Average Medicaid Office Visit Payments in Rockville, MD: $58.07
Avg. Paid
$58.07
Range
$-1.62 – $522.52
Total Claims
1,282,599
Providers
494
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 Rockville, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Minuteclinic Llc
7955 Tuckerman Ln |
$23.95 | 287,986 | 202,795 |
|
Harcart Health Holdings, Llc
12220 Rockville Pike |
$18.76 | 86,954 | 51,135 |
|
Hashim S Hashim
4701 Randolph Rd |
$71.98 | 26,276 | 18,747 |
|
Patient First Maryland Medical Group Pllc
726 Rockville Pike |
$33.80 | 18,098 | 16,228 |
|
Solange Nten Eloundou
15005 Shady Grove Rd Ste 120 |
$76.50 | 17,426 | 12,390 |
|
Jiki Medical Associates, Llc
14804 Physicians Ln |
$25.19 | 16,865 | 9,270 |
|
Hooman Azmi
11119 Rockville Pike Suite 316 |
$94.55 | 16,322 | 10,224 |
|
Errol Keith Douglas
15005 Shady Grove Rd Ste 130 |
$111.48 | 16,085 | 11,822 |
|
Jay Mark Barnett
2401 Research Blvd |
$93.11 | 15,749 | 15,073 |
|
Comprehensive Primary Care And Associates Llc
15245 Shady Grove Rd Ste 150 |
$30.64 | 14,732 | 12,059 |
|
Steven Behram
14995 Shady Grove Rd Ste 410 |
$97.87 | 13,524 | 9,359 |
|
Medpsych Health Services Llc
6237 Executive Blvd |
$100.52 | 12,882 | 11,196 |
|
Gul Chablani
11119 Rockville Pike Ste 401 |
$92.97 | 12,628 | 10,834 |
|
Scott D. Wissman
9601 Blackwell Rd Ste 300 |
$98.30 | 12,178 | 10,243 |
|
Monica Del Carmen Pourrat
121 Congressional Ln Ste 510 |
$89.25 | 12,117 | 10,080 |
|
Todd Michael Colonna
2401 Research Blvd |
$110.36 | 11,273 | 10,848 |
|
Arthritis And Rheumatism Associates Pc
14995 Shady Grove Rd Ste 250 |
$28.57 | 11,073 | 10,238 |
|
Quoc Anh Nguyen
726 Rockville Pike |
$79.51 | 10,273 | 9,194 |
|
Washington Nephrology Associates, L.L.P.
1201 Seven Locks Rd Ste 200 |
$37.42 | 10,246 | 8,159 |
|
Cardiac Associates, P.C.
15225 Shady Grove Rd |
$44.50 | 10,175 | 9,522 |
|
Cornerstone Montgomery, Inc.
2 Taft Ct |
$77.13 | 10,103 | 9,028 |
|
Wayne B Kramer
15005 Shady Grove Rd |
$79.90 | 9,775 | 7,086 |
|
Ahmed Heshmat
2401 Research Blvd Ste 200 |
$99.95 | 9,654 | 7,460 |
|
Optimal Medical Care Inc
11119 Rockville Pike Ste 316 |
$38.72 | 9,397 | 5,990 |
|
Elliot R Goldstein Md & Joel R Schulman Md Pa
6000 Executive Blvd |
$18.72 | 8,576 | 7,491 |
|
Integrated Medical Care
11119 Rockville Pike Ste 406 |
$39.67 | 8,572 | 6,666 |
|
Visionary Ophthalmology Llc
11300 Rockville Pike Ste 1202 |
$30.60 | 8,528 | 7,849 |
|
Hon Yuen Wong
751 Rockville Pike |
$71.87 | 8,341 | 6,745 |
|
Catherine Bustios
15204 Omega Dr Ste 100 |
$79.55 | 8,139 | 7,352 |
|
Felix Sokolsky
11125 Rockville Pike |
$39.15 | 7,959 | 7,188 |
|
Yash Pal Mehndiratta
15200 Shady Grove Rd |
$100.16 | 7,640 | 6,609 |
|
Chinedum Ikemefuna Olisemeka
15215 Shady Grove Rd |
$44.71 | 7,495 | 6,412 |
|
Allison Win
2401 Research Blvd Ste 102 |
$91.75 | 7,271 | 5,626 |
|
Solace Pain Management & Rehabilitation Llc
14816 Physicians Ln Ste 151 |
$1.77 | 7,267 | 3,810 |
|
Piyush D Patel
6218 Montrose Rd |
$19.19 | 7,178 | 6,221 |
|
Choudry, Ijaz And Ali P.A.
11119 Rockville Pike |
$10.31 | 6,560 | 4,486 |
|
Debra Conrad
9901 Medical Center Dr |
$83.27 | 6,478 | 6,042 |
|
Ghanshyam Gupta
10110 Molecular Dr Ste 111 |
$92.93 | 6,354 | 5,649 |
|
Century Medicine Inc.
932 Hungerford Dr |
$42.18 | 6,347 | 5,416 |
|
Amit Kumar Rajvanshi
121 Congressional Ln |
$68.14 | 6,311 | 4,481 |
|
Montgomery Cardiology, Llc
10110 Molecular Dr Ste 200 |
$0.84 | 6,065 | 5,112 |
|
Suresh Malik
50 W Edmonston Dr Ste 404 |
$139.16 | 5,940 | 4,548 |
|
Potomac Advanced Medical Care
2401 Research Blvd Ste 370 |
$31.59 | 5,938 | 5,056 |
|
Hannah Bailey
9715 Medical Center Dr Ste 315 |
$23.78 | 5,936 | 4,788 |
|
Anyinke Atabong
799 Rockville Pike |
$31.80 | 5,755 | 4,390 |
|
Pengxin Lin
4701 Randolph Road |
$103.45 | 5,737 | 5,250 |
|
Samina M. Yousufi
1395 Piccard Dr Ste 320 |
$106.26 | 5,641 | 5,215 |
|
Ji Yon Hwang-Ki
14804 Physicians Ln |
$33.04 | 5,630 | 2,472 |
|
Robert H. Chu, Md, Pa
6333 Executive Blvd |
$13.42 | 5,549 | 4,979 |
|
Kelli J Clair
2401 Research Blvd |
$102.00 | 5,291 | 5,103 |
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 Rockville, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rockville, MD is $58.07 per claim, based on 1,282,599 claims from 494 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 Rockville, MD?
There are 494 Medicaid providers offering Office Visit related services in Rockville, MD according to public payment data.
What is the price range for Office Visit in Rockville, MD?
Medicaid reimbursement for Office Visit in Rockville, MD ranges from $-1.62 to $522.52 per claim, with an average of $58.07. 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 Rockville, MD
Blood Work & Lab Tests
Avg $8.43
2,753,216 claims
Speech Therapy
Avg $33.38
415,869 claims
Emergency Room Visit
Avg $80.12
400,930 claims
Physical Therapy
Avg $45.79
335,793 claims
Urinalysis & Urine Tests
Avg $5.23
328,329 claims
Dental Cleaning & Exam
Avg $40.37
313,432 claims
Case Management Services
Avg $142.76
277,184 claims
Non-Emergency Medical Transportation
Avg $28.95
268,102 claims