Average Medicaid Office Visit Payments in Prince Frederick, MD: $80.02
Avg. Paid
$80.02
Range
$0.00 – $136.33
Total Claims
190,389
Providers
102
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 Prince Frederick, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anson Joseph
130 Hospital Rd Ste 300 |
$90.03 | 12 | 12 |
|
Kristen Antoinette Knowles
110 Hospital Rd Ste 303 |
$133.26 | 12 | 12 |
|
Jacquelyn C Wallander
985 Prince Frederick Blvd |
$98.58 | 12 | 12 |
|
Advanced Orthopaedic Specialists, Pc
497 Main St Ste 200 |
$9.76 | 13 | 12 |
|
Jonathan Kim Fears
985 Prince Frederick Blvd Ste 201 |
$130.48 | 13 | 13 |
|
Calverthealth Medical Center, Inc.
130 Hospital Rd |
$100.75 | 14 | 14 |
|
Paul Howard Griffith
100 Hospital Rd |
$47.63 | 14 | 13 |
|
Michelle Antoinette Folsom Elder
110 Hospital Rd Ste 111 |
$73.04 | 14 | 13 |
|
Travis Wayne Roberts
975 Solomons Island Rd N |
$73.65 | 15 | 15 |
|
Theresa J Hall
975 Solomons Road North |
$45.86 | 24 | 24 |
|
Bayside Primary Care Llc
301 Steeple Chase Dr |
$26.46 | 30 | 26 |
|
Kia Elliott
110 Hospital Rd Ste 101 |
$64.33 | 34 | 27 |
|
Patuxent Endocrinology Associates, Llc
205 Steeple Chase Dr |
$80.76 | 38 | 37 |
|
Brian Michael Connolly
995 Prince Frederick Blvd Ste 204 |
$109.49 | 39 | 38 |
|
Mary Gordon Walter
976 Solomans Island Road |
$73.65 | 40 | 40 |
|
Utpal Kanti Dutta
130 Hospital Rd Ste 300 |
$114.93 | 42 | 26 |
|
Barbara K Estes
110 Hospital Rd Ste 310 |
$76.49 | 42 | 37 |
|
Lisa M Watson
130 Hospital Rd Ste 102 |
$0.00 | 44 | 14 |
|
Julie O'Keefe
985 Prince Frederick Blvd Ste 201 |
$133.00 | 52 | 51 |
|
Shafquat Meraj, M.D., P.A.
1015 Prince Frederick Boulevard |
$17.60 | 55 | 49 |
|
Saad Abdul Haque
130 Hospital Rd Ste 300 |
$22.70 | 83 | 76 |
|
Deborah Anne Davis
110 Hospital Rd Ste 310 |
$59.83 | 85 | 73 |
|
Catherine Heilig
985 Prince Frederick Blvd Ste 201 |
$88.07 | 93 | 79 |
|
John P Hakim Md & Associates Pa
135 W Dares Beach Rd |
$39.58 | 93 | 67 |
|
Eric Berg
985 Prince Frederick Blvd Ste 201 |
$102.35 | 97 | 90 |
|
Advanced Pain Management Specialists, Llc
110 Hospital Rd Ste 305 |
$26.45 | 97 | 95 |
|
Karen Ann Prahler
130 Hospital Rd Ste 102 |
$86.58 | 117 | 110 |
|
Diana Soffer
301 Steeple Chase Dr Ste 403 |
$92.41 | 120 | 116 |
|
Sylvia Bongers Batong
110 Hospital Rd Ste 111 |
$56.14 | 121 | 101 |
|
Centers For Advanced Orthopaedics, Llc
110 Hospital Rd Ste 201 |
$7.55 | 130 | 110 |
|
Advanced Orthopaedic Specialists, Pc
497 Main St |
$107.90 | 133 | 121 |
|
Fasika Berhanu Aberra
130 Hospital Rd Ste 300 |
$106.19 | 145 | 137 |
|
William A White
100 Hospital Rd |
$87.98 | 148 | 136 |
|
Manoj Mathur Md Pa
110 Hospital Rd |
$30.43 | 153 | 146 |
|
Shannon Elizabeth Cox
131 Main St Ste 202 |
$35.57 | 187 | 158 |
|
Barry L. Myers
100 Hospital Rd |
$134.84 | 230 | 210 |
|
Ryan James Hess
501 Main St Ste 102 |
$113.82 | 237 | 203 |
|
Samuel H Foster
110 Hospital Rd |
$117.28 | 237 | 227 |
|
Jessica Lynn Pucci
110 Hospital Rd Ste 101 |
$115.48 | 245 | 174 |
|
Calvert Substance Abuse Services
975 Solomons Island Rd N |
$52.74 | 257 | 172 |
|
Brendan Glowacki
985 Prince Frederick Blvd |
$101.78 | 273 | 246 |
|
Tamara Bonsack Cheater
995 N. Prince Frederick Blvd |
$97.84 | 275 | 267 |
|
Michael Wayne Bridgett
975 Solomons Island Rd N |
$20.86 | 278 | 255 |
|
Gregory Dalencourt
110 Hospital Rd Ste 101 |
$18.68 | 306 | 282 |
|
Ann Chen
130 Hospital Rd Ste 300 |
$87.84 | 308 | 278 |
|
Beck, Griffith, Cirillo, And Patel, P.A.
110 Hospital Rd |
$46.34 | 327 | 273 |
|
Reena Mary Thomas
205 Steeple Chase Dr 307 |
$106.98 | 356 | 314 |
|
Rachael Miller Levy
100 Hospital Rd |
$48.07 | 362 | 179 |
|
Paul Asher Kline
985 Prince Frederick Blvd Ste 201 |
$80.09 | 396 | 349 |
|
Jonathan David Lowenthal
985 Prince Frederick Blvd Ste 201 |
$71.94 | 401 | 345 |
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 Prince Frederick, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Prince Frederick, MD is $80.02 per claim, based on 190,389 claims from 102 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 Prince Frederick, MD?
There are 102 Medicaid providers offering Office Visit related services in Prince Frederick, MD according to public payment data.
What is the price range for Office Visit in Prince Frederick, MD?
Medicaid reimbursement for Office Visit in Prince Frederick, MD ranges from $0.00 to $136.33 per claim, with an average of $80.02. 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 Prince Frederick, MD
Substance Abuse Treatment
Avg $66.84
104,684 claims
Psychiatric Evaluation
Avg $98.15
83,694 claims
Speech Therapy
Avg $37.20
71,271 claims
Case Management Services
Avg $133.83
51,988 claims
Emergency Room Visit
Avg $83.78
40,872 claims
Dental Cleaning & Exam
Avg $32.13
24,500 claims
Physical Therapy
Avg $35.15
19,387 claims
Blood Work & Lab Tests
Avg $6.57
19,320 claims