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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
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

Other Procedures in Gaithersburg, MD