Average Medicaid Office Visit Payments in Salisbury, MD: $95.91
Avg. Paid
$95.91
Range
$0.00 – $201.72
Total Claims
938,156
Providers
461
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 Salisbury, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Walter David Gianelle
2425 N Salisbury Blvd |
$105.50 | 51,015 | 42,381 |
|
Tidalhealth Specialty Care, Llc
100 E Carroll St |
$27.20 | 43,396 | 36,135 |
|
Bnj Health Services Inc Salisbury
204 Newton St |
$31.31 | 20,268 | 10,350 |
|
Stephen John Robinson
100 Power St |
$167.06 | 18,741 | 15,392 |
|
Saadat A Panni
217 Phillip Morris Dr |
$105.50 | 18,310 | 12,140 |
|
Sharon Andrea Mcfayden Eyo
1205 Pemberton Dr |
$78.96 | 17,917 | 10,926 |
|
Stephen Michael Cooper
100 Power St |
$180.43 | 17,899 | 15,369 |
|
Peninsula Orthopaedic Assoc, Pa
1675 Woodbrooke Dr |
$28.36 | 17,561 | 13,994 |
|
Ephrem Daniel
211 Maryland Ave |
$87.47 | 17,533 | 15,557 |
|
Healthport
505 E Main St |
$67.18 | 17,438 | 16,436 |
|
Jane Alice Crick
1665 Woodbrooke Dr |
$165.86 | 16,811 | 14,323 |
|
Tidalhealth Peninsula Regional, Inc.
100 E Carroll St |
$56.42 | 14,153 | 12,258 |
|
Eastern Shore Medical Center Pa
914A Eastern Shore Dr |
$34.53 | 13,181 | 10,864 |
|
Mohan Kumar Thummalapalli
106 Milford St Ste 201 |
$86.96 | 12,325 | 10,416 |
|
Wicomico County Health Department
108 E Main St |
$90.30 | 10,639 | 9,282 |
|
Amber Adkins
1415 Wesley Dr |
$96.10 | 10,168 | 8,722 |
|
Ydiprmc, Llc
1135 S Salisbury Blvd |
$66.63 | 10,131 | 9,210 |
|
Jennifer Lynn Wehberg
1415 Wesley Dr |
$88.65 | 10,051 | 8,512 |
|
Tidalhealth Primary Care, Llc
100 E Carroll St |
$21.78 | 9,665 | 8,287 |
|
Imperial Healthcare Services Llc
601 E Naylor Mill Rd Unit F |
$124.91 | 9,500 | 8,663 |
|
William Clifford Taylor
106 Milford St. Ste 201 |
$81.48 | 9,263 | 8,041 |
|
Lisa A Yamakawa
217 Phillip Morris Dr |
$96.55 | 8,651 | 6,753 |
|
Robert K Klug
100 East Carroll Street |
$115.50 | 8,617 | 8,226 |
|
William Anthony Strott
1205 Pemberton Dr |
$76.74 | 8,344 | 5,723 |
|
Andras Kovacs
106 Milford St. Ste 201 |
$92.33 | 8,319 | 7,218 |
|
John J Byrd
100 E Carroll St |
$100.59 | 8,218 | 6,166 |
|
Melinda Castillo Maranan
223 Phillip Morris Dr |
$181.85 | 8,034 | 7,101 |
|
Danielle Twilley Sweitzer
2425 N Salisbury Blvd |
$118.66 | 7,959 | 7,523 |
|
Jessica Hill
1201 Pemberton Dr Ste 2A |
$118.89 | 7,836 | 7,055 |
|
Iris Harrington Gehring
2425 N. Salisbury Blvd |
$118.03 | 7,580 | 7,132 |
|
Eastern Shore Psychological Service
1113 Healthway Drive |
$89.83 | 7,270 | 6,974 |
|
Christine Tanner Perdue
1415 Wesley Dr |
$92.83 | 7,227 | 5,991 |
|
Regina T. Gelinas
2425 N Salisbury Blvd |
$115.37 | 7,107 | 6,639 |
|
Mithila Jegathesan
106 Milford St Ste 201 |
$86.53 | 6,484 | 5,527 |
|
Perry Micheal Adams
1415 Wesley Dr |
$91.64 | 6,063 | 5,342 |
|
Mitchell Sender Gittelman
31413 Winterplace Pkwy Ste 103 |
$118.63 | 6,047 | 4,936 |
|
Michele Marie Urban
1647 Woodbrooke Dr |
$179.44 | 5,996 | 4,925 |
|
Terry Angell
106 Milford St Ste 605 |
$106.43 | 5,920 | 5,183 |
|
Francis Anthony Celeste
100 Power St |
$171.94 | 5,899 | 5,121 |
|
Healthport
505 E Main St |
$33.75 | 5,705 | 5,151 |
|
Jodi Lynn Meyers
223 Phillip Morris Dr |
$178.62 | 5,680 | 5,113 |
|
Sadaf Sultana Ijaz
100 E Carroll St |
$65.99 | 5,596 | 4,928 |
|
Sidrah Mushtaq Ahmad
106 Milford St Ste 101 |
$118.33 | 5,545 | 5,434 |
|
Yogesh Vohra
914A Eastern Shore Dr |
$83.08 | 5,454 | 3,987 |
|
Peninsula Nephrology Associates, Pa
1821 Sweetbay Dr Ste 1 |
$41.92 | 5,375 | 4,731 |
|
Laura F Pedone
1324 Belmont Ave Ste 105A |
$133.75 | 5,338 | 4,012 |
|
Vel Natesan Md Pa
951 Mount Hermon Rd Ste A |
$22.61 | 5,274 | 3,968 |
|
Shannon Nicole Biesterfeld
1647 Woodbrooke Dr |
$181.50 | 4,992 | 4,294 |
|
Caitlin Lindsley Robinson
1647 Woodbrooke Dr |
$176.53 | 4,981 | 4,184 |
|
Sharad R Satyal
910 Eastern Shore Dr |
$86.62 | 4,964 | 3,909 |
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 Salisbury, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Salisbury, MD is $95.91 per claim, based on 938,156 claims from 461 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 Salisbury, MD?
There are 461 Medicaid providers offering Office Visit related services in Salisbury, MD according to public payment data.
What is the price range for Office Visit in Salisbury, MD?
Medicaid reimbursement for Office Visit in Salisbury, MD ranges from $0.00 to $201.72 per claim, with an average of $95.91. 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 Salisbury, MD
Substance Abuse Treatment
Avg $82.68
398,117 claims
Physical Therapy
Avg $26.87
387,801 claims
Psychiatric Evaluation
Avg $88.10
280,667 claims
Case Management Services
Avg $115.92
240,556 claims
Emergency Room Visit
Avg $83.62
220,822 claims
Blood Work & Lab Tests
Avg $7.50
210,680 claims
Dental Cleaning & Exam
Avg $41.01
174,329 claims
X-Ray
Avg $5.86
153,202 claims