Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Hagerstown, MD: $78.99

Avg. Paid

$78.99

Range

$0.00 – $438.11

Total Claims

1,200,926

Providers

455

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 Hagerstown, MD

Provider	Avg. Paid	Claims	Patients
Center For Pain Management, Llc 1150 Professional Ct Ste P	$44.91	141,515	103,839
Medical Practices Of Antietam, Llc 11110 Medical Campus Road	$32.28	74,666	61,672
Medexpress Urgent Care, Pc - Maryland 1741 Dual Hwy Ste A	$103.99	72,852	67,650
Meritus Urgent Care, Llc 13620 Crayton Blvd	$93.10	37,174	33,247
The Mental Health Center Of Western Maryland, Inc. 1180 Professional Ct	$75.15	26,831	24,631
Saqib Masood 319 E Antietam St	$96.44	26,210	22,895
Chukwuemeka Obidi 303 Memorial Blvd W	$80.88	24,674	17,648
Mohammad Tariq 334 Mill St	$89.84	20,020	16,179
The Western Maryland Counseling Center 322 E Antietam St Ste 101	$113.16	17,781	16,039
Sheri Lynn Denham 11110 Medical Campus Rd	$119.62	16,776	12,029
Thomas Gilbert 11116 Medical Campus Rd	$111.81	15,994	15,048
U.N.I. Medical Care, Inc 18721 N Pointe Dr # 113	$108.43	15,820	14,639
U.N.I. Medical Care, Inc 11236 Robinwood Dr	$103.15	15,446	14,168
Mahmoud Ahmad Mustafa 1409 Pennsylvania Ave	$92.78	15,147	12,692
Kristi Pope 265 Mill St Ste 100	$120.01	14,257	10,710
Shawna Angel Chisholm 13121 Brooklane Dr	$107.92	13,212	9,296
Phoenix Health Center Llc 217 E Antietam St	$103.60	12,848	11,455
Brook Lane Behavioral Services, Inc. 18714 N Village	$74.08	11,957	11,220
Vandana Sajankila 319 E Antietam St	$96.45	11,667	10,384
Vanessa Lynn Geyer 319 E Antietam St	$99.72	11,587	10,218
Joan Miller 303 Memorial Blvd W	$74.02	10,945	6,927
Ali Abdel-Tawab Amin El-Mohandes 1150 Professional Ct	$74.53	10,700	9,871
Martha A. Riggle 24 N Walnut St	$49.49	9,741	8,676
Matthew Grey Beckwith 24 N Walnut St Ste 100	$95.26	9,591	8,215
Sarim Rahman Mir 11110 Medical Campus Rd Ste 151	$115.74	9,532	8,929
Cb Benway 13327 Wisdom Way	$124.16	9,436	8,772
Walnut Street Community Health Center, Inc. 201 S Cleveland Ave	$13.17	9,378	7,796
Cheryl Lourdes Mejia 1150 Professional Ct	$63.68	9,134	7,717
Pamela S Mullins 1185 Mount Aetna Rd Ste 102	$83.99	8,211	6,892
Vikram Gunnala 11116 Medical Campus Rd	$115.31	7,866	5,981
Mark Anthony Roncone 1101 Opal Ct Ste 217	$79.08	7,640	6,038
Qualitycare Internet, Llp 201 North Burhans Blvd.	$102.91	7,580	6,770
Mir Neurology Center Pa 11110 Medical Campus Rd Ste 151	$37.65	6,791	6,039
Samantha June Nazaroff 11110 Medical Campus Rd Ste 151	$82.26	6,098	5,427
Ehab Shalaby Md, Pa 324 E Antietam St	$32.11	6,077	5,268
Afsheen Khan 11110 Medical Campus Rd	$63.87	5,768	5,660
Naheed F Saif 330 Mill St	$112.03	5,534	4,875
Raj Narendra Parekh 1150 Professional Ct Ste P	$87.63	5,435	4,973
Meritus Medical Center Inc 11116 Medical Campus Rd	$58.76	5,358	5,131
Noor Maqsood Siddiqui 324 E Antietam St	$75.11	5,309	4,842
Compassionate Wellness Center, Llc 1130 Opal Ct	$101.28	5,245	4,245
John Carrill 13215 Brook Lane	$77.12	5,208	4,889
Metro Treatment Of Maryland Lp 16110 Everly Rd	$124.28	4,970	4,539
Tanvir Ahmad Pasha 1122 Opal Ct	$65.94	4,942	3,895
Way Station, Inc. 328 N Potomac St	$81.07	4,826	4,422
Leon D Weaver 1161 Omega Dr	$91.78	4,809	4,214
Centers For Advanced Orthopaedics, Llc 11110 Medical Campus Road	$29.49	4,783	4,091
Koduah Peprah 324 E Antietam St Ste 306	$109.35	4,763	4,255
Erin Leigh Foutch 201 S Cleveland Ave	$83.42	4,608	3,971
William E Royster 11110 Medical Campus Rd Ste 200	$72.92	4,497	3,308

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 Hagerstown, MD?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hagerstown, MD is $78.99 per claim, based on 1,200,926 claims from 455 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 Hagerstown, MD?

There are 455 Medicaid providers offering Office Visit related services in Hagerstown, MD according to public payment data.

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

Medicaid reimbursement for Office Visit in Hagerstown, MD ranges from $0.00 to $438.11 per claim, with an average of $78.99. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Hagerstown, MD: $78.99

Providers Offering Office Visit in Hagerstown, MD

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Hagerstown, MD

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Psychiatric Evaluation

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Physical Therapy

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Speech Therapy

X-Ray

Emergency Room Visit