Average Medicaid Office Visit Payments in Princess Anne, MD: $119.03
Avg. Paid
$119.03
Range
$7.18 – $215.54
Total Claims
60,182
Providers
23
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 Princess Anne, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Onaija T Bryant
12145 Elm St |
$103.37 | 7,622 | 6,653 |
|
Khaled Faisal Abdul Rahman
12145 Elm St |
$170.90 | 6,377 | 4,995 |
|
Nicole M Boudreaux
12302 Somerset Ave Ste Ab |
$101.61 | 5,955 | 5,445 |
|
Three Lower Counties Community Services, Inc.
12145 Elm Street |
$11.06 | 4,439 | 3,734 |
|
Geoffrey Ngam
12302 Somerset Ave # Ab |
$71.90 | 4,230 | 3,605 |
|
Benhur Bushara Mohammed
12145 Elm St |
$215.54 | 4,100 | 3,553 |
|
David Christopher Ford
12302 Somerset Ave Ste Ab |
$112.91 | 3,972 | 3,710 |
|
Lionel Mue Kum
12208 Brittingham Rd |
$107.90 | 3,785 | 3,567 |
|
Alicia Perez
12145 Elm St |
$174.24 | 3,134 | 2,862 |
|
Deborah Lynn Anderson
12145 Elm St |
$171.68 | 3,019 | 2,783 |
|
Joayne Marie Kerry-Turner
12145 Elm Street |
$141.15 | 2,866 | 2,512 |
|
Michele Yvette Mcintosh
10902 Old Princess Anne Rd |
$160.84 | 2,779 | 2,461 |
|
Eastern Shore Psychological Services, Llc
11120 Somerset Ave |
$90.42 | 2,642 | 2,533 |
|
Charles Brett Hofmann
30434 Mount Vernon Rd |
$98.92 | 1,868 | 1,634 |
|
Maple Shade Youth And Family Services, Inc.
11760 Somerset Ave |
$99.55 | 962 | 881 |
|
Princess Anne Family Practice
30434 Mount Vernon Rd |
$39.80 | 846 | 700 |
|
Lower Shore Immediate Care Llc
12302 Somerset Ave |
$7.18 | 696 | 570 |
|
Kevin Michael Meadowcroft
12208 Brittingham Ln |
$113.23 | 471 | 443 |
|
Sarah Elizabeth Phillips
12145 Elm St |
$183.46 | 245 | 204 |
|
Tisa Massey Parsons
30434 Mount Vernon Rd |
$90.86 | 111 | 91 |
|
Focus Point Solutions Llc
11672 Somerset Ave |
$75.86 | 31 | 14 |
|
Tracey Rollins Grupp
12145 Elm St |
$44.78 | 16 | 12 |
|
Charles Donald Stegman
30434 Mount Vernon Rd |
$89.18 | 16 | 12 |
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 Princess Anne, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Princess Anne, MD is $119.03 per claim, based on 60,182 claims from 23 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 Princess Anne, MD?
There are 23 Medicaid providers offering Office Visit related services in Princess Anne, MD according to public payment data.
What is the price range for Office Visit in Princess Anne, MD?
Medicaid reimbursement for Office Visit in Princess Anne, MD ranges from $7.18 to $215.54 per claim, with an average of $119.03. 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 Princess Anne, MD
Dental Cleaning & Exam
Avg $23.74
370,439 claims
Dental Filling
Avg $70.23
69,541 claims
Substance Abuse Treatment
Avg $125.06
53,908 claims
Psychiatric Evaluation
Avg $88.90
40,064 claims
Tooth Extraction
Avg $46.05
16,969 claims
Vaccines & Immunizations
Avg $0.01
9,981 claims
Ambulance Transport
Avg $71.40
8,229 claims
Physical Therapy
Avg $0.22
5,908 claims