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 |
|---|---|---|---|
|
Carleen Townsend-Akpan
14204 Water Fowl Way |
$51.31 | 15 | 14 |
|
John Hyoungsub Shin
1221 Mercantile Ln |
$90.58 | 15 | 15 |
|
Meraf Amde Wolle
1221 Mercantile Ln |
$87.41 | 16 | 14 |
|
Kathleen E Mellott
15209 Marlboro Pike Ste 208 |
$77.20 | 24 | 12 |
|
Bogdan Dumitriu
1221 Mercantile Ln |
$118.73 | 26 | 26 |
|
Noela Njoku
1221 Mercantile Ln |
$0.00 | 30 | 29 |
|
Maryland Primary Care And Wellness
14314 Old Marlboro Pike |
$71.54 | 31 | 27 |
|
Ned Rosinsky
96 Harry S Truman Drive |
$108.50 | 32 | 30 |
|
Oyebisi Oyefunmike Ogunleye
3204 Cedar Way |
$121.50 | 34 | 29 |
|
Timika Shante Goodson
3421 Gentle Breeze Dr # A |
$87.54 | 38 | 24 |
|
Mingo Dewayne Boards
4305 Spring Foal Ct |
$97.63 | 38 | 31 |
|
Leslie Adinah Nurse
1221 Mercantile Lane |
$83.88 | 42 | 42 |
|
Afoma P Obiogbolu
10511 Campus Way S |
$0.00 | 45 | 17 |
|
Luis R. P. Da Conceicao
901 Harry S Truman Dr N |
$124.13 | 49 | 48 |
|
Berolene Pajibo Sargbeh
9404 Crystal Oaks Ln |
$110.15 | 68 | 66 |
|
Lauren Jeanine Woodley
901 Harry S Truman Dr N |
$91.48 | 69 | 61 |
|
Suggero Healthcare Services Llc
11405 Villa Ct |
$19.31 | 70 | 50 |
|
Arlette Leonie Poumini
15604 Burford Ln |
$59.10 | 79 | 68 |
|
Nneka Bagwell
13806 Shannock Ln |
$115.44 | 96 | 95 |
|
Nicole I Cooper
1221 Mercantile Ln |
$97.09 | 98 | 96 |
|
Foluke Titilayo Omobo
17008 Usher Pl |
$118.83 | 101 | 85 |
|
Kevin Smith
1221 Mercantile Ln |
$72.10 | 105 | 100 |
|
Tina Musa
1221 Mercantile Ln |
$93.72 | 105 | 104 |
|
Meliora Davies
206 Settlers Way |
$69.30 | 106 | 37 |
|
Lan Xu
901 Harry S Truman Dr N |
$97.33 | 110 | 99 |
|
Yonas S Tamrat
1221 Mercantile Ln |
$100.76 | 120 | 120 |
|
Omni Health Management Group
20 Watkins Park Dr |
$64.18 | 124 | 105 |
|
Olayemi Abiola Adurota
13400 Edgemeade Rd |
$109.76 | 153 | 110 |
|
Erica E. Bernfeld
1221 Mercantile Lane |
$91.77 | 154 | 141 |
|
Abimbola Shadare
4312 Arabella Ct |
$162.74 | 160 | 152 |
|
Dania Joseph
1221 Mercantile Ln |
$74.93 | 169 | 164 |
|
Regina Ekong
13908 Edsall St |
$239.94 | 169 | 147 |
|
Melveena Johnson-Bolden
1300 Mercantile Ln Ste 129-14 |
$174.17 | 192 | 167 |
|
Brightpoint Wellness Center
1450 Mercantile Ln Ste 201 |
$114.88 | 210 | 180 |
|
Bridget M. Ivery
1221 Mercantile Ln |
$119.59 | 212 | 208 |
|
Arnulfo B Bonavente
6409 Crain Hwy |
$106.69 | 233 | 204 |
|
Ademuyiwa Adekola Adetunji
1450 Mercantile Ln |
$55.77 | 239 | 212 |
|
Isaac Donkoh
1221 Mercantile Ln |
$25.76 | 264 | 121 |
|
Patience Adaobi Okarazu
3109 La Dova Way |
$166.43 | 279 | 265 |
|
Largo Foot & Ankle Health Center And Ambulatory Surgical Center,Inc'
1450 Mercantile Ln Ste 151 |
$13.23 | 298 | 275 |
|
Irene Chidiebere Ndukwe
1221 Mercantile Ln |
$31.95 | 311 | 237 |
|
Henrietta Mosoke
415 Prairie Ct |
$139.36 | 313 | 272 |
|
Maryland Primary Care And Wellness
14314 Old Marlboro Pike |
$21.48 | 340 | 299 |
|
Allison Regina Edwards
6409 Crain Hwy |
$87.55 | 347 | 316 |
|
Jeffrey Glicksman
1221 Mercantile Ln |
$116.66 | 356 | 350 |
|
Dorothy Eposi Mbellason
12000 Weathervane Ln |
$132.83 | 412 | 366 |
|
Covenant Psychiatric And Mental Health Services
2607 Box Tree Dr |
$14.98 | 441 | 367 |
|
Natalie Jaffer
11117 Canter Cir |
$168.66 | 467 | 412 |
|
Khaled Attia Madi
1221 Mercantile Ln |
$99.19 | 467 | 371 |
|
Valmy Nkienyack Fotendong
3218 Winter Park Ct |
$141.65 | 502 | 444 |
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