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 |
|---|---|---|---|
|
Elizabeth Rose Pedersen Plessner
489 State Street |
$22.85 | 12 | 12 |
|
Daniel Hetherman
417 State St Ste 330 |
$34.45 | 12 | 12 |
|
Lindy May Thomas
1 Northeast Dr |
$49.64 | 12 | 12 |
|
Anas Mohammed Zaid Mansour
1 Northeast Dr |
$57.23 | 12 | 12 |
|
Raymond Joseph Baxter
895 Union St |
$26.35 | 12 | 12 |
|
Tasha E Hofmann
895 Union St |
$23.02 | 12 | 12 |
|
John R Mcgill
417 State Street |
$18.09 | 12 | 12 |
|
Stephen Ira Eskin
360 Broadway Ste 100 |
$41.12 | 12 | 12 |
|
Emily Skrok
12 Stillwater Ave Ste 1 |
$82.60 | 13 | 13 |
|
Kevin Brown
417 State St Ste 121 |
$28.13 | 13 | 12 |
|
Amy Saucier
900 Broadway Bldg 5 |
$44.85 | 13 | 12 |
|
Mollie Ruth Myers
895 Union St Ste 12 |
$31.76 | 13 | 13 |
|
Todd E Heaton
417 State St. |
$75.98 | 13 | 12 |
|
Larry Douglas Flanagan
489 State St |
$16.87 | 13 | 13 |
|
Misti Mikelle Guerin
78 Ridgewood Dr |
$14.81 | 13 | 12 |
|
Whitney James Mcbride
417 State St |
$31.26 | 13 | 13 |
|
Christopher Hilles Byrne
489 State St |
$4.49 | 13 | 12 |
|
Kathryn E Bourgoin
302 Husson Ave |
$35.21 | 13 | 12 |
|
Marisa Christine Gray
55 Broadway |
$27.97 | 13 | 13 |
|
Eric Christofferson
900 Broadway |
$35.62 | 13 | 13 |
|
Kasey Marie Ladd
417 State St Ste 442 |
$40.46 | 13 | 13 |
|
Sarah Katharine Lockhart
489 State St |
$6.48 | 13 | 12 |
|
Victoria Nicole Davenport
895 Union St Ste 12 |
$26.31 | 13 | 13 |
|
Sean J Farley
1 Northeast Dr |
$32.39 | 13 | 12 |
|
Kelsie Elizabeth Espling
417 State St Ste 330 |
$30.15 | 14 | 13 |
|
Leonidas Tzogias
One Northeast Dr |
$51.06 | 14 | 14 |
|
Stephanie A Nutt
1 Merchants Plz Ste 300 |
$23.77 | 14 | 14 |
|
Shelby J Slauenwhite
489 State St Ste 221 |
$26.50 | 15 | 15 |
|
Paulette Y. Coty
1068 Union St |
$30.72 | 15 | 14 |
|
Sandra Jeanne Britton
1365 Broadway |
$11.98 | 15 | 15 |
|
Eric R Brown
895 Union St |
$29.49 | 15 | 15 |
|
Chung Hsun Chiu
895 Union St Ste 12 |
$22.61 | 15 | 12 |
|
Sverrir I Gunnarsson
1 Northeast Dr |
$21.07 | 15 | 13 |
|
Theodore William James
417 State St Ste 121 |
$29.49 | 15 | 14 |
|
Michael Cohen
417 State St Ste 221 |
$43.09 | 16 | 14 |
|
Mark R Lena
360 Broadway Ste 100 |
$15.38 | 16 | 12 |
|
Shermane M Anderson
1 Northeast Dr |
$16.80 | 16 | 16 |
|
Susan Tyler
Grant 6 489 State St |
$35.55 | 17 | 12 |
|
Michael Paul Sighinolfi
360 Broadway Ste 100 |
$29.22 | 18 | 18 |
|
Kristina Lynn Leonard
417 State St |
$58.05 | 18 | 15 |
|
Bernard J Quigley
656 State St |
$12.32 | 20 | 12 |
|
Thitnu Wai Dirksen
404 State St Ste 310 |
$34.78 | 20 | 14 |
|
Benjamin Nolin Stepp
1068 Union St |
$49.91 | 21 | 15 |
|
Pearl Princess De Los Santos Uy
417 State St Ste 121 |
$68.09 | 24 | 24 |
|
Joshua Marc Careskey
489 State St |
$86.72 | 24 | 24 |
|
George N Partal
417 State Street Webber West Suite 340 |
$19.03 | 25 | 25 |
|
Aaron Seth Karmes
900 Broadway |
$40.71 | 25 | 24 |
|
Ch Hassan Ali
905 Union St Ste 9 |
$54.86 | 26 | 26 |
|
Alan Jansujwicz
1 Northeast Dr |
$20.42 | 27 | 27 |
|
Matthew W Rowe
1 Northeast Dr |
$41.93 | 27 | 26 |
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