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 |
|---|---|---|---|
|
Mohammed Al-Nufal
35 Medical Center Pkwy |
$40.85 | 27,941 | 23,645 |
|
James Craig Wilson
442 Civic Center Dr |
$18.41 | 20,852 | 19,571 |
|
William A George
35 Medical Center Pkwy Ste 202 |
$80.14 | 12,523 | 7,802 |
|
Carmen J Ackerson
442 Civic Center Dr |
$25.54 | 8,859 | 8,321 |
|
Pamela Robinson
442 Civic Center Dr |
$27.27 | 8,380 | 7,901 |
|
Constance Earl
6 E Chestnut St |
$1.50 | 7,848 | 5,739 |
|
Katrina Mcmanus Main-Dorsky
34 Gabriel Drive |
$123.75 | 6,908 | 6,563 |
|
Michael D Dufresne
12 Shuman Ave Ste 6 |
$55.66 | 6,774 | 5,999 |
|
Gerard Rubin
6 E Chestnut St Ste 310 |
$54.88 | 6,389 | 6,043 |
|
Nicholas Gallagher
35 Medical Center Pkwy |
$39.70 | 4,822 | 4,014 |
|
Suzanne M Brown
15 Enterprise Dr |
$34.87 | 4,240 | 4,103 |
|
Jason K Brown
35 Medical Center Pkwy |
$25.78 | 4,025 | 3,818 |
|
Nathaniel Bowling
15 E Chestnut St |
$28.83 | 4,023 | 2,811 |
|
Taylor Lynn Leborgne
15 E Chestnut St |
$81.86 | 4,000 | 3,870 |
|
Corey Meador
35 Medical Center Pkwy |
$26.82 | 3,854 | 2,367 |
|
Douglas Robert Wood
10 Whitten Rd |
$52.99 | 3,812 | 2,865 |
|
Zachary Michael Norris
4 Whitten Rd |
$56.45 | 3,673 | 2,710 |
|
Michael David Kipp
3 Saint Catherine St |
$22.71 | 3,654 | 2,859 |
|
April Jean Damboise
442 Civic Center Dr Ste 500 |
$38.39 | 3,473 | 3,238 |
|
Allyson Eller
15 Enterprise Dr |
$40.14 | 3,428 | 3,277 |
|
Lisa Marie Anderson
10 Whitten Rd |
$64.99 | 3,389 | 2,702 |
|
Rebecca R Vose
15 E Chestnut St |
$28.21 | 3,378 | 2,845 |
|
Kieran G Kammerer
6 E Chestnut St |
$32.69 | 3,317 | 3,117 |
|
Monica J White Trask
219 Capitol St |
$36.75 | 3,241 | 2,913 |
|
Scott Allen Dyer
35 Medical Center Pkwy |
$48.08 | 3,126 | 3,026 |
|
Nicholas Farrey
11 Caldwell Rd |
$60.12 | 2,875 | 2,788 |
|
Patricia Jo Gagnon
66 Stone St |
$10.62 | 2,738 | 2,594 |
|
Louise Y Langlais
10 Whitten Rd |
$35.43 | 2,717 | 2,469 |
|
Laura Groomes Lee
6 E Chestnut St |
$38.70 | 2,695 | 2,485 |
|
Aaron M White
10 Whitten Rd |
$59.00 | 2,694 | 1,930 |
|
Nicole Lee Simon
15 E Chestnut St |
$25.17 | 2,692 | 2,498 |
|
Johnathan K Grandy
35 Medical Center Parkway |
$29.54 | 2,666 | 2,452 |
|
Jay Mcbain
15 Enterprise Dr |
$33.08 | 2,653 | 2,597 |
|
Jessica Cysner
15 Enterprise Dr |
$38.61 | 2,585 | 2,531 |
|
Jessica Lynn Poulin
11 Parkwood Dr |
$43.36 | 2,527 | 2,305 |
|
Lindsey Jackson Hathaway
361 Old Belgrade Rd |
$38.92 | 2,465 | 2,086 |
|
Rachel Hough Flynn
15 Enterprise Dr |
$42.41 | 2,450 | 2,413 |
|
Sarah E Prescott
157 Capitol St |
$16.30 | 2,202 | 2,166 |
|
Olivia Jean Marson
74 Winthrop St |
$34.64 | 2,130 | 2,034 |
|
Andrea Abrell
15 E Chestnut St |
$21.62 | 2,110 | 1,977 |
|
Christopher R Ross
15 E Chestnut St |
$25.45 | 2,062 | 1,841 |
|
Kara M Crawford
15 Enterprise Dr |
$32.04 | 2,044 | 1,947 |
|
Shawn Mcglew
442 Civic Center Dr |
$22.12 | 1,950 | 1,882 |
|
Kelly Lemieux Dudley
250 Arsenal St |
$28.76 | 1,912 | 1,882 |
|
Amy Trelease-Bell
15 E Chestnut St |
$23.32 | 1,897 | 1,801 |
|
Alicia M Sanborn
21 Enterprise Dr |
$46.72 | 1,883 | 1,852 |
|
Mary Jo Fisher
15 E Chestnut St |
$25.47 | 1,865 | 1,766 |
|
Stephanie Nicole Mergenthaler
15 Enterprise Dr |
$51.27 | 1,846 | 1,821 |
|
Kieran Donaghey
15 Enterprise Dr |
$37.63 | 1,820 | 1,663 |
|
Adam Soucy
21 Enterprise Dr |
$37.54 | 1,705 | 1,677 |
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