Average Medicaid Office Visit Payments in Gambrills, MD: $122.56
Avg. Paid
$122.56
Range
$0.00 – $143.62
Total Claims
47,533
Providers
21
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 Gambrills, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert A. Pascal Youth & Family Services, Inc.
741 Annapolis Rd |
$128.27 | 32,800 | 19,134 |
|
Sadia Cheema
1438 Defense Hwy Ste 102 |
$113.14 | 5,277 | 4,445 |
|
Matthew Hale Mauro
206 Mustang Ct |
$122.86 | 2,623 | 1,957 |
|
Erin Freitas
2643 Carver Rd |
$124.65 | 2,619 | 2,535 |
|
Drs Ergent Care, Llc
1071 Route 3 N |
$109.93 | 550 | 522 |
|
Joy Peterson
1438 Defense Hwy Ste 201 |
$91.87 | 512 | 455 |
|
David Afzal
2401 Brandermill Blvd |
$88.79 | 507 | 428 |
|
Stephanie Renee Martin
2401 Brandermill Blvd |
$96.64 | 416 | 337 |
|
Tiffany Koon
1127 Md Rt 3 N # 104 |
$8.14 | 370 | 201 |
|
Raelynn Torzone
1071 Md Rt 3 N Ste 101 |
$70.08 | 349 | 244 |
|
Raymond A Sterling
2401 Brandermill Blvd. Suite 200 |
$104.20 | 287 | 262 |
|
Jumoke Fadeke Omisore
1529 Winfields Ln |
$124.73 | 218 | 202 |
|
Michelle Marie Skinner
2401 Brandermill Blvd |
$110.25 | 206 | 180 |
|
Erin Kenawell
2401 Brandermill Blvd Ste 250 |
$106.85 | 204 | 146 |
|
Jenna Nicole Schiller
2401 Brandermill Blvd Ste 100 |
$76.45 | 184 | 149 |
|
Katherine Talson
2391 Brandermill Blvd Ste 201 |
$143.62 | 168 | 158 |
|
Luminis Health Medical Group, Llc
2401 Brandermill Blvd |
$43.87 | 126 | 113 |
|
Suzana Mansoldo Silva
1071 Md-2 |
$0.00 | 44 | 42 |
|
Ian M Shantz
2401 Brandermill Blvd |
$79.40 | 34 | 25 |
|
Jackie Syme
2401 Brandermill Blvd |
$140.87 | 21 | 21 |
|
Rachel Inman Segura
2401 Brandermill Blvd |
$93.25 | 18 | 13 |
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 Gambrills, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gambrills, MD is $122.56 per claim, based on 47,533 claims from 21 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 Gambrills, MD?
There are 21 Medicaid providers offering Office Visit related services in Gambrills, MD according to public payment data.
What is the price range for Office Visit in Gambrills, MD?
Medicaid reimbursement for Office Visit in Gambrills, MD ranges from $0.00 to $143.62 per claim, with an average of $122.56. 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
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Gambrills, MD
Psychiatric Evaluation
Avg $120.67
72,593 claims
Dental Cleaning & Exam
Avg $41.50
27,157 claims
Physical Therapy
Avg $42.07
4,466 claims
Dental Filling
Avg $121.23
4,027 claims
Blood Work & Lab Tests
Avg $46.04
3,111 claims
Tooth Extraction
Avg $130.24
2,740 claims
Eye Exam
Avg $6.11
1,229 claims
Podiatry (Foot Care)
Avg $13.26
133 claims