Average Medicaid Office Visit Payments in Bangor, ME: $27.57
Avg. Paid
$27.57
Range
$0.00 – $120.67
Total Claims
683,589
Providers
483
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 Bangor, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Penobscot Community Health Center
1012 Union St |
$2.66 | 87,599 | 75,874 |
|
Penobscot Community Health Center
6 Telcom Dr |
$3.15 | 72,825 | 64,119 |
|
St. Joseph Hospital
360 Broadway |
$47.71 | 20,023 | 17,854 |
|
Penobscot Community Health Center
181 Corporate Drive |
$2.35 | 17,935 | 14,056 |
|
Penobscot Community Health Center
1068 Union St |
$2.72 | 16,079 | 14,080 |
|
Sandra E St. Germain
268 Stillwater Avenue |
$25.05 | 12,383 | 11,385 |
|
Robin K. Caron
268 Stillwater Ave |
$55.50 | 11,695 | 10,958 |
|
Jennifer Scott
268 Stillwater Ave |
$48.98 | 9,010 | 8,439 |
|
Christie L Brown
895 Union St |
$38.43 | 8,726 | 7,418 |
|
Michelle Chamberland
268 Stillwater Ave |
$29.53 | 8,113 | 7,656 |
|
Penobscot Community Health Center
992 Union St Ste 3 |
$0.26 | 8,013 | 4,447 |
|
Marian Benner
360 Broadway |
$18.65 | 7,703 | 4,264 |
|
Rebecca F Marshall
268 Stillwater Avenue |
$50.18 | 7,420 | 6,206 |
|
Margaret Elizabeth Kasper
489 State St |
$13.27 | 6,349 | 3,127 |
|
Brian E Kaufman
1365 Broadway |
$36.64 | 6,026 | 4,787 |
|
James Grindle
268 Stillwater Avenue |
$30.22 | 6,010 | 5,501 |
|
Marcia Carolyn Bean
268 Stillwater Ave |
$31.77 | 5,819 | 5,026 |
|
Shelley E Wagner
895 Union St Ste 12 |
$0.47 | 5,352 | 4,048 |
|
Penobscot Community Health Center
86 Davis Rd |
$0.41 | 4,887 | 3,927 |
|
Mahdieh Bodaghi
268 Stillwater Ave |
$48.34 | 4,745 | 4,517 |
|
Eva S Quirion
900 Broadway |
$30.78 | 4,623 | 4,340 |
|
Danhong Zhao
42 Darling Parke Dr |
$41.56 | 4,613 | 4,489 |
|
Ganesha Santhyadka
360 Broadway |
$21.62 | 4,537 | 4,077 |
|
Stephen R Thompson
925 Union St Ste 3 |
$42.85 | 4,509 | 4,257 |
|
Beth Jeannine Cato
268 Stillwater Ave |
$43.79 | 4,418 | 1,950 |
|
Margaret B Macdonald
900 Broadway |
$37.09 | 4,025 | 3,748 |
|
Eric Wise
1365 Broadway |
$37.71 | 3,998 | 3,449 |
|
Curt Tyler Young
1 Ridgewood Dr |
$37.42 | 3,896 | 3,213 |
|
Colleen Gilley
268 Stillwater Ave |
$36.52 | 3,729 | 3,289 |
|
Theresa A Hainer
900 Broadway |
$30.64 | 3,368 | 2,835 |
|
Melinda M Morissette
1012 Union St |
$13.74 | 3,329 | 3,094 |
|
Paul Ronco
302 Husson Ave |
$29.76 | 3,245 | 3,072 |
|
Brooke B Surran
133 Corporate Dr |
$60.29 | 3,226 | 3,138 |
|
Cameron Lee Trubey
78 Ridgewood Dr |
$34.52 | 3,226 | 2,997 |
|
Jacob David Brooks
78 Ridgewood Dr |
$28.33 | 3,191 | 2,914 |
|
Andrea Marie Sewall
34 Gilman Road |
$35.20 | 3,150 | 2,718 |
|
Michael Coyne
30 Linden St |
$17.51 | 3,118 | 1,973 |
|
Billie Jo Cole
1012 Union St |
$40.31 | 3,056 | 2,442 |
|
Frank L Breznyak
417 State St |
$32.15 | 2,999 | 2,874 |
|
Mahmuda M Ahmed
133 Corporate Dr |
$61.62 | 2,930 | 2,821 |
|
Oscar Rafael Batlle
1 Ridgewood Dr |
$32.73 | 2,887 | 2,424 |
|
Jacquelyn A Cyr
268 Stillwater Avenue |
$47.60 | 2,812 | 2,300 |
|
Leah Marie Mawhinney
700 Main St Ste 3 |
$0.01 | 2,678 | 2,372 |
|
Edward B Jernigan
133 Corporate Dr |
$54.81 | 2,659 | 2,602 |
|
Enrique A Feoli
498 Essex St |
$64.50 | 2,568 | 2,449 |
|
Kati Lyn Boucher
268 Stillwater Ave |
$45.95 | 2,548 | 2,396 |
|
John Tivnan
1365 Broadway |
$45.29 | 2,541 | 2,166 |
|
Ann J Parsons
489 State Street |
$18.02 | 2,395 | 1,716 |
|
Ashlee Roy
543 Broadway |
$61.51 | 2,369 | 1,944 |
|
Allison L. Behrle Yardley
417 State St Ste 305 |
$63.21 | 2,231 | 2,173 |
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 Bangor, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bangor, ME is $27.57 per claim, based on 683,589 claims from 483 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 Bangor, ME?
There are 483 Medicaid providers offering Office Visit related services in Bangor, ME according to public payment data.
What is the price range for Office Visit in Bangor, ME?
Medicaid reimbursement for Office Visit in Bangor, ME ranges from $0.00 to $120.67 per claim, with an average of $27.57. 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 Bangor, ME
Blood Work & Lab Tests
Avg $3.09
1,168,393 claims
Substance Abuse Treatment
Avg $105.08
515,120 claims
Case Management Services
Avg $71.67
367,165 claims
Psychiatric Evaluation
Avg $25.99
358,754 claims
Home Health Visit
Avg $176.93
259,524 claims
Emergency Room Visit
Avg $160.57
245,511 claims
X-Ray
Avg $10.16
231,959 claims
Physical Therapy
Avg $20.92
188,870 claims