Average Medicaid Office Visit Payments in Silver Spring, MD: $83.74
Avg. Paid
$83.74
Range
$0.00 – $370.33
Total Claims
1,106,108
Providers
510
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 Silver Spring, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Elspeth Cameron Ritchie
10014 Portland Pl |
$157.41 | 12 | 12 |
|
Derek A Kram
1400 Forest Glen Rd |
$104.01 | 12 | 12 |
|
Daniel C Portee
8206 Georgia Ave |
$159.26 | 12 | 12 |
|
Michelle Hines
11890 Healing Way |
$65.98 | 12 | 12 |
|
Irvin A Guterman
1400 Forest Glen Rd |
$98.58 | 12 | 12 |
|
Vasilios John Pyrgos
8630 Fenton St |
$71.95 | 13 | 13 |
|
Brandon Selby Blanken
10313 Georgia Ave Ste 201 |
$42.59 | 13 | 13 |
|
Martine Marie Solages
10903 New Hampshire Avenue |
$88.12 | 13 | 13 |
|
Adrienne Marie Richey
1500 Forest Glen Rd |
$112.81 | 13 | 13 |
|
Mustafa Gedik
2601 Bel Pre Rd |
$55.26 | 13 | 12 |
|
Kenneth F Khandagle
831 University Blvd E |
$118.05 | 13 | 13 |
|
Carlos N Vasquez
11921 Bournefield Way Ste B |
$116.51 | 13 | 13 |
|
David Mark Perim
1400 Forest Glen Rd |
$102.52 | 14 | 12 |
|
Heart Consultants, Llc
8630 Fenton St |
$54.02 | 14 | 12 |
|
Clara Chan
9801 Georgia Ave |
$122.57 | 14 | 12 |
|
Phyllis Victoria Acquah
8206 Georgia Ave |
$57.30 | 14 | 13 |
|
Blue Sky Mental Health Clinic Llc
10301 Georgia Ave Ste 203W |
$0.00 | 15 | 13 |
|
Hiruth Abebe
2000 Dennis Ave |
$8.32 | 15 | 14 |
|
Fraser Cummins Henderson
1010 Wayne Ave Ste 420 |
$92.17 | 15 | 13 |
|
Montgomery County Maryland Government
3301 Weller Rd |
$19.93 | 16 | 14 |
|
Puneet Singh Garcha
1040 Spring St |
$7.06 | 16 | 15 |
|
Maryland Oncology Hematology, Pa
11886 Healing Way Ste 701 |
$6.68 | 16 | 16 |
|
Justin Thomas Brown
12210 Plum Orchard Dr |
$89.18 | 16 | 13 |
|
Taira Chantele Everett
8601 16Th St |
$51.10 | 17 | 16 |
|
Patricia Miller Dehof
10301 Georgia Ave |
$74.81 | 17 | 13 |
|
Eden Muluneh Taye
9002 Pennsylvania Ave |
$86.23 | 17 | 12 |
|
Antonio G Uy
354 University Blvd W |
$62.67 | 17 | 13 |
|
Lomack Primary Care, Inc
10801 Lockwood Dr Ste 285 |
$26.01 | 18 | 12 |
|
Shukdeo Sankar
8601 16Th St |
$36.58 | 19 | 12 |
|
George T Conrad
8630 Fenton St Ste 122 |
$77.25 | 19 | 16 |
|
Anisha Kumar
1500 Forest Glen Rd |
$43.77 | 20 | 12 |
|
Sonja Virginia Barsky
9520 Georgia Ave |
$1.65 | 20 | 13 |
|
Mary'S Center For Maternal And Child Care Inc
344 University Blvd W |
$12.67 | 22 | 13 |
|
William King Kelly
10750 Columbia Pike Ste 501 |
$5.64 | 23 | 12 |
|
Foot And Ankle Specialists Of The Mid-Atlantic, Llc
3801 International Dr |
$370.33 | 24 | 22 |
|
Jordan Tyler Byrd
8206 Georgia Ave |
$0.00 | 24 | 12 |
|
Neelofar M Alam
12510 Prosperity Dr |
$49.65 | 25 | 12 |
|
Megan Giles
1500 Forest Glen Rd |
$105.24 | 25 | 25 |
|
Khanh Quoc Nguyen
1500 Forest Glen Rd |
$61.64 | 25 | 25 |
|
Narieman Ahmadi Nik
9801 Georgia Ave #340 |
$68.35 | 26 | 25 |
|
Kathyrn Elizabeth Novak
9801 Georgia Ave Ste 333 |
$133.26 | 27 | 24 |
|
Carla C. Sandy
12201 Plum Orchard Dr |
$98.58 | 28 | 28 |
|
Kwame Akoto
12201 Plum Orchard Dr |
$93.62 | 28 | 26 |
|
Erica Marie Lemmert
8403 Colesville Rd Ste 1100 |
$56.61 | 28 | 25 |
|
Adenike Janet Falade
8484 Georgia Ave Ste 900 |
$123.87 | 29 | 17 |
|
Victor A Wowk
1400 Forest Glen Rd Ste 400 |
$60.20 | 29 | 24 |
|
Samuel M Sanders
1400 Forest Glen Rd |
$80.63 | 29 | 27 |
|
Nakeia Newton
8403 Colesville Rd Ste 1100 |
$125.37 | 30 | 29 |
|
Gabriel L Petruccelli
1400 Forest Glen Road |
$71.30 | 31 | 26 |
|
Eric Stephen Cawthon
1500 Forest Glen Rd |
$74.81 | 31 | 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 Silver Spring, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Silver Spring, MD is $83.74 per claim, based on 1,106,108 claims from 510 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 Silver Spring, MD?
There are 510 Medicaid providers offering Office Visit related services in Silver Spring, MD according to public payment data.
What is the price range for Office Visit in Silver Spring, MD?
Medicaid reimbursement for Office Visit in Silver Spring, MD ranges from $0.00 to $370.33 per claim, with an average of $83.74. 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 Silver Spring, MD
Dental Cleaning & Exam
Avg $39.56
562,274 claims
Psychiatric Evaluation
Avg $94.09
468,812 claims
Nursing Facility Care
Avg $18.02
318,176 claims
Blood Work & Lab Tests
Avg $7.58
195,775 claims
Physical Therapy
Avg $38.75
156,524 claims
X-Ray
Avg $8.16
151,102 claims
Ultrasound
Avg $69.33
142,698 claims
Vaccines & Immunizations
Avg $23.85
133,440 claims