Skip to content
Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Lavale, MD: $57.01

Avg. Paid

$57.01

Range

$1.70 – $114.96

Total Claims

54,693

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 Lavale, MD

Provider Avg. Paid Claims Patients
Upmc Western Maryland Health Services, Llc

1313 National Hwy Ste 680

 $1.70 13 13
Brandi Love Haas

921 Seton Drive

 $86.59 24 21
Meghan Katherine O'Neal

922 National Hwy

 $95.97 35 32
Stephanie Mathews

1313 National Hwy

 $25.37 227 121
Meghan L Clayton

922 National Hwy

 $80.50 242 228
Barbara Pyle

1313 National Hwy

 $86.98 354 331
David Allen Bohn

405 Firemans Ave

 $61.55 389 368
Mary Ann Riley

1313 National Hwy

 $90.33 485 403
Medexpress Urgent Care, Pc - Maryland

1219A National Hwy

 $76.91 1,069 993
Jacquelynn Lorena Browning

Lavale Medical Center

 $96.50 1,308 1,028
Eliette Yadira Bouie

Gonzaga Interventional Pain Management

 $114.96 1,343 1,188
Fiona Van De Velde

957 National Hwy

 $89.72 2,135 1,924
Dora Carew John-Betts

957 National Hwy

 $64.76 2,443 2,267
Rosario Gonzaga

957 National Hwy

 $77.43 2,572 2,230
Cathy S Chapman

922 National Hwy

 $73.27 2,869 2,652
Chapman And Associates Health Care, Llc

922 National Hwy

 $19.07 2,877 2,213
Rosario Gonzaga, Md Pa

957 National Hwy

 $36.17 3,307 2,783
Ats Of Cecil County, Inc.

14701 National Hwy Sw

 $51.42 3,968 3,092
Melvin R Gonzaga

957 National Hwy, Ste 3

 $104.97 4,292 3,704
Denise V Wilson

957 National Hwy Ste 3

 $82.12 6,214 5,629
Garrett Anesthesia And Pain Management

957 National Hwy

 $28.49 18,527 15,497

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 Lavale, MD?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lavale, MD is $57.01 per claim, based on 54,693 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 Lavale, MD?

There are 21 Medicaid providers offering Office Visit related services in Lavale, MD according to public payment data.

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

Medicaid reimbursement for Office Visit in Lavale, MD ranges from $1.70 to $114.96 per claim, with an average of $57.01. 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

13,269,420 claims · 4233 providers

Houston, TX

Avg $48.27

8,766,644 claims · 4540 providers

Las Vegas, NV

Avg $54.47

8,578,324 claims · 3512 providers

Other Procedures in Lavale, MD

Substance Abuse Treatment

Avg $70.00

138,571 claims

Blood Work & Lab Tests

Avg $35.42

26,671 claims

Physical Therapy

Avg $24.92

15,040 claims

Eye Exam

Avg $25.07

11,860 claims

Dental Cleaning & Exam

Avg $37.60

3,516 claims

Psychiatric Evaluation

Avg $38.28

3,290 claims

Hearing Test (Audiometry)

Avg $12.78

724 claims

Vaccines & Immunizations

Avg $18.63

498 claims