Average Medicaid Office Visit Payments in Mount Airy, MD: $71.11
Avg. Paid
$71.11
Range
$0.00 – $120.29
Total Claims
72,027
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 Mount Airy, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Suhas Badarinath
2702 Back Acre Cir Ste 290B |
$71.48 | 19,918 | 17,222 |
|
Pain And Spine Specialists Of Maryland, Llc
2702 Back Arce Circle |
$24.00 | 13,636 | 10,645 |
|
Sudhir R Rao
2702 Back Acre Cir |
$55.49 | 9,975 | 8,685 |
|
Erica Meyer
504 E Ridgeville Blvd Ste 110 |
$88.92 | 9,427 | 8,441 |
|
Claudia Kwakye-Ackah
606 Old Vintage Run |
$120.29 | 5,602 | 4,262 |
|
Jenna Nicole Dahle
504 E Ridgeville Blvd |
$115.52 | 4,716 | 4,451 |
|
Rochelle P Dyer
1502 S Main St Ste 206 |
$94.19 | 2,096 | 1,861 |
|
Alpen Patel
504 E Ridgeville Blvd Ste 110 |
$114.00 | 1,682 | 1,514 |
|
Orchid Pearl Mesias
2702 Back Acre Cir Ste 290B |
$104.82 | 1,302 | 1,105 |
|
Lachelle Campbell
504 E Ridgeville Blvd Ste 120 |
$48.61 | 869 | 755 |
|
Alice Esame
504 E Ridgeville Blvd Ste 120 |
$98.41 | 559 | 515 |
|
Juris Paul Germanas
1502 S Main St |
$77.57 | 495 | 459 |
|
Jessica Medani
504 E Ridgeville Blvd |
$92.35 | 394 | 324 |
|
Vivianne Dagher
504 E Ridgeville Blvd |
$0.00 | 374 | 342 |
|
Roseline E. Eko
606 Old Vintage Run |
$40.99 | 356 | 339 |
|
Angela Mccullough
504 E Ridgeville Blvd Ste 110 |
$58.74 | 234 | 201 |
|
Michelle Anne Vonn
504 E Ridgeville Blvd |
$70.41 | 149 | 138 |
|
Jose C Acol
504 E Ridgeville Blvd Ste 120 |
$81.51 | 104 | 93 |
|
Chioma Unegbu-Ogbonna
504 E Ridgeville Blvd |
$105.32 | 50 | 48 |
|
Melissa M Zeliznik
504 E Ridgeville Blvd Ste 110 |
$115.58 | 46 | 43 |
|
Sangeeta Verma
517 Rambling Sunset Cir |
$108.50 | 43 | 42 |
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 Mount Airy, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mount Airy, MD is $71.11 per claim, based on 72,027 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 Mount Airy, MD?
There are 21 Medicaid providers offering Office Visit related services in Mount Airy, MD according to public payment data.
What is the price range for Office Visit in Mount Airy, MD?
Medicaid reimbursement for Office Visit in Mount Airy, MD ranges from $0.00 to $120.29 per claim, with an average of $71.11. 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 Mount Airy, MD
Dental Cleaning & Exam
Avg $39.39
19,343 claims
Physical Therapy
Avg $25.34
6,634 claims
Dental Filling
Avg $167.59
5,492 claims
Vaccines & Immunizations
Avg $22.47
4,369 claims
Psychiatric Evaluation
Avg $51.05
3,116 claims
Nursing Facility Care
Avg $46.92
2,468 claims
Blood Work & Lab Tests
Avg $11.89
2,311 claims
Ambulance Transport
Avg $-9.08
1,968 claims