Average Medicaid Office Visit Payments in Elkton, MD: $71.73
Avg. Paid
$71.73
Range
$0.00 – $167.57
Total Claims
363,054
Providers
107
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 Elkton, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vivek Kumar Varma
206 South Street |
$25.24 | 12 | 12 |
|
Manpreet K Sidhu
106 Bow St |
$30.83 | 12 | 12 |
|
Jagadeesh S V Kumar
216 E Pulaski Hwy |
$167.57 | 13 | 13 |
|
Elkton Foot And Ankle Center, Pa
205 E Main St Ste 111 |
$68.39 | 14 | 14 |
|
Fairhill Family Medicine Specialists, Llc
361 Fair Hill Dr |
$45.18 | 14 | 13 |
|
Alan Scheiner
349 E Pulaski Hwy |
$85.51 | 14 | 14 |
|
Ashley, Inc.
111 W High St |
$73.65 | 15 | 15 |
|
William Michael Clifford
270 West Main Street |
$60.52 | 15 | 14 |
|
Cheng Zhou
111 W High St Ste 203 |
$117.98 | 29 | 29 |
|
Mnr Industries, Llc
310 E Pulaski Hwy |
$20.84 | 32 | 14 |
|
Christina Marie Marioni
360 E Pulaski Hwy Fl 3 |
$74.33 | 34 | 31 |
|
Kelly Lynn Jenkins
106 Bow St |
$85.37 | 35 | 27 |
|
Union Hospital Of Cecil County, Inc.
111 W High St Ste 112 |
$44.14 | 41 | 41 |
|
Sheelmohan S Sachdev
118 North St |
$81.88 | 44 | 40 |
|
Premiere Childrens Physicans, Pa
701 N Bridge St |
$0.00 | 56 | 50 |
|
Elizabeth A Browne Conway
106 Bow St |
$43.23 | 60 | 54 |
|
Perkis Family Medicine, Llc
349 E Pulaski Hwy Ste C |
$76.20 | 60 | 53 |
|
Advanced Pain Management Specialists, Llc
101 Chesapeake Blvd Ste C |
$24.72 | 61 | 57 |
|
Cecil County Pediatrics
719 N Bridge St |
$0.00 | 81 | 47 |
|
Stephen Mccann
360 E Pulaski Hwy Fl 3 |
$68.72 | 87 | 70 |
|
Claire Zhang
137 W High St Ste 2B |
$139.31 | 91 | 84 |
|
Elizabeth P Lowe
111 W High St |
$150.11 | 93 | 86 |
|
Suzy Fawzy Nashed
111 W High St |
$90.98 | 107 | 103 |
|
John Mulvey
104 W Main St |
$85.00 | 144 | 114 |
|
Theodora Adadzewa Fynn
106 Bow Street |
$106.52 | 165 | 153 |
|
Fem Care Health Associates, Pc
215 North St |
$22.43 | 172 | 119 |
|
Project Chesapeake, Llc
111 E Main St Ste B |
$96.95 | 181 | 161 |
|
Joy Ponferrada Magee
300 E Pulaski Hwy Ste 112 |
$0.00 | 237 | 196 |
|
Health Care For Children,Llc
215 North St Ste A |
$90.91 | 241 | 194 |
|
Wal-Mart Stores East, Lp
1000 E Pulaski Hwy |
$80.35 | 242 | 238 |
|
Justin E. Sausville
137 W High St |
$105.99 | 258 | 242 |
|
Concerted Care Group Elkton Llc
1275 W Pulaski Hwy Ste B |
$130.85 | 297 | 230 |
|
Lanre Tajudeen Akinkunmi
111 W High St |
$81.58 | 317 | 278 |
|
Tracey Stone
330 E Pulaski Hwy |
$75.30 | 369 | 352 |
|
Marc Scheiner
304 North St Ste 3 |
$101.90 | 391 | 355 |
|
Douglas J Lavenburg Md Pa
103 Chesapeake Blvd Ste C |
$46.57 | 404 | 325 |
|
Chesapeake Bone And Joint Center, Llc
160 Railroad Ave |
$7.35 | 442 | 334 |
|
Aprile F Harris
137 W High St |
$82.75 | 472 | 417 |
|
Amna Medical Center, Llc
300 E Pulaski Hwy |
$47.71 | 488 | 240 |
|
Cecil County Health Department
401 Bow St |
$108.04 | 504 | 494 |
|
Helene Lee
138 Cathedral St |
$86.12 | 525 | 402 |
|
Jessica Jiyoung An
111 W High St Ste 314 |
$85.39 | 528 | 484 |
|
Patricia A Dillen
106 Bow St |
$117.57 | 530 | 482 |
|
Delaware Medicine & Obgyn Llc
677 E Pulaski Hwy Ste 1B |
$17.02 | 534 | 404 |
|
Maher N Nashed
111 W High St |
$90.73 | 554 | 469 |
|
Khan Pediatrics Inc
103 E Main St |
$57.11 | 735 | 630 |
|
Roger Donald Wu
137 W High St |
$100.26 | 823 | 761 |
|
Zahid Aslam
111 W High St |
$71.60 | 863 | 319 |
|
Bonni Roberts
361 Fair Hill Dr |
$106.39 | 879 | 773 |
|
Meridian Primary Care Llc
138 Cathedral St |
$45.69 | 988 | 799 |
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 Elkton, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Elkton, MD is $71.73 per claim, based on 363,054 claims from 107 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 Elkton, MD?
There are 107 Medicaid providers offering Office Visit related services in Elkton, MD according to public payment data.
What is the price range for Office Visit in Elkton, MD?
Medicaid reimbursement for Office Visit in Elkton, MD ranges from $0.00 to $167.57 per claim, with an average of $71.73. 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 Elkton, MD
Substance Abuse Treatment
Avg $79.72
444,259 claims
Psychiatric Evaluation
Avg $99.69
253,689 claims
Speech Therapy
Avg $38.10
109,085 claims
Blood Work & Lab Tests
Avg $34.72
83,621 claims
Case Management Services
Avg $140.88
72,522 claims
Physical Therapy
Avg $24.49
70,386 claims
Vaccines & Immunizations
Avg $16.22
41,937 claims
Urinalysis & Urine Tests
Avg $3.85
25,162 claims