Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in La Plata, MD: $99.49

Avg. Paid

$99.49

Range

$5.44 – $159.54

Total Claims

79,231

Providers

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 La Plata, MD

Provider	Avg. Paid	Claims	Patients
Chaniece Rachaun Simmons 101 E Charles St Ste 104	$65.51	13	12
University Of Maryland Charles Regional Urgent Care, Llc 500 Charles St	$22.52	14	12
Laplata Urology Center,Llc 101 Centennial St	$23.02	16	14
Smriti Sharma 5 N La Plata Ct Ste 101	$97.54	17	14
Eleisha Danielle Flanagan 145 Rosewick Corner Pl Ste 101	$159.54	18	18
Paul Michael Patterson 115A La Grange Ave	$5.44	24	13
Andre Foster 701 Charles St	$139.03	35	29
David Alan Levy 5 N La Plata Ct Ste 202	$121.58	53	51
Heather Oliver 5 N La Plata Ct	$96.29	85	71
Nautica King 5 Garrett Ave	$120.81	112	110
Ashley Iannone 103 Centennial St Ste C	$134.37	134	128
Laura Behm 1 Saint Marys Ave Ste 101	$80.83	154	134
Gregg A Ferrero 16 N La Plata Ct	$98.11	180	164
Gbemisola Victoria Adebayo 5 Garrett Ave	$121.26	181	175
Jamie Lea Welch 103 Centennial St Ste C	$86.36	194	179
Lana Smith 404 Charles St	$74.66	265	223
Brandi Rae Senior 16 N La Plata Ct	$128.31	285	233
Capital Area Orthopedic Associates, Llc 16 North La Plata Court	$50.16	287	271
Adwoa Amponsah-Poku 5 N La Plata Ct Ste 101	$102.01	599	549
Kelli Hill Goldsborough 5 N La Plata Ct Ste 101	$97.87	734	657
Peter Shelton Trent 16 N La Plata Ct	$60.23	739	640
Brooks Michael Briel 701 Charles St	$96.45	839	821
Getinet A Kassa 5 N La Plata Ct	$96.08	960	904
Dalisa Eboni Gutter 5010 Regency Place, Suite 301	$102.23	981	822
Paul Pritchett Sr 118 Lagrange Ave	$53.74	998	684
Umaru Labay-Kamara, Md, Llc 101 E Charles St Ste 202	$24.94	1,001	887
Pauline Natividad Ignacio 203 Centennial Street	$87.08	1,283	1,058
Javonna O'Brien 5 Garrett Ave	$93.59	1,417	1,224
Tolulope Aramide Oguntomi 1 Saint Marys Ave Ste 101	$135.14	1,458	1,302
Edgar F Peithman 701 Charles St	$81.01	1,908	1,693
Ibrahim R Mady 6620 Crain Hwy	$48.86	2,048	1,781
Potomac Pain And Rehabilitation Associates, Llc 203 Centennial St Suite 104	$49.09	2,370	2,160
Jennifer Blansett 103 Centennial St Ste C	$92.91	2,522	2,175
Erica Camille Contreras 605 East Charles Street	$77.91	2,736	2,106
David Lin 16 N La Plata Ct	$96.14	2,872	2,603
Brandon Soule' Po Box 51	$110.31	3,234	2,998
Alyson Lowery 103 Centennial St Ste C	$115.02	3,392	2,863
Constance Fox 103 Centennial St Ste B	$114.18	3,466	2,987
Christina Licalzi 103 Centennial St Ste B	$121.96	3,813	3,234
Oluwatosin Oladeinde 100 Centennial St Unit 1052	$82.79	4,747	4,327
Hajr Abdul Qudduws Muhammad 103 Centennial St Ste B	$105.34	5,043	4,168
Georgia E Bewayo 6 Garrett Avenue	$107.65	5,118	4,298
Jamie Lee Reidy 103 Centennial St	$103.64	8,362	6,320
Center For Children, Inc 6100 Radio Station Road	$115.06	14,524	13,851

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 La Plata, MD?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in La Plata, MD is $99.49 per claim, based on 79,231 claims from 44 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 La Plata, MD?

There are 44 Medicaid providers offering Office Visit related services in La Plata, MD according to public payment data.

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

Medicaid reimbursement for Office Visit in La Plata, MD ranges from $5.44 to $159.54 per claim, with an average of $99.49. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in La Plata, MD: $99.49

Providers Offering Office Visit in La Plata, MD

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in La Plata, MD

Speech Therapy

Case Management Services

Emergency Room Visit

Psychiatric Evaluation

X-Ray

Ambulance Transport

Blood Work & Lab Tests

Physical Therapy