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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Gaithersburg, MD: $81.43

Avg. Paid

$81.43

Range

$-0.23 – $206.02

Total Claims

583,421

Providers

234

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 Gaithersburg, MD

Provider Avg. Paid Claims Patients
Glynn M Thompson

655 Watkins Mill Rd

$76.10 14 14
Montgomery County Maryland Government

101 W Deer Park Rd

$21.47 14 13
Miranda Kai Hunter

655 Watkins Mill Rd

$94.62 15 13
Grady Kaiser

10810 Darnestown Rd Ste 205

$80.49 15 15
Kristen C Johnston

903 Russell Ave

$85.92 16 15
Compton Joseph Benjamin

655 Watkins Mill Rd

$98.58 17 12
Catherine Nkeiruka Ben-Agu

604 S Frederick Ave

$139.19 17 15
Andre Horan Hall

555 Quince Orchard Rd Ste 410

$89.64 19 18
Family Services, Inc

630 E Diamond Ave Ste A-C

$69.60 19 19
Attan Kasid

604 S Frederick Ave Ste 409

$124.02 19 18
Kamala A Foster

501 N Frederick Ave

$103.91 19 16
Eden Health Clinic Inc

481 N Frederick Ave Ste 103

$17.27 23 20
Narayanan Ramesh

610 Professional Dr

$78.93 27 25
Healthy Checkups Llc

17051 Oakmont Ave Ste D

$54.48 27 26
Karishma Shailesh Patel

501 N Frederick Ave

$97.64 28 27
Family Ent Allergy And Asthma Center Pc

806 W Diamond Ave

$63.33 29 29
Leszek Karowiec

501 North Frederick Avenue

$53.53 30 28
Daniel Handel

13505 Haddonfield Ln

$51.65 30 25
Stuart R Snyder

10810 Darnestown Rd

$73.92 32 26
Allison Brooke Hoyt

555 Quince Orchard Rd Ste 410

$83.66 34 27
Montgomery County Maryland Government

35 N Summit Ave

$17.77 36 32
Patricia Ann Schwartz

16220 Frederick Rd Ste 502200

$73.65 39 39
Felix Achille Gouanette Tankeu

100 Bureau Dr

$101.35 42 39
Armelle Madanje Tchayep

9711 Washingtonian Blvd Ste 550

$75.86 42 42
Hang Wang

610 E Diamond Ave

$93.46 46 45
Medstar Urgent Care Llc

12111 Darnestown Rd

$114.89 47 47
Stephanie A Somers-Roblero

220 Girard St Ste 100

$128.13 52 40
Olena Ivanova

16220 Frederick Rd Ste 200

$132.95 54 54
Geoffrey V Martin

808 W Diamond Ave Ste 650

$16.03 60 56
Layan Zhang

8929 Shady Grove Ct

$45.22 61 47
Dick Y Okino

600 S Frederick Ave Ste 304

$2.93 63 40
Farzaneh Lolachi Sabi

855 Watkins Mill Road

$102.50 67 67
Kristi Alethea Lee

803 Russell Ave

$75.10 69 52
Dianna Yan Md Pc

8909 Shady Grove Ct

$49.16 71 63
David Baek

16220 Frederick Ave

$69.77 80 62
Carole E Sullivan

201 Perry Parkway Suite 5

$58.93 80 59
Argos Vision Center, Llc

15920 Shady Grove Rd

$14.45 81 79
James Francis Duffy

7 Metropolitan Ct

$0.00 81 80
Robin Hewitt

18310 Montgomery Village Ave

$4.08 86 60
Amy Nwankwo

17 Firstfield Rd Ste 200

$83.78 86 83
Crystal Xue

655 Watkins Mill Rd

$100.41 87 85
All About You Primary Care

16220 Frederick Rd Ste 418

$9.16 91 72
Baolang Liao

16220 S Frederick Ave

$108.24 92 88
Haizia Lamia Amsler

201 Russell Ave

$84.39 97 85
Shady Grove Minimally Invasive

10810 Darnestown Rd Ste 202

$-0.23 100 75
Nelson T Niu

843 Quince Orchard Blvd

$40.78 103 55
Benjamin Barlow

655 Watkins Mill Rd

$101.27 105 101
Amir Darius Assili

16220 S Frederick Ave

$65.22 111 95
Niloofar Ghassemzadeh

655 Watkins Mill Rd

$99.33 116 115
Marium Parveen

15886 Gaither Dr Ste B

$24.18 116 101

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 Gaithersburg, MD?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gaithersburg, MD is $81.43 per claim, based on 583,421 claims from 234 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 Gaithersburg, MD?

There are 234 Medicaid providers offering Office Visit related services in Gaithersburg, MD according to public payment data.

What is the price range for Office Visit in Gaithersburg, MD?

Medicaid reimbursement for Office Visit in Gaithersburg, MD ranges from $-0.23 to $206.02 per claim, with an average of $81.43. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Gaithersburg, MD