
Avg $58.40
1,681 claims
Blood Work & Lab Tests
Avg $20.70
1,448 claims