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
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 Gaithersburg, MD
Psychiatric Evaluation
Avg $110.54
412,044 claims
Dental Cleaning & Exam
Avg $40.23
222,806 claims
Ambulance Transport
Avg $44.47
220,202 claims
Physical Therapy
Avg $24.72
184,105 claims
Vaccines & Immunizations
Avg $28.91
99,780 claims
Molecular & Genetic Testing
Avg $179.29
78,884 claims
Eye Exam
Avg $34.25
57,543 claims
Dental Filling
Avg $118.94
56,387 claims