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
Haleigh Doane 11110 Medical Campus Rd Ste 107	$123.66	12	12
Danielle Yvette Singleton 1130 Opal Ct	$64.20	12	12
Joshua S Dull 18117 Maugans Ave	$31.23	12	12
Mckenzie Esther Sorrell 11110 Medical Campus Rd Ste 130	$138.61	12	12
Heart Center At Mt.Airy 1219 Mount Aetna Rd	$12.70	12	12
Bls Diagnostics Llc 1120 Professional Ct	$34.42	12	12
Larry Shranatan 12916 Conamar Drive	$78.68	13	12
Wanda Lumpkins 18800 Roxbury Rd	$16.52	13	12
Leatherman Healthcare, Llc 118 E Oak Ridge Dr Ste 2000	$15.95	13	12
Showkat Bashir 11110 Medical Campus Rd Ste 246	$106.42	13	12
Lynna Lynn Chesney 1741 Dual Hwy	$29.56	13	13
Ramakrishna R Kosuri 11110 Medical Campus Rd	$101.29	14	13
Riad Salem Almudallal 11110 Medical Campus Rd Ste 246	$24.11	14	12
Melissa J Short 17 Western Maryland Pkwy Ste 100	$21.40	14	14
Kevin C Hackett 11110 Medical Campus Rd	$64.71	14	12
Pegah Zare 1733 Howell Rd	$150.77	14	13
Hagerstown Psychiatry Inc 12821 Oak Hill Ave Ste 3	$0.00	15	13
Kevin Gerard Hurtt 11110 Medical Campus Rd	$19.85	15	14
Hanan Kallash 10 East Wilson Blvd	$52.37	16	14
Adjoavi Fakonam Andele 1130 Professional Ct	$56.63	16	15
Alexis Burton 118 E Oak Ridge Dr Ste 1100	$91.05	16	12
Sarita Sharma 12916 Conamar Dr	$99.89	16	16
Clinic For Children, P.A. 330 Mill St	$0.00	16	16
Ira Sanders Lourie 18902 Preston Rd	$108.04	17	17
Opal Court Pediatrics, P.A. 1141 Opal Court	$0.00	17	16
Kasey Layne Rigby 11110 Medical Campus Rd Ste 205	$74.59	17	13
Jessica Lynn Henderson 13327 Wisdom Way	$138.61	19	19
Weightloss & Sleep Disorder Center Of Maryland Llc 1110 Opal Ct Ste 4&5	$15.17	20	15
April Lynn Small 201 Prospect Ave Ste 104	$146.72	20	12
Douglas Dixon Clarke 11110 Medical Campus Rd Ste 108	$109.35	21	21
Janevine N Onyeanuna 13121 Brook Lane, Brook Lane Health Services	$114.53	24	24
Robert E Parnes 246 Eastern Blvd N	$87.24	24	24
Katey Purgason 1733 Howell Rd	$68.32	24	16
Retina Center Of Western Maryland 251 E Baltimore St	$12.77	25	24
Samer Saiedy Md Pa 11110 Medical Campus Rd Ste 125	$21.33	25	25
Jeffrey David Jones 1733 Howell Rd	$84.81	25	24
Hagerstown Gastroenterology Cp Choudari Pa 11110 Medical Campus Rd Ste 242	$14.89	26	26
Maryland Vision Institute, Llc 220 Champion Dr	$165.88	26	25
Eric O'Neal 1165 Imperial Dr Ste 300	$115.99	27	26
Joelle Lynn Keyser 13620 Crayton Blvd Ste B	$74.30	30	29
Abigail B Kick 11110 Medical Campus Rd Ste 130	$79.32	33	28
Sarah-Catherine Martins 18615 Preston Rd	$133.26	33	24
Megan Joy Zemrose 1733 Howell Rd	$96.90	35	31
Heather Louise Brown Dorius 12916 Conamar Dr	$97.29	35	31
Emma Baer Peake 120 N Potomac St	$133.26	36	35
Drs Mauriello And Orfan Pa 1125 Diamond Dr	$2.93	37	31
Gentian Toshkezi 11110 Medical Campus Rd Ste 249	$152.29	39	38
Mark A. Roemer 11110 Medical Campus Rd	$95.25	40	37
Ali Imran Khawaja 17 Western Maryland Pkwy	$104.74	41	41
Leah Marie Yazdani 1676 Langley Dr Apt 309	$19.00	43	36

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

Case Management Services

Speech Therapy

X-Ray

Emergency Room Visit