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 |
|---|---|---|---|
|
Surupa Sen Gupta
9905 Medical Center Dr Ste 330 |
$100.41 | 12 | 12 |
|
Diane Saade
2101 E Jefferson St |
$14.88 | 12 | 12 |
|
Lan Wu
726 Rockville Pike |
$0.00 | 12 | 12 |
|
Joyce Sun
15245 Shady Grove Rd Ste 130 |
$82.15 | 12 | 12 |
|
Metropolitan Renal Mgmt. Pc
4701 Randolph Rd Ste 216 |
$146.22 | 13 | 12 |
|
Robert Dibianco
15215 Shady Grove Rd |
$92.22 | 13 | 13 |
|
David I Friedman
9901 Medical Center Dr |
$131.63 | 13 | 13 |
|
Sarah Ann Engle
1396 Piccard Dr |
$0.00 | 13 | 12 |
|
Allison Win Md Llc
2401 Research Blvd Ste 102 |
$6.36 | 13 | 12 |
|
Total Access Medical Services Llc
9740 Traville Gateway Dr |
$120.00 | 13 | 13 |
|
Foot And Ankle Specialists Of The Mid-Atlantic, Llc
11801 Rockville Pike Ste 105 |
$9.23 | 13 | 13 |
|
Jacob Hk Min
2000 Veirs Mill Rd Ste A |
$0.00 | 13 | 12 |
|
James F Barter
6301 Executive Blvd |
$148.03 | 13 | 12 |
|
Guada R Respicio Duque
14995 Shady Grove Rd Ste 250 |
$107.57 | 13 | 12 |
|
Sripooja Satya Parameswaran
2101 East Jefferson Street |
$150.25 | 14 | 14 |
|
Rebecca June Kamil
9420 Key West Ave Ste 310 |
$155.60 | 14 | 14 |
|
Stephen R. Glaser M.D. P.C.
15235 Shady Grove Rd Ste 101 |
$0.00 | 14 | 14 |
|
Audrey K Tsao
2101 E Jefferson St |
$98.58 | 14 | 12 |
|
Suzel S Hall
9420 Key West Ave |
$122.30 | 14 | 13 |
|
Max Logan Gratrix
15225 Shady Grove Rd |
$41.77 | 14 | 13 |
|
Caitlin T Bray
15825 Shady Grove Rd Ste 140 |
$124.38 | 15 | 12 |
|
Jena Jamison
5920 Hubbard Dr |
$8.91 | 15 | 14 |
|
Daniel D Lahr Md Pa
9707 Medical Center Dr |
$79.57 | 15 | 12 |
|
Marissa Leslie
14915 Broschart Rd |
$78.14 | 15 | 14 |
|
Nina Rajaei
15245 Shady Grove Rd Ste 130 |
$108.30 | 15 | 13 |
|
Yuanfen Zhang
200 Wood Hill Rd |
$99.25 | 15 | 15 |
|
Maryland Treatment Centers Inc
14703 Avery Rd |
$109.76 | 16 | 14 |
|
Prithvi Bhattarai
10110 Molecular Dr Ste 200 |
$8.15 | 16 | 15 |
|
Carol Ann Plotsky
15215 Shady Grove Rd |
$81.35 | 16 | 12 |
|
Shuchi V Bhatt
6000 Executive Blvd |
$102.92 | 17 | 14 |
|
J & A Health Care Llc
802 Pleasant Dr |
$75.92 | 17 | 12 |
|
Cary Douglas Brown
9901 Medical Center Dr |
$24.02 | 18 | 14 |
|
Danny Tran
15825 Shady Grove Rd Ste 140 |
$89.80 | 18 | 16 |
|
Jeanne Renee Moneyhun
9420 Key West Ave |
$69.47 | 19 | 13 |
|
Judith Anne Gurdian
9711 Medical Center Dr |
$44.23 | 20 | 13 |
|
Adult And Pediatric Clinic, Pc
14816 Physicians Ln |
$25.26 | 20 | 17 |
|
Mario Eduardo Pruss
966 Hungerford Dr Ste 20A |
$108.50 | 23 | 23 |
|
Nicholas J. Farrell
9707 Medical Center Dr |
$135.24 | 23 | 12 |
|
John Douglas Paulson
6010 Executive Blvd Ste 506 |
$8.84 | 25 | 13 |
|
Maria Araceli Vera Nunez
11140 Rockville Pike Ste 320 |
$53.15 | 26 | 25 |
|
Sriparna Mitra
15215 Shady Grove Rd Ste 303 |
$95.34 | 26 | 25 |
|
Xiumei Zhao
9715 Medical Center Dr Ste 202 |
$70.73 | 26 | 24 |
|
Shashank C. Srivastava, Dpm, Llc
2401 Research Blvd |
$18.44 | 27 | 26 |
|
Beverley J Waldron
2101 E Jefferson St |
$75.12 | 28 | 28 |
|
Mechele Silva
2101 E Jefferson St |
$84.66 | 28 | 25 |
|
Family Medicine Shady Grove
15215 Shady Grove Rd Ste 304 |
$15.41 | 28 | 28 |
|
Recovery Health Services, Llc
14701 Avery Rd |
$73.47 | 28 | 27 |
|
Mo-Ping Chow
2401 Research Blvd Ste 370 |
$0.00 | 28 | 28 |
|
Rohit Seem
15215 Shady Grove Rd |
$122.94 | 28 | 27 |
|
Montgomery County Maryland Government
1301 Piccard Dr |
$50.68 | 29 | 26 |
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