Average Medicaid Office Visit Payments in North Potomac, MD: $92.23
Avg. Paid
$92.23
Range
$73.81 – $142.12
Total Claims
15,140
Providers
9
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 North Potomac, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daniel Warwick Hunsinger
11906 Darnestown Rd |
$73.81 | 5,242 | 3,667 |
|
Lylian Anje Mukoro
17809 Stoneridge Dr |
$96.17 | 2,334 | 2,130 |
|
Natalie L. Kekuh
26 Owens Glen Ct |
$74.05 | 2,190 | 1,910 |
|
Habibatu Kemoh Sesay
4 Gravenhurst Ct |
$142.12 | 2,036 | 1,637 |
|
Maria Arabshahi
10810 Darnestown Rd Ste 102 |
$96.96 | 1,796 | 1,661 |
|
Vanessa Waldrep
11908 Darnestown Rd Ste H |
$104.31 | 849 | 841 |
|
Nichole Renee Brathwaite-Dingle
11932 Appaloosa Way |
$124.40 | 323 | 314 |
|
Sara Cowan
11908 Darnestown Rd Ste H |
$88.34 | 210 | 182 |
|
Megan Cullen
26 Owens Glen Ct |
$75.07 | 160 | 119 |
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 North Potomac, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in North Potomac, MD is $92.23 per claim, based on 15,140 claims from 9 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 North Potomac, MD?
There are 9 Medicaid providers offering Office Visit related services in North Potomac, MD according to public payment data.
What is the price range for Office Visit in North Potomac, MD?
Medicaid reimbursement for Office Visit in North Potomac, MD ranges from $73.81 to $142.12 per claim, with an average of $92.23. 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 North Potomac, MD
Dental Cleaning & Exam
Avg $38.78
8,114 claims
Psychiatric Evaluation
Avg $87.82
1,505 claims
Vaccines & Immunizations
Avg $13.33
1,371 claims
Hearing Test (Audiometry)
Avg $7.73
1,178 claims
Blood Work & Lab Tests
Avg $7.25
1,039 claims
Emergency Room Visit
Avg $98.74
972 claims
Dental Filling
Avg $100.24
927 claims
Dental Crown
Avg $142.01
52 claims