Average Medicaid Office Visit Payments in Upper Marlboro, MD: $96.70
Avg. Paid
$96.70
Range
$0.00 – $239.94
Total Claims
131,663
Providers
111
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 Upper Marlboro, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Adora N Otiji
20 Watkins Park Dr |
$90.47 | 9,199 | 7,417 |
|
Patricia E Ejoh
7402 Perrywood Rd |
$76.11 | 6,351 | 4,985 |
|
Renette Belizaire
9692 Pennsylvania Ave |
$75.30 | 4,280 | 3,400 |
|
Gillian L Brubaker
9692 Pennsylvania Ave |
$72.87 | 4,054 | 3,195 |
|
Jill A Pellicoro
9692 Pennsylvania Ave |
$76.71 | 3,804 | 3,054 |
|
Zafir Kamil Kalamadeen
9692 Pennsylvania Ave |
$54.90 | 3,790 | 2,969 |
|
Neena Bhatti
9450 Marlboro Pike |
$116.20 | 3,163 | 2,919 |
|
Sheila J Mosee
9440 Pennsylvania Ave |
$125.50 | 2,981 | 2,427 |
|
Ayoola Juliana Oyenuga
2014 Whistling Duck Dr |
$128.28 | 2,919 | 2,413 |
|
Ahaoma Rose Nnebedum
1904 Robert Bowie Dr |
$127.94 | 2,886 | 2,502 |
|
Ekenesenarienrien Cynthia Omokaro
1221 Mercantile Ln |
$111.57 | 2,680 | 2,606 |
|
David Auh
1221 Mercantile Ln |
$93.20 | 2,664 | 2,607 |
|
Adebola Abe-Fapohunda
13209 Water Fowl Way |
$90.86 | 2,558 | 2,124 |
|
Adae Opoku Amoako
1221 Mercantile Ln |
$87.36 | 2,535 | 2,305 |
|
Ejaz M Khan
20 Watkins Park Dr |
$58.98 | 2,411 | 1,830 |
|
Kama Tillman
1221 Mercantile Ln |
$130.29 | 2,400 | 2,332 |
|
Vivian A Umeugo
9475 Lottsford Rd Ste 250 |
$129.91 | 2,388 | 2,098 |
|
Olufemi Ebunolu Balogun
1221 Mercantile Ln |
$92.73 | 2,381 | 2,327 |
|
Isabella A Ahanogbe
1221 Mercantile Ln |
$102.00 | 2,276 | 2,162 |
|
Sisom Osia
9628 Marlboro Pike |
$88.38 | 2,260 | 1,868 |
|
Katrina Castillo
1221 Mercantile Ln |
$109.60 | 2,213 | 2,185 |
|
Ibukunolu Oyenike Oni
1221 Mercantile Ln |
$93.91 | 2,195 | 2,147 |
|
United Counseling And Support Services
9701 Apollo Dr Ste 100 |
$130.04 | 2,145 | 1,653 |
|
Marie Charlotte Teboutsou Tsodzou
9317 Lavall Drive |
$110.47 | 2,124 | 1,933 |
|
Cynthia Y Stevens-Morrison
9560 Pennsylvania Ave |
$117.33 | 2,123 | 1,899 |
|
Michelle A. Mead
1221 Mercantile Ln |
$86.70 | 2,060 | 1,940 |
|
Envisioncare Medical Associates, Llc
10507 Montana Ter |
$91.49 | 1,985 | 1,514 |
|
Aysha Khan
1221 Mercantile Ln |
$119.70 | 1,943 | 1,904 |
|
Charles Okorom
9605 Toucan Dr |
$137.24 | 1,817 | 1,626 |
|
Miriane Nguele
15502 Humberside Way |
$158.52 | 1,756 | 1,649 |
|
Shannon R Woodson
9692 Pennsylvania Ave |
$60.42 | 1,744 | 1,374 |
|
Alyssa Mckenna
1221 Mercantile Lane |
$92.40 | 1,702 | 1,652 |
|
Gisele Feumba Mbianda
9717 Natalie Dr |
$146.35 | 1,701 | 1,333 |
|
Natasha A Rodney
1221 Mercantile Ln |
$87.91 | 1,693 | 1,434 |
|
Uchemadu Nwaononiwu
1221 Mercantile Ln |
$100.63 | 1,681 | 1,603 |
|
Yetunde Adedunni Sannoh
9500 Marlboro Pike Ste 12 |
$46.31 | 1,654 | 1,177 |
|
Getachew Tefferra
1221 Mercantile Ln |
$158.56 | 1,539 | 1,490 |
|
John Herman Wills
14310 Old Marlboro Pike |
$60.38 | 1,482 | 1,084 |
|
Clave Nonye Nwadike
9603 Toucan Dr |
$19.91 | 1,336 | 1,159 |
|
Henriette Ghapsi
1300 Mercantile Ln |
$122.97 | 1,333 | 944 |
|
Naa Dede Owusu Kwarteng
10920 Meridian Hill Way |
$120.05 | 1,316 | 1,232 |
|
Jericho De Mata
1221 Mercantile Ln |
$117.88 | 1,314 | 1,273 |
|
Amber J Marshall
1221 Mercantile Ln |
$99.31 | 1,209 | 1,199 |
|
Phoebe Vuwansi Chongong
10300 Crystal Brook Ct |
$71.76 | 1,155 | 1,036 |
|
Nwamaka Olutola Oluwato
1221 Mercantile Ln |
$103.18 | 1,084 | 1,065 |
|
Joy A Ellis-George
1400 Mercantile Ln Ste 252 |
$80.07 | 1,078 | 688 |
|
Karen Tonya Mason
1221 Mercantile Ln |
$61.36 | 1,071 | 993 |
|
Melat Lemma
1221 Mercantile Ln |
$88.95 | 1,046 | 1,009 |
|
Daniel Joseph Patenaude
1221 Mercantile Ln |
$106.09 | 1,031 | 963 |
|
Kymia Khosrowani
1221 Mercantile Ln |
$102.87 | 1,000 | 968 |
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 Upper Marlboro, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Upper Marlboro, MD is $96.70 per claim, based on 131,663 claims from 111 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 Upper Marlboro, MD?
There are 111 Medicaid providers offering Office Visit related services in Upper Marlboro, MD according to public payment data.
What is the price range for Office Visit in Upper Marlboro, MD?
Medicaid reimbursement for Office Visit in Upper Marlboro, MD ranges from $0.00 to $239.94 per claim, with an average of $96.70. 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 Upper Marlboro, MD
Case Management Services
Avg $139.36
498,283 claims
Speech Therapy
Avg $35.62
247,764 claims
Physical Therapy
Avg $41.27
79,527 claims
Behavioral & Mental Health Therapy
Avg $88.43
73,708 claims
Emergency Room Visit
Avg $282.65
67,713 claims
Blood Work & Lab Tests
Avg $22.06
59,085 claims
Psychiatric Evaluation
Avg $93.51
57,288 claims
Dental Cleaning & Exam
Avg $42.54
28,651 claims