Average Medicaid Office Visit Payments in Frederick, MD: $90.91
Avg. Paid
$90.91
Range
$0.00 – $319.84
Total Claims
760,250
Providers
472
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 Frederick, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Julio J Menocal
110 Baughmans Ln |
$95.81 | 82,174 | 68,462 |
|
Behavioral Health Partners Of Frederick, Inc
604 Solarex Ct |
$117.05 | 32,456 | 29,400 |
|
Praveen K Bolarum
196 Thomas Johnson Dr Ste 135 |
$94.74 | 28,491 | 22,439 |
|
U.N.I. Medical Care, Inc
1305 W 7Th St |
$107.23 | 27,539 | 24,473 |
|
Brian Burns Swinton
87 Thomas Johnson Dr Ste 101 |
$95.47 | 26,512 | 23,395 |
|
Advanced Behavioral Health, Inc.
1003 W 7Th St Ste 500 |
$116.10 | 20,217 | 17,861 |
|
Oluwakemi Olubunmi Osidele
3 Hillcrest Dr Ste A101 |
$92.31 | 18,611 | 14,302 |
|
Allan Lloyd Levy
172 Thomas Johnson Dr |
$77.47 | 17,994 | 12,376 |
|
P. Pham And J. Briggs Llc
5100 Buckeystown Pike Ste 186 |
$104.36 | 13,615 | 11,451 |
|
Medpsych Health Services Llc
7101 Guilford Dr Ste 100 |
$82.80 | 13,383 | 11,736 |
|
Roomika Tanweer Baig
110 Baughmans Ln Ste 150 |
$93.22 | 11,315 | 9,959 |
|
Brook Lane Behavioral Services, Inc.
4540 Mack Ave Ste B |
$83.99 | 10,436 | 9,916 |
|
Sabiha M Mohiuddin
110 Baughmans Ln Ste 202 |
$78.27 | 10,119 | 7,921 |
|
Pauline Hsu
110 Baughmans Ln |
$85.15 | 8,915 | 8,156 |
|
Johns Hopkins Community Physicians, Inc
195 Thomas Johnson Dr |
$30.81 | 8,465 | 7,942 |
|
Associated Catholic Charities, Inc
300 W 9Th St |
$96.61 | 8,236 | 7,217 |
|
Main Place Addiction Treatment Center Llc.
915 Toll House Ave |
$86.23 | 7,283 | 4,891 |
|
Chloe Nichols
201 Thomas Johnson Dr Ste 104 |
$105.12 | 6,784 | 5,102 |
|
Gaffar A Syed
801 Toll House Ave |
$76.32 | 6,718 | 5,728 |
|
Mental Health Assoc Of Frederick Cty
226 S Jefferson St |
$120.17 | 6,498 | 5,569 |
|
Frederick County Health Department
350 Montevue Ln |
$50.31 | 6,312 | 5,934 |
|
Michael Richard Tholen
5100 Buckeystown Pike Ste 186 |
$82.88 | 6,172 | 5,478 |
|
Centers For Advanced Orthopaedics, Llc
86 Thomas Johnson Court |
$30.51 | 6,106 | 5,219 |
|
Syed W. Haque
700 Montclaire Avenue |
$84.18 | 5,776 | 4,105 |
|
Thomas Herbert Koerner
87 Thomas Johnson Dr Ste 101 |
$98.59 | 5,687 | 5,370 |
|
Comprehensive Neurology Services, P.A.
196 Thomas Johnson Dr Ste 120 |
$24.56 | 5,236 | 4,685 |
|
Sherman Kahan, Md, Pa
74 Thomas Johnson Dr |
$25.99 | 5,219 | 4,386 |
|
Kathleen Potesta
1562 Opossumtown Pike |
$111.50 | 5,069 | 4,679 |
|
Frederick Health Medical Group Llc
194 Thomas Johnson Dr |
$46.74 | 4,966 | 4,572 |
|
Advanced Pain Management, Llc
5205 Chairmans Ct Ste 201A |
$14.41 | 4,929 | 3,051 |
|
Frederick Health Medical Group Llc
1562 Opossumtown Pike Ste 301 |
$19.35 | 4,914 | 4,431 |
|
Richard George Yeron
1090 W Patrick St |
$101.88 | 4,810 | 3,721 |
|
Sajjad Ahmad Aziz
801 Toll House Ave |
$101.82 | 4,809 | 4,232 |
|
Frederick Foot And Ankle Specialists Pc
141 Thomas Johnson Dr |
$12.76 | 4,718 | 3,893 |
|
Prafull K Dave
188 Thomas Johnson Drive |
$86.26 | 4,681 | 4,237 |
|
Laura S Copaken
86 Thomas Johnson Ct |
$120.28 | 4,506 | 4,078 |
|
Trumer James Wagner
5930 Frederick Crossing Ln |
$122.94 | 4,346 | 3,978 |
|
Behavioral Health Partners Of Frederick, Inc.
219 W Patrick St |
$92.52 | 4,274 | 3,998 |
|
Babatunde Olusegun Akinyemi
100 S Market St |
$121.40 | 4,262 | 3,614 |
|
Augusto Paredes Ubillus
110 Baughmans Ln Ste 140 |
$77.41 | 4,198 | 3,749 |
|
Kharen Lapoint
65 Thomas Johnson Dr Ste C |
$108.96 | 4,195 | 3,615 |
|
Jehangir Madan
86 Thomas Johnson Ct |
$112.94 | 4,078 | 3,467 |
|
Genesis Treatment Services, Llc
1160 W Patrick St |
$85.39 | 4,065 | 3,172 |
|
Sheetal Dhote
87 Thomas Johnson Dr |
$101.57 | 4,047 | 3,785 |
|
Mosaic Community Services, Inc.
210 Abrecht Pl |
$107.62 | 3,966 | 3,580 |
|
Anish Sharad Patel
75 Thomas Johnson Dr |
$103.88 | 3,664 | 3,284 |
|
Sangeetha Vimal
87 Thomas Johnson Dr |
$91.03 | 3,521 | 3,314 |
|
Praveen Bolarum, Md Llc
196 Thomas Johnson Drive |
$32.21 | 3,511 | 2,775 |
|
Hidayat Khan
801 Toll House Ave |
$124.29 | 3,496 | 3,089 |
|
Mohammed Haseebuddin
184 Thomas Johnson Dr Ste 201 |
$92.39 | 3,347 | 2,858 |
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 Frederick, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Frederick, MD is $90.91 per claim, based on 760,250 claims from 472 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 Frederick, MD?
There are 472 Medicaid providers offering Office Visit related services in Frederick, MD according to public payment data.
What is the price range for Office Visit in Frederick, MD?
Medicaid reimbursement for Office Visit in Frederick, MD ranges from $0.00 to $319.84 per claim, with an average of $90.91. 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 Frederick, MD
Psychiatric Evaluation
Avg $111.82
844,228 claims
Substance Abuse Treatment
Avg $94.58
571,489 claims
Dental Cleaning & Exam
Avg $38.25
280,329 claims
Blood Work & Lab Tests
Avg $12.16
240,603 claims
Speech Therapy
Avg $38.23
239,672 claims
Physical Therapy
Avg $37.73
212,819 claims
Case Management Services
Avg $144.82
117,157 claims
Dental Filling
Avg $113.00
94,455 claims