Average Medicaid Office Visit Payments in Fulton, MD: $66.50
Avg. Paid
$66.50
Range
$6.48 – $181.71
Total Claims
33,151
Providers
23
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 Fulton, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gayle Friedman
8110 Maple Lawn Blvd Ste 235 |
$146.85 | 31 | 25 |
|
Michelle Leborys Hockstra
8197 Westside Blvd |
$26.84 | 33 | 31 |
|
Samantha M Swords
8115 Maple Lawn Blvd |
$45.99 | 155 | 150 |
|
Omoikhefe Gbemisola Akhigbe
11810 W Market Pl |
$94.25 | 223 | 195 |
|
Keivan Gazy
8115 Maple Lawn Blvd Ste 350 |
$113.06 | 229 | 179 |
|
Abelina Maldonado
8197 Westside Blvd |
$19.15 | 326 | 258 |
|
Arfassa Shiferaw
8115 Maple Lawn Blvd Ste 140 |
$181.71 | 389 | 377 |
|
Shruti Aggarwal
11810 W Market Pl # 200 |
$80.49 | 393 | 333 |
|
Jamie Huppmann
7625 Maple Lawn Blvd Lowr Lobby |
$122.14 | 411 | 322 |
|
Marcela Argele'S Mcdonald
7625 Maple Lawn Blvd Ste 1 |
$74.94 | 494 | 288 |
|
Ansu Mathew Punnoose
8175 Westside Blvd Ste D |
$74.63 | 657 | 589 |
|
Dana C. Baras
7625 Maple Lawn Blvd Lowr Lobby |
$77.94 | 815 | 704 |
|
Esno Health Group
8115 Maple Lawn Blvd Ste 350 |
$10.77 | 933 | 840 |
|
Ruwani D.P. Gunawardane
7625 Maple Lawn Blvd |
$19.07 | 1,091 | 548 |
|
Saudy Elizabeth Kanu
8115 Maple Lawn Blvd |
$116.82 | 1,364 | 1,187 |
|
Kuldeep Singh
7625 Maple Lawn Blvd |
$72.19 | 1,468 | 1,378 |
|
Jenna B Noveau
8171 Maple Lawn Blvd Ste 100 |
$67.23 | 1,627 | 1,089 |
|
Loretta Sutphin
8115 Maple Lawn Blvd Ste 140 |
$6.48 | 1,739 | 1,645 |
|
Jo-Ann Walter Middleton
11957 Lime Kiln Rd |
$98.37 | 1,829 | 1,572 |
|
Emmanuel N Okoro
8115 Maple Lawn Blvd Ste 350 |
$97.50 | 2,412 | 2,328 |
|
Mokerrum Fatima Malik
8171 Maple Lawn Blvd Ste 100 |
$86.24 | 2,508 | 2,246 |
|
Tara Guretzky
7625 Maple Lawn Blvd Ste 200 |
$106.89 | 5,751 | 5,480 |
|
Capital Women'S Care, L.L.C.
8110 Maple Lawn Blvd Ste 235 |
$21.01 | 8,273 | 6,821 |
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 Fulton, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fulton, MD is $66.50 per claim, based on 33,151 claims from 23 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 Fulton, MD?
There are 23 Medicaid providers offering Office Visit related services in Fulton, MD according to public payment data.
What is the price range for Office Visit in Fulton, MD?
Medicaid reimbursement for Office Visit in Fulton, MD ranges from $6.48 to $181.71 per claim, with an average of $66.50. 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 Fulton, MD
Dental Cleaning & Exam
Avg $42.42
37,575 claims
Psychiatric Evaluation
Avg $36.13
9,501 claims
Eye Exam
Avg $22.69
6,250 claims
Dental Filling
Avg $117.33
3,826 claims
Urinalysis & Urine Tests
Avg $5.90
2,630 claims
Ultrasound
Avg $31.77
1,002 claims
Physical Therapy
Avg $35.73
798 claims
Tooth Extraction
Avg $100.80
485 claims