Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Wheaton, MD: $84.06

Avg. Paid

$84.06

Range

$1.02 – $129.24

Total Claims

100,223

Providers

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 Wheaton, MD

Provider	Avg. Paid	Claims	Patients
Jose D Villagra 2730 University Blvd W Ste 410	$82.97	30,127	25,257
Shobhit Arora 11406 Georgia Ave F	$106.85	21,233	15,279
Ki Nyoung Lee 3947 Ferrara Drive	$29.67	6,585	5,429
Terisa Lynn Foster Flick 2401 Blueridge Ave	$100.14	4,268	3,845
Rahul Gilotra 12016 Georgia Avenue	$70.32	3,244	2,984
Earlene Jordan 2401 Blueridge Ave Ste 210	$101.61	3,203	2,917
Samuel Harris Leibowitz 2401 Blueridge Ave	$97.60	3,128	2,922
Mercedes Elieth Miranda-Sheffield 2730 University Blvd W Ste 420	$95.45	2,931	2,643
Peter Bruce Sherer 3921 Ferrara Dr	$42.33	2,923	1,717
Claribel Vargas 2730 University Blvd W Suite Ll10	$129.24	2,918	2,632
Noel Vetticad Pesce 2401 Blueridge Ave	$90.24	2,694	2,457
Deborah Erin Engel 2401 Blueridge Avenue	$95.85	2,430	2,156
Henry Shunju Sakai 2401 Blueridge Ave	$94.63	2,264	2,015
Montgomery Renal Associates P.A. 3941 Ferrara Dr	$51.34	1,590	1,552
Kellie Danielle Sewell 11002 Veirs Mill Rd	$1.02	1,496	1,141
Jessica Lynn Howard 2401 Blueridge Ave Fl 2	$83.88	1,482	1,341
Ann Starchman 2401 Blueridge Ave	$101.03	1,411	1,304
Roberto Rosario 2401 Blueridge Ave Ste 210	$106.80	1,292	1,133
Access Now Urgent Care Llc 11406 Georgia Ave Ste F	$8.11	1,223	783
Adam Spector 2730 University Blvd W	$67.74	772	583
Mohammad A Khalid Md Pc 12001 Ferrara Ave	$45.00	649	418
Medstar Urgent Care, Llc 11915 Georgia Ave	$93.19	648	592
Mary Patricia Lazarek 2424 Reedie Dr	$7.17	537	183
Mohamed Wajeed Khan, M.D. L.L.C. 12016 Georgia Ave	$15.43	483	316
Caroline Tierney 11915 Georgia Ave	$91.31	135	114
Montgomery Gastroenterology Pa 12012 Veirs Mill Rd	$72.28	131	128
Banis Githinji 11101 Georgia Ave Unit 559	$38.36	118	110
Sarah Calvert Lartey 2401 Blueridge Ave Ste 210	$83.24	108	91
Linda M Burrell 2730 University Blvd W	$80.09	68	65
Alan Ken Matsumoto 2730 University Blvd W	$107.61	34	27
Viktoria Elkis 2730 University Blvd W Ste 310	$70.54	32	29
Paul Demarco 2730 University Blvd W Ste 310	$117.38	27	25
Cheryl A Aylesworth 2730 University Blvd W	$94.54	27	24
Foot And Ankle Specialists Of The Mid-Atlantic, Llc 2730 University Blvd W	$52.95	12	12

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 Wheaton, MD?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wheaton, MD is $84.06 per claim, based on 100,223 claims from 34 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 Wheaton, MD?

There are 34 Medicaid providers offering Office Visit related services in Wheaton, MD according to public payment data.

What is the price range for Office Visit in Wheaton, MD?

Medicaid reimbursement for Office Visit in Wheaton, MD ranges from $1.02 to $129.24 per claim, with an average of $84.06. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Wheaton, MD: $84.06

Providers Offering Office Visit in Wheaton, MD

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Wheaton, MD

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Dental Cleaning & Exam

Hearing Test (Audiometry)

Blood Work & Lab Tests

Dental Filling

Prescription Medications

Dialysis

Emergency Room Visit