Average Medicaid Office Visit Payments in Essex, MD: $74.92
Avg. Paid
$74.92
Range
$21.27 – $209.33
Total Claims
12,986
Providers
14
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 Essex, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mace Medical Llc
1124 Mace Ave |
$21.27 | 7,515 | 6,015 |
|
Cameran Brythe Trautman
1245 Eastern Blvd |
$209.33 | 2,290 | 2,033 |
|
Jatu Sonii Karpeh
621 Stemmers Run Rd Ste B |
$101.10 | 702 | 600 |
|
Cristina S Sola-Rotger
223 Eastern Blvd |
$80.66 | 642 | 559 |
|
Ganesh Tamang
1124 Mace Ave |
$107.26 | 395 | 370 |
|
Hannah Therese Whitehead
1124 Mace Ave |
$120.38 | 358 | 310 |
|
Paving A New Pathway Inc
630 Eastern Blvd |
$144.37 | 237 | 134 |
|
Justin Ajose
1354 Eastern Blvd |
$115.53 | 232 | 217 |
|
Cindi Marie Beanland
1124 Mace Ave |
$113.04 | 221 | 204 |
|
Nathaniel Darway
500 John Ave |
$123.03 | 169 | 155 |
|
Glass Health Programs, Inc.
8909 Kelso Dr |
$86.84 | 131 | 131 |
|
Eva Life Giver Inc.
1528 Country Ridge Ln Ste A |
$73.65 | 65 | 25 |
|
Monika Thandalam Somasekar
1124 Mace Ave |
$104.13 | 16 | 12 |
|
Naresh K. Khanna Md Pc
901 Eastern Blvd |
$67.98 | 13 | 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 Essex, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Essex, MD is $74.92 per claim, based on 12,986 claims from 14 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 Essex, MD?
There are 14 Medicaid providers offering Office Visit related services in Essex, MD according to public payment data.
What is the price range for Office Visit in Essex, MD?
Medicaid reimbursement for Office Visit in Essex, MD ranges from $21.27 to $209.33 per claim, with an average of $74.92. 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 Essex, MD
Substance Abuse Treatment
Avg $85.36
175,690 claims
Dental Cleaning & Exam
Avg $41.44
62,054 claims
Physical Therapy
Avg $16.76
16,704 claims
Dental Filling
Avg $130.64
12,722 claims
Psychiatric Evaluation
Avg $94.15
7,719 claims
Nursing Facility Care
Avg $66.88
5,168 claims
Tooth Extraction
Avg $114.22
1,733 claims
Blood Work & Lab Tests
Avg $4.40
1,729 claims