Average Medicaid Office Visit Payments in Oakland, MD: $101.03
Avg. Paid
$101.03
Range
$1.31 – $321.01
Total Claims
147,503
Providers
75
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 Oakland, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Faye Moul Lari
Family Health And Wellness |
$99.01 | 14 | 12 |
|
Margaret A Kaiser
251 N 4Th St |
$65.33 | 14 | 14 |
|
Garrett County Memorial Hospital
251 N Fourth St |
$12.34 | 18 | 12 |
|
Cimaglia Foot Care, Pllc
311 North 4Th Street, Suite 4 |
$2.75 | 19 | 19 |
|
Headwaters Restoration Therapy Llc
14689 Garrett Hwy Ste 3 |
$33.50 | 27 | 27 |
|
Patricia B Gotsch
255 N 4Th St |
$55.21 | 47 | 44 |
|
Jonathan Ethan Tannebaum
251 N 4Th St |
$64.01 | 56 | 53 |
|
Specialty Physicians Of Garrett County, Llc
69 Wolf Acres Dr Lowr Level |
$42.83 | 85 | 77 |
|
Garrett Medical Group, Pa
311 N 4Th St |
$60.15 | 85 | 77 |
|
Mark Thomas Domenick
251 N Fourth Street |
$66.98 | 109 | 98 |
|
Amber Elizabeth Stonesifer
251 N 4Th St |
$22.59 | 118 | 83 |
|
Susan Kay Bennett
251 N 4Th St |
$34.14 | 134 | 96 |
|
Garrett Surgical Group, P.A.
255 N 4Th St Ste 2 |
$62.98 | 140 | 123 |
|
Lovelight Pediatrics, Llc
607 Oakland Ave |
$54.25 | 159 | 123 |
|
Linda S Bonnette
1027 Memorial Dr |
$74.37 | 161 | 159 |
|
Marjorie Sue Fridkin
255 North 4Th Street |
$30.98 | 161 | 113 |
|
Uchechi Annang
5000 Thayer Ctr Ste C |
$92.58 | 250 | 234 |
|
Justine Fratz-Orr
215 N 4Th St |
$42.70 | 286 | 268 |
|
Brookside Health & Wellness Llc
6500 Thayer Ctr |
$27.68 | 306 | 230 |
|
Jeffrey J Bernstein
1027 Memorial Dr |
$311.30 | 309 | 296 |
|
Tess Elizabeth Schafer
311 N 4Th St Ste 1 |
$72.08 | 320 | 239 |
|
Elyzabeth Ruta Savage Goralski
311 N 4Th St |
$112.23 | 337 | 318 |
|
Alea Lynne Mcclintock-Donahue
13145 Garrett Hwy |
$40.37 | 371 | 211 |
|
Kaylene Lynn Gray
1027 Memorial Dr |
$20.31 | 374 | 339 |
|
Shawn E Long
1027 Memorial Dr |
$305.10 | 556 | 474 |
|
Michelle K Dixon
1027 Memorial Dr |
$304.39 | 581 | 554 |
|
Todd William Feathers
311 N 4Th St |
$97.47 | 595 | 508 |
|
Kaylee Rebecca Livengood
1027 Memorial Dr |
$307.96 | 615 | 551 |
|
Randi Nichole Bennett
1027 Memorial Dr |
$225.42 | 696 | 622 |
|
Terrie Lyn Roth
13079 Garrett Hwy |
$42.48 | 717 | 632 |
|
Brittany Elizabeth Shaffer
1027 Memorial Dr |
$264.77 | 725 | 648 |
|
Alvarez & Orthopaedic Associates
311 N 4Th St |
$30.29 | 734 | 550 |
|
Lisa C Scott
69 Wolf Acres Drive |
$88.09 | 885 | 444 |
|
Charles A Walch
255 North 4Th Street |
$65.97 | 905 | 828 |
|
P Daniel Miller D.O., P.A.
69 Wolf Acres Dr |
$71.52 | 913 | 738 |
|
Michaelyn Schrock
607 Oakland Ave |
$70.89 | 972 | 899 |
|
Christopher Michael Ferrell
1027 Memorial Dr |
$318.59 | 1,016 | 938 |
|
Cathy A Cimaglia
311 N 4Th St Ste 4 |
$109.96 | 1,059 | 979 |
|
Juan Benjamin Ramos
255 N 4Th St Ste 1 |
$78.73 | 1,066 | 804 |
|
Robert Aubrey Goralski
311 N 4Th St |
$111.20 | 1,077 | 1,006 |
|
Crystal Ann Piras
1027 Memorial Dr |
$277.93 | 1,094 | 994 |
|
Marian Penelope Thomas
1027 Memorial Dr |
$145.84 | 1,136 | 1,049 |
|
Garrett Treatment Center, Llc
233 East Alder Street |
$1.31 | 1,162 | 498 |
|
Amanda Lynn Kamp
1027 Memorial Dr |
$316.66 | 1,382 | 1,282 |
|
Thomas Gregory Johnson
311 N 4Th St |
$104.88 | 1,563 | 1,456 |
|
Robert W Phares
1027 Memorial Dr |
$75.92 | 1,609 | 855 |
|
Abigail Therese Gregory
880 Memorial Dr Lowr Level |
$73.13 | 1,744 | 1,588 |
|
Leigh Ann Wiltison
251 N 4Th St |
$44.27 | 1,763 | 1,148 |
|
Lori Ann Gregory
1027 Memorial Dr |
$321.01 | 1,856 | 1,757 |
|
Savopoulos Professional, Llc
255 N 4Th St |
$60.27 | 1,865 | 1,303 |
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 Oakland, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Oakland, MD is $101.03 per claim, based on 147,503 claims from 75 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 Oakland, MD?
There are 75 Medicaid providers offering Office Visit related services in Oakland, MD according to public payment data.
What is the price range for Office Visit in Oakland, MD?
Medicaid reimbursement for Office Visit in Oakland, MD ranges from $1.31 to $321.01 per claim, with an average of $101.03. 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 Oakland, MD
Psychiatric Evaluation
Avg $83.10
63,481 claims
Physical Therapy
Avg $49.44
37,826 claims
Dental Cleaning & Exam
Avg $38.25
37,369 claims
Emergency Room Visit
Avg $63.76
30,479 claims
Speech Therapy
Avg $42.02
27,551 claims
Substance Abuse Treatment
Avg $65.11
25,473 claims
Blood Work & Lab Tests
Avg $7.06
21,712 claims
Case Management Services
Avg $139.93
21,426 claims