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 |
|---|---|---|---|
|
Family Services, Inc
610 E Diamond Ave |
$85.01 | 36,725 | 31,410 |
|
Adventist Physician Services, Inc.
820 West Diamond Avenue |
$24.46 | 33,465 | 27,834 |
|
Mary Jo Cannon
8945 N Westland Dr |
$114.77 | 32,606 | 22,733 |
|
Mikhail Gendel
16220 Frederick Rd |
$76.35 | 26,245 | 16,238 |
|
Cecilia Adaobi Nwankwo
17 Firstfield Rd |
$80.02 | 20,586 | 18,866 |
|
Farnoush Jamali
845 Quince Orchard Blvd Ste B |
$102.01 | 18,945 | 16,090 |
|
Farhad Naseh
6 Montgomery Village Ave |
$102.33 | 17,961 | 16,616 |
|
Advanced Behavioral Health, Inc
16220 Frederick Rd Ste 310 |
$122.35 | 15,143 | 12,610 |
|
Metro Gerontology Center Llc
16051 Comprint Cir |
$24.10 | 11,860 | 7,406 |
|
Rasha Bafi Saleem
317 E Diamond Ave Ste C |
$94.94 | 11,358 | 6,103 |
|
Christian Nnamdi Nwankwo
17 Firstfield Rd |
$84.68 | 11,341 | 9,006 |
|
Lakshya Nair
604 S Frederick Ave Ste 213 |
$78.48 | 9,086 | 6,950 |
|
Stephen T. Nguyen
4 Professional Dr Ste 133 |
$94.81 | 8,849 | 7,483 |
|
James M Kiwanuka
935 Russell Ave |
$87.19 | 8,460 | 7,014 |
|
Shabnam Dadgar
10810 Darnestown Rd Ste 202 |
$94.01 | 8,047 | 5,833 |
|
Thien Long, Llc
4 Professional Dr Ste 133 |
$29.82 | 7,719 | 6,629 |
|
Ramesh Kumar Thapar
604 S Frederick Ave Ste 213 |
$83.36 | 7,712 | 7,272 |
|
Audrey Roxanne Mathew
546 N Frederick Ave # 1490 |
$27.39 | 7,707 | 6,688 |
|
Ratnavali Kolla
16003 Comprint Cir |
$90.43 | 7,517 | 6,728 |
|
Anita Tuli-Kendall
16220 Frederick Rd Ste 418 |
$102.50 | 7,431 | 5,335 |
|
Family Care Associates
702 Russell Ave Ste 100 |
$98.82 | 7,389 | 6,583 |
|
Stuart B Taylor
903 Russell Ave |
$85.11 | 7,244 | 6,437 |
|
Vibhav Kumar Sekhsaria
806 W Diamond Ave Ste 360 |
$100.38 | 6,900 | 6,377 |
|
Steve Yu
8911 Shady Grove Ct |
$96.68 | 5,402 | 3,842 |
|
Mahpara Qureshi
806 W Diamond Ave Ste 110 |
$104.83 | 5,326 | 4,668 |
|
Spine, Sports Medicine And Pain Management, Llc
8943 Shady Grove Ct |
$11.76 | 5,227 | 4,275 |
|
Ariel Dubelman
555 Quince Orchard Road |
$83.55 | 4,864 | 3,840 |
|
Internal Medicine Associates Dr Cheng Llc
16009 Comprint Cir |
$39.91 | 4,638 | 4,123 |
|
Dinea Desouza
555 Quince Orchard Road |
$76.46 | 4,456 | 3,526 |
|
Emmalyn Cruz De Claro
200 Girard St |
$145.15 | 4,425 | 3,669 |
|
Aiping Sui
604 S Frederick Ave |
$116.67 | 4,407 | 2,977 |
|
Capital Neuro Care Pa
16003 Comprint Cir Ste 209 |
$54.57 | 4,300 | 3,859 |
|
Brent Eric Tabor
702 Russell Ave |
$82.67 | 4,230 | 3,621 |
|
Efraim Kessous
800 S Frederick Ave |
$70.18 | 4,125 | 2,661 |
|
Rebecca Felsen
200 Girard St |
$110.50 | 3,676 | 3,263 |
|
Caroline Van Voorhis
18310 Montgomery Village Ave Ste 460 |
$101.51 | 3,669 | 3,522 |
|
Olawale Wale - Aremu
8963 Centerway Rd |
$43.47 | 3,637 | 2,616 |
|
Wei Anna Xu
604 S Frederick Ave |
$113.74 | 3,519 | 2,368 |
|
Henriette N Kamgang-Noubissi
9318 Gaither Rd Ste 205 |
$22.62 | 3,218 | 2,788 |
|
Stephanie Addison
655 Watkins Mill Rd |
$78.70 | 2,949 | 2,849 |
|
Rheumatology Consultants, Dr. Zhang
9031 Shady Grove Ct |
$23.73 | 2,929 | 2,589 |
|
Erin Torres
9055 Shady Grove Ct |
$196.69 | 2,868 | 2,606 |
|
Kristin Marie Clemens
800 S Frederick Ave Ste 200A |
$113.20 | 2,846 | 2,078 |
|
Shady Grove Podiatry, Llc
16220 S Frederick Ave |
$20.65 | 2,789 | 2,386 |
|
Peter Jan Bluvas
655 Watkins Mill Rd |
$87.13 | 2,779 | 2,635 |
|
Yetunde Bucknor
220 Girard St Ste 100 |
$143.29 | 2,768 | 2,377 |
|
Ariel Capili
655 Watkins Mill Rd |
$101.50 | 2,752 | 2,685 |
|
Dianna Yan
8909 Shady Grove Ct |
$75.18 | 2,720 | 2,153 |
|
Mubarak Ali Mubarak Hassan
655 Watkins Mill Rd |
$116.34 | 2,696 | 2,664 |
|
Ginette Flore Ndingue
10810 Darnestown Rd Ste 202 |
$99.12 | 2,656 | 1,967 |
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