Average Medicaid Office Visit Payments in Frostburg, MD: $21.79
Avg. Paid
$21.79
Range
$10.02 – $104.11
Total Claims
38,456
Providers
11
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 Frostburg, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Upmc Western Maryland Corporation
10701 New Georges Creek Rd Sw |
$10.02 | 31,165 | 26,484 |
|
Caryn Lynn Amedee
133 E Main St |
$86.62 | 2,022 | 1,820 |
|
Angelina Musselman
10701 New Georges Creek Rd Sw |
$57.72 | 1,764 | 1,652 |
|
Jennifer L Barlow
10701 New Georges Creek Rd Sw |
$104.11 | 1,627 | 1,384 |
|
Upmc Western Maryland Health Services, Llc
10701 New Georges Creek Rd Sw Ste 4 |
$14.33 | 546 | 479 |
|
Kathleen Gibbons
10701 New Georges Creek Rd Sw |
$54.39 | 534 | 492 |
|
Jesus Ho Tan
4 S Broadway |
$56.80 | 467 | 431 |
|
Lindsey Miranda Staggers-Gardner
101 Braddock Rd |
$21.31 | 156 | 137 |
|
Nicole R Bonner
10701 New Georges Creek Rd Sw |
$74.75 | 117 | 113 |
|
Jennifer Sue Miller
10701 New Georges Creek Rd Sw |
$56.54 | 46 | 42 |
|
Jason A Layman
10701 New Georges Creek Rd Sw |
$102.03 | 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 Frostburg, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Frostburg, MD is $21.79 per claim, based on 38,456 claims from 11 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 Frostburg, MD?
There are 11 Medicaid providers offering Office Visit related services in Frostburg, MD according to public payment data.
What is the price range for Office Visit in Frostburg, MD?
Medicaid reimbursement for Office Visit in Frostburg, MD ranges from $10.02 to $104.11 per claim, with an average of $21.79. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Frostburg, MD
Dental Cleaning & Exam
Avg $40.69
52,488 claims
Tooth Extraction
Avg $102.22
12,521 claims
Blood Work & Lab Tests
Avg $0.65
3,173 claims
Emergency Room Visit
Avg $128.85
2,689 claims
Dental Filling
Avg $118.66
1,948 claims
Urinalysis & Urine Tests
Avg $3.68
1,717 claims
Physical Therapy
Avg $6.57
1,428 claims
Nursing Facility Care
Avg $26.83
978 claims