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 |
|---|---|---|---|
|
Community Clinical Services, Inc.
15 Sacred Heart Pl |
$0.00 | 13 | 13 |
|
Jenna Leigh Thibeault
600 Center St |
$68.05 | 20 | 20 |
|
Robert G Nadeau
336 Center St |
$29.39 | 21 | 12 |
|
Margaret E Matthews
117 Goff St |
$32.93 | 21 | 14 |
|
Laura M. Glaser
15 Gracelawn Rd Ste 101 |
$33.37 | 26 | 26 |
|
Raymond Tardif
190 Stetson Rd |
$18.48 | 26 | 25 |
|
Kurt Martin Oswald
117 Goff St |
$38.54 | 28 | 26 |
|
Kara Clark
15 Gracelawn Rd |
$48.64 | 48 | 48 |
|
Hunter Lee William Sweet
10 Minot Ave |
$27.98 | 48 | 45 |
|
Thomas Page
155 Center St Bldg F |
$34.60 | 50 | 49 |
|
Shirley L. Ala
791 Turner St Unit 2 |
$33.41 | 51 | 49 |
|
Lisa M Moore
690 Minot Ave Ste 1 |
$35.97 | 56 | 51 |
|
Matthew Parent Mitchell
15 Gracelawn Rd Ste 101 |
$27.14 | 65 | 64 |
|
Heidi M Larson
2 Great Falls Plz Ste 21 |
$31.31 | 73 | 66 |
|
Tara L. Sullivan
245 Center St |
$32.28 | 89 | 77 |
|
David G. Brown
690 Minot Ave |
$26.23 | 141 | 127 |
|
Gary R Hatfield
3 Willow Run |
$20.88 | 153 | 144 |
|
Jeri Wade
190 Stetson Rd |
$29.30 | 159 | 148 |
|
Jennifer Anne Waterman
690 Minot Ave Ste 2 |
$46.88 | 171 | 168 |
|
Brittany Fox Hough
690 Minot Ave |
$19.80 | 196 | 164 |
|
Michelle Boutin
15 Gracelawn Rd Ste 101 |
$43.37 | 196 | 184 |
|
Keith William Lyons
690 Minot Ave # 1 |
$48.42 | 302 | 297 |
|
Brittany A Roy
15 Gracelawn Rd |
$31.26 | 318 | 274 |
|
Jeffrey A Wall
190 Stetson Rd |
$31.06 | 325 | 312 |
|
Michael Joseph Defrance
690 Minot Ave |
$29.22 | 328 | 316 |
|
Mitchell K Ross
10 Minot Ave |
$40.00 | 329 | 324 |
|
Christina Marie Solak
600 Center St |
$79.98 | 349 | 325 |
|
Michael Rifkin
190 Stetson Rd |
$45.19 | 351 | 347 |
|
Anna Chavez
791 Turner St Unit 2 |
$31.88 | 435 | 423 |
|
Mohamed Gamal-Eldin
2 Great Falls Plaza, Second Floor |
$36.35 | 445 | 400 |
|
Ian Engler
690 Minot Ave # 1 |
$40.48 | 454 | 441 |
|
Paige Frost
363 Center St |
$33.10 | 461 | 431 |
|
Nicholas Enright
190 Stetson Rd |
$46.65 | 466 | 448 |
|
Frances Jensen
24 Dunn St |
$75.67 | 474 | 459 |
|
Charles Gerard Landry
871 Court St |
$26.76 | 479 | 444 |
|
Amy L.R. Dudley
2 Great Falls Plz Ste 21 |
$16.19 | 485 | 433 |
|
Paul R. Cain
690 Minot Ave |
$38.58 | 512 | 484 |
|
Linda S Lockhart
1120 Center St |
$25.31 | 519 | 486 |
|
Kate Susanna Dorsey-Bernstein
600 Center St |
$71.14 | 522 | 491 |
|
Dawn Ennis Decotiis
15 Gracelawn Rd |
$29.50 | 527 | 499 |
|
Dorene A Dostal-Johnson
15 Gracelawn Rd |
$28.60 | 563 | 535 |
|
Stephen P Clark
690 Minot Ave |
$31.52 | 566 | 507 |
|
Jennifer Sullivan
15 Gracelawn Rd Ste 203 |
$45.83 | 573 | 537 |
|
Anne Jc Brown
871 Court St |
$42.49 | 592 | 548 |
|
Mohamed Ali Al Saied
15 Gracelawn Rd |
$31.52 | 640 | 588 |
|
Richard B. Guyer
600 Center St |
$50.86 | 689 | 665 |
|
Dianne Paine
190 Stetson Rd |
$28.76 | 749 | 718 |
|
Kelly A Johnson
2 Great Falls Plz Ste 21 |
$29.05 | 793 | 678 |
|
Boris V Kovalenko
15 Gracelawn Rd Ste 101 |
$20.36 | 824 | 683 |
|
Rebecca P Sirka
190 Stetson Rd |
$35.44 | 835 | 805 |
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