Average Medicaid Office Visit Payments in Augusta, ME: $39.94
Avg. Paid
$39.94
Range
$1.50 – $190.05
Total Claims
321,589
Providers
250
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 Augusta, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cassandra Sanko
15 Enterprise Dr |
$84.43 | 12 | 12 |
|
Douglas Matthew Perry
66 Eastern Ave |
$59.53 | 12 | 12 |
|
Adnan Solaiman
442 Civic Center Dr |
$29.62 | 12 | 12 |
|
Laurianne Yvette Snyder
35 Medical Center Pkwy |
$48.29 | 12 | 12 |
|
Morgan Rachel Abbey
35 Medical Center Pkwy |
$30.17 | 12 | 12 |
|
Alexandra Filippi
35 Medical Center Pkwy |
$36.26 | 12 | 12 |
|
Timothy John Richardson
1 Va Ctr |
$27.42 | 13 | 13 |
|
Christopher J Lutrzykowski
15 E Chestnut St |
$26.08 | 13 | 12 |
|
Daramfon Regina Bofah
15 E Chestnut St |
$61.96 | 14 | 12 |
|
Michael Mccarthy
15 E Chestnut St |
$61.96 | 14 | 13 |
|
Mubina Nasrin
15 E Chestnut St |
$50.40 | 14 | 12 |
|
Henry Maximilian Lossen
35 Medical Center Pkwy |
$32.97 | 14 | 14 |
|
Stephen D. Coleman
6 E Chestnut St |
$18.83 | 14 | 13 |
|
Cathleen Cassie
35 Medical Center Pkwy |
$36.53 | 14 | 14 |
|
Eric Lynch
15 E Chestnut St |
$66.73 | 15 | 12 |
|
Kaleigh Roy
6 E Chestnut St |
$108.74 | 15 | 12 |
|
Keenan Knox
46 Bangor St |
$75.68 | 15 | 15 |
|
Sarah Dolloff Michaud Charland
66 Stone St |
$20.20 | 15 | 12 |
|
James Langdon
15 E Chestnut St |
$66.73 | 15 | 13 |
|
Ogheneochuko Gregory Okenabirhie
15 E Chestnut St |
$66.73 | 16 | 15 |
|
Richard L Watson
271 Water St |
$16.11 | 17 | 17 |
|
Otto Roberto Sandoval Linares
442 Civic Center Dr |
$55.29 | 25 | 25 |
|
Linda Sue Young
43 Gabriel Dr |
$38.95 | 26 | 26 |
|
David C Turro
15 Enterprise Dr |
$84.08 | 26 | 26 |
|
Calli A Lombardi
6 E Chestnut St |
$29.53 | 26 | 26 |
|
Travis Jeffery Bouchard
35 Medical Center Pkwy |
$63.52 | 27 | 27 |
|
Lucy Algeo
35 Medical Center Pkwy |
$58.15 | 29 | 26 |
|
Gregory Stevens
15 E Chestnut St |
$26.25 | 30 | 26 |
|
Jennifer Winters
15 E Chestnut St |
$54.52 | 31 | 30 |
|
Michael N Neilson
35 Medical Center Pkwy |
$23.02 | 31 | 29 |
|
Xinlei Don Kang
227 Eastern Ave |
$26.92 | 32 | 25 |
|
Lyudmila Dmitriyev
11 Caldwell Rd |
$13.03 | 33 | 31 |
|
Mainegeneral Medical Center
35 Medical Center Pkwy |
$16.84 | 35 | 24 |
|
Sara Delight Kingdon
Togus Va |
$28.31 | 38 | 38 |
|
Leandra Alyce Jelinek
35 Medical Center Pkwy |
$38.42 | 38 | 38 |
|
Stephanie Lynn Arnio
1 Va Ctr |
$14.92 | 39 | 24 |
|
Andrea Berry
37 Gray Birch Dr |
$44.38 | 46 | 38 |
|
Nichole Ann Yeaton
43 Gabriel Dr |
$190.05 | 52 | 48 |
|
Chioma Ibeneme
15 E Chestnut St |
$64.61 | 53 | 50 |
|
Bethany Jean Gates
6 E Chestnut St Ste C-3 |
$37.29 | 58 | 53 |
|
Fred Sims Stucky
35 Medical Center Pkwy |
$10.22 | 59 | 38 |
|
John Fletcher Drogos
361 Old Belgrade Rd |
$54.66 | 60 | 57 |
|
Abby R Thrower
361 Old Belgrade Rd |
$19.20 | 61 | 52 |
|
Amanda Mcgarr
361 Old Belgrade Rd |
$24.72 | 62 | 56 |
|
David Redding
35 Medical Center Pkwy |
$22.45 | 68 | 65 |
|
Rachel E Pracher
1 Va Ctr |
$24.51 | 70 | 65 |
|
Shakila Azimi
35 Medical Center Parkway, Suite 101 |
$58.21 | 79 | 79 |
|
Maroulla Gleaton
227 Eastern Ave |
$14.38 | 79 | 65 |
|
Samantha Deming-Berr
35 Medical Center Pkwy |
$30.47 | 81 | 77 |
|
Elizabeth A Teague
361 Old Belgrade Rd |
$34.39 | 86 | 79 |
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 Augusta, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Augusta, ME is $39.94 per claim, based on 321,589 claims from 250 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 Augusta, ME?
There are 250 Medicaid providers offering Office Visit related services in Augusta, ME according to public payment data.
What is the price range for Office Visit in Augusta, ME?
Medicaid reimbursement for Office Visit in Augusta, ME ranges from $1.50 to $190.05 per claim, with an average of $39.94. 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 Augusta, ME
Blood Work & Lab Tests
Avg $3.01
870,668 claims
Case Management Services
Avg $63.93
382,731 claims
Home Health Visit
Avg $355.87
297,937 claims
Physical Therapy
Avg $33.98
191,641 claims
Emergency Room Visit
Avg $128.80
168,482 claims
Behavioral & Mental Health Therapy
Avg $170.20
157,636 claims
Vaccines & Immunizations
Avg $6.84
156,135 claims
X-Ray
Avg $17.63
130,801 claims