Average Medicaid Office Visit Payments in Eldersburg, MD: $101.09
Avg. Paid
$101.09
Range
$0.00 – $377.76
Total Claims
43,154
Providers
47
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 Eldersburg, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jose E Gonzalez
1380 Progress Way Ste 110 |
$80.74 | 5,241 | 4,464 |
|
Nellie T Ruelos
1643 Liberty Rd |
$116.74 | 4,307 | 3,997 |
|
Melissa Bassett
1330 Liberty Rd Ste H |
$110.99 | 3,950 | 3,490 |
|
Bettina Sarah Adjei
1311 Londontown Blvd |
$135.52 | 2,990 | 2,891 |
|
Lifebridge Community Physicians, Inc.
6190 Georgetown Blvd |
$24.96 | 2,863 | 2,303 |
|
Michael K Mcevoy
1380 Progress Way |
$94.36 | 2,546 | 2,188 |
|
Thomas Hickey
1010 Liberty Rd |
$90.33 | 2,459 | 2,103 |
|
Lechia Frederick
1912 Liberty Rd Spc 30 |
$133.73 | 2,249 | 1,181 |
|
Donald J. Hayes
1332 Londontown Blvd Ste 115A&B |
$104.20 | 2,185 | 1,676 |
|
Carroll Primary Care, Pa
1380 Progress Way |
$30.37 | 1,789 | 1,590 |
|
Victoria V Wilson
1380 Progress Way Ste 102 |
$97.98 | 1,288 | 1,140 |
|
Kristen Allard
6190 Georgetown Blvd |
$106.53 | 1,199 | 1,078 |
|
Yewande Olasimbo
1315 Breton Dr |
$377.76 | 1,183 | 1,049 |
|
Hayes Medical Center Pa
1332 Londontown Blvd |
$38.04 | 1,005 | 841 |
|
Meleta Francis
6190 Georgetown Blvd Ste 104 |
$109.37 | 898 | 799 |
|
Randi E Braman
6190 Georgetown Blvd |
$114.07 | 896 | 825 |
|
Angela Harlee
6040 Sykesville Rd |
$83.41 | 873 | 748 |
|
Kerri Leigh Davis
6190 Georgetown Blvd |
$103.40 | 592 | 512 |
|
Manuel J Datiles
5963 Exchange Dr Ste 100 |
$72.59 | 450 | 363 |
|
Edward Lee Perl
1645 Liberty Rd |
$82.03 | 372 | 275 |
|
Lavon Jeanine Magruder
5963 Exchange Dr Ste 100 |
$86.29 | 371 | 325 |
|
Anastasia Victoria English
6040 Sykesville Rd |
$122.10 | 357 | 347 |
|
Alfred Tetteh
6210 Georgetown Blvd |
$66.16 | 328 | 255 |
|
Kasey Jones
1380 Progress Way Ste 102 |
$26.66 | 285 | 232 |
|
Crystal Olivia Leonard
6190 Georgetown Blvd |
$103.68 | 258 | 244 |
|
Samantha Efford Schuyler
5963 Exchange Dr Ste 100 |
$79.45 | 240 | 211 |
|
Eileen S Wiesenberger
6190 Georgetown Blvd |
$102.98 | 231 | 207 |
|
Betty Yu-Wah Wang
6190 Georgetown Blvd |
$96.26 | 226 | 197 |
|
Esther Ifeoma Ezeani
1380 Progress Way Ste 102 |
$100.13 | 206 | 181 |
|
Rebecca Aliza Theise
1645 Liberty Rd Ste 205 |
$78.83 | 197 | 141 |
|
Brad Pfeffer
6190 Georgetown Blvd Ste 109 |
$93.38 | 177 | 156 |
|
Robert O'Brian
6190 Georgetown Blvd |
$120.60 | 168 | 157 |
|
Emily Nicole Lee
770 Old Liberty Rd Ste 3 |
$114.37 | 130 | 121 |
|
Jennifer A Kottra
1010 Liberty Rd Ste 100 |
$87.93 | 98 | 88 |
|
Ashley Carnegie
770 Old Liberty Rd Ste 3 |
$119.07 | 89 | 82 |
|
Cathy H Reifman
1645 Liberty Rd |
$79.67 | 74 | 63 |
|
Lori Kropfelder
5963 Exchange Dr Ste 100 |
$117.86 | 71 | 69 |
|
Francesca Juliet Carhart
5963 Exchange Dr Ste 100 |
$40.21 | 64 | 52 |
|
Nancy Mcalduff
6190 Georgetown Blvd |
$128.30 | 46 | 43 |
|
Rebecca Rubin
1380 Progress Way, Suite 102 |
$91.05 | 41 | 36 |
|
Metwork Health Services, Inc.
2120 Liberty Rd |
$21.88 | 32 | 25 |
|
Amber Phelps
6190 Georgetown Blvd Ste 103&104 |
$133.74 | 28 | 28 |
|
Carroll Counseling Center, Llc
1380 Progress Way |
$0.00 | 27 | 24 |
|
Eldersburg Arthritis Llc
6190 Georgetown Blvd |
$38.30 | 26 | 25 |
|
Chinedu Obiefule
1211 Liberty Rd |
$39.21 | 23 | 12 |
|
Leanne M Hedges
6190 Georgetown Blvd Ste 104 |
$122.16 | 14 | 14 |
|
Teodora M. Niculescu
6190 Georgetown Blvd |
$137.25 | 12 | 12 |
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 Eldersburg, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Eldersburg, MD is $101.09 per claim, based on 43,154 claims from 47 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 Eldersburg, MD?
There are 47 Medicaid providers offering Office Visit related services in Eldersburg, MD according to public payment data.
What is the price range for Office Visit in Eldersburg, MD?
Medicaid reimbursement for Office Visit in Eldersburg, MD ranges from $0.00 to $377.76 per claim, with an average of $101.09. 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 Eldersburg, MD
Substance Abuse Treatment
Avg $126.14
58,107 claims
Physical Therapy
Avg $72.15
2,689 claims
Vaccines & Immunizations
Avg $20.85
2,089 claims
Psychiatric Evaluation
Avg $28.23
1,392 claims
Eye Exam
Avg $11.08
1,315 claims
Blood Work & Lab Tests
Avg $5.74
1,254 claims
Dental Cleaning & Exam
Avg $36.35
1,205 claims
EKG / ECG (Electrocardiogram)
Avg $9.53
560 claims