Average Medicaid Office Visit Payments in Auburn, ME: $37.35
Avg. Paid
$37.35
Range
$0.00 – $102.29
Total Claims
124,128
Providers
98
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 Auburn, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Edwin V Tan
2 Great Falls Plz Ste 21 |
$30.54 | 6,982 | 6,303 |
|
Daniel Chester Buck
15 Gracelawn Rd Ste 101 |
$15.43 | 6,206 | 5,436 |
|
Jennifer Lea Neiss
600 Center St |
$102.29 | 5,549 | 5,457 |
|
Lars Mikael Qvick
15 Gracelawn Rd |
$26.84 | 4,924 | 4,279 |
|
Cheryl Noe
789 Minot Ave |
$24.94 | 4,452 | 4,073 |
|
John M Woytowicz
2 Great Falls Plz Ste 21 |
$33.67 | 3,896 | 3,530 |
|
Dallas R Marquis
2 Great Falls Plz Ste 21 |
$43.74 | 3,891 | 3,554 |
|
Margo B. Goodman
789 Minot Ave |
$34.63 | 3,782 | 3,567 |
|
Alicia Marie Ciciarelli
590 Center St |
$45.65 | 3,763 | 2,517 |
|
James R Ostrander
789 Minot Ave |
$27.23 | 3,743 | 3,562 |
|
Lauren P Adey
690 Minot Ave |
$43.68 | 2,993 | 2,860 |
|
Matthew Murray Mclaughlin
690 Minot Ave |
$36.94 | 2,868 | 2,698 |
|
Jeffrey Neil Davila
15 Gracelawn Rd Ste 101 |
$29.13 | 2,677 | 2,440 |
|
James M. Timoney
690 Minot Ave |
$29.78 | 2,660 | 2,315 |
|
Adam L Johnson
10 Minot Ave |
$36.13 | 2,477 | 2,418 |
|
Lisa Jean Boucher
2 Great Falls Plz Ste 21 |
$39.50 | 2,319 | 1,940 |
|
Bruce H Dick
690 Minot Ave # 1 |
$27.60 | 2,275 | 2,032 |
|
Paul E Raczynski
3 Willow Run |
$23.62 | 2,200 | 1,978 |
|
Holly Frey Bosse
791 Turner St Unit 2 |
$50.30 | 2,144 | 2,097 |
|
Emily L Mccue
600 Center St |
$56.26 | 1,956 | 1,435 |
|
Kenneth E Brodsky
3 Willow Run |
$20.52 | 1,789 | 1,610 |
|
Amy Bergeron
190 Stetson Rd |
$40.99 | 1,741 | 1,628 |
|
Andrew Haltof
86 Main St |
$29.34 | 1,660 | 845 |
|
Danielle C Stout
789 Minot Ave |
$29.46 | 1,650 | 1,553 |
|
Joseph Edwin Strauss
15 Gracelawn Rd |
$25.89 | 1,650 | 1,452 |
|
Eric Charles Benson
690 Minot Ave |
$60.34 | 1,537 | 1,498 |
|
Patrick J. Fallon
690 Minot Ave |
$26.49 | 1,523 | 1,459 |
|
Natalie Marie Antaya
791 Turner St Unit 2 |
$49.84 | 1,503 | 1,462 |
|
Adam Duquette
190 Stetson Rd |
$29.51 | 1,496 | 1,414 |
|
Diana Trofimovitch
2 Great Falls Plz Ste 21 |
$32.65 | 1,484 | 1,377 |
|
William F Zimmerman
690 Minot Ave |
$34.14 | 1,445 | 1,370 |
|
William Alfred Legere
21 Millett Dr |
$60.84 | 1,308 | 1,026 |
|
Ashley S Hamilton-Ellis
15 Gracelawn Rd |
$25.45 | 1,251 | 1,169 |
|
Elise Ann K Wiley
60 Second Street |
$31.84 | 1,195 | 1,068 |
|
Raymond H Stone
2 Great Falls Plz |
$23.55 | 1,182 | 1,046 |
|
Margarita Sofia Epley
600 Center St |
$80.22 | 1,171 | 1,124 |
|
Judy A Franciose
3 Willow Run |
$28.77 | 1,123 | 1,007 |
|
David M Gast
15 Gracelawn Rd |
$24.29 | 1,123 | 1,048 |
|
Taylor C Butterfield
190 Stetson Rd |
$43.15 | 1,105 | 1,045 |
|
Corinna M Campbell
791 Turner St Unit 2 |
$36.21 | 1,094 | 1,070 |
|
Laurie Lambert
10 Minot Ave |
$36.66 | 1,044 | 1,006 |
|
Stephan O. Bamberger
15 Gracelawn Rd |
$23.09 | 1,033 | 960 |
|
James R. Ozon
2 Great Falls Plz Ste 21 |
$35.41 | 1,014 | 934 |
|
Michael F Regan
690 Minot Ave |
$30.36 | 992 | 920 |
|
Sarah Skelton
190 Stetson Rd |
$29.87 | 972 | 928 |
|
John Robert Malta
10 Minot Ave |
$59.65 | 941 | 925 |
|
Amy Ouellette
190 Stetson Rd |
$23.57 | 931 | 887 |
|
Chelcie Murch
2 Great Falls Plz Unit 9998 |
$44.33 | 858 | 783 |
|
Rebecca P Sirka
190 Stetson Rd |
$35.44 | 835 | 805 |
|
Boris V Kovalenko
15 Gracelawn Rd Ste 101 |
$20.36 | 824 | 683 |
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 Auburn, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Auburn, ME is $37.35 per claim, based on 124,128 claims from 98 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 Auburn, ME?
There are 98 Medicaid providers offering Office Visit related services in Auburn, ME according to public payment data.
What is the price range for Office Visit in Auburn, ME?
Medicaid reimbursement for Office Visit in Auburn, ME ranges from $0.00 to $102.29 per claim, with an average of $37.35. 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 Auburn, ME
Home Health Visit
Avg $27.21
196,010 claims
Case Management Services
Avg $78.10
133,154 claims
Physical Therapy
Avg $24.45
104,102 claims
Substance Abuse Treatment
Avg $86.02
73,622 claims
Behavioral & Mental Health Therapy
Avg $393.77
37,937 claims
Dental Cleaning & Exam
Avg $8.65
34,850 claims
Speech Therapy
Avg $39.68
34,201 claims
Tooth Extraction
Avg $92.40
29,052 claims