Average Medicaid Office Visit Payments in Biddeford, ME: $34.38
Avg. Paid
$34.38
Range
$0.00 – $93.71
Total Claims
136,297
Providers
152
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 Biddeford, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alicia J Faller
1 Medical Center Dr |
$12.71 | 6,284 | 5,866 |
|
Daniel Mazza
One Medical Center Drive |
$43.72 | 6,116 | 5,746 |
|
Erin M Nolin
9 Healthcare Dr Ste 101 |
$34.13 | 5,879 | 4,327 |
|
Lisa H Carpenter
46 Barra Rd Ste 202 |
$25.63 | 4,891 | 4,578 |
|
Michael Christopher Payne
9 Healthcare Dr Ste 208 |
$57.38 | 4,846 | 4,592 |
|
Gregory A Taggart
46 Barra Rd Ste 103 |
$28.76 | 4,767 | 4,430 |
|
Marilou J Bartus
409 Alfred St |
$58.19 | 3,774 | 2,462 |
|
Cynthia A Patraitis
9 Healthcare Dr |
$44.65 | 3,576 | 3,403 |
|
Howard B Sherman
9 Healthcare Drive |
$20.27 | 3,418 | 3,235 |
|
Joan D Pelletier
9 Healthcare Drive |
$40.47 | 3,311 | 3,194 |
|
Margaret A Bordeau
1 Medical Center Dr |
$32.02 | 2,852 | 2,714 |
|
Matthew Donald Bush
46 Barra Rd Ste 103 |
$34.67 | 2,598 | 2,468 |
|
Katherine K. Yanagisawa
9 Healthcare Dr |
$39.04 | 2,391 | 2,297 |
|
Christian Basque
46 Barra Rd Ste 103 |
$32.10 | 2,391 | 2,292 |
|
Donald A. Dirisi
46 Barra Rd Ste 101 |
$33.89 | 2,366 | 2,338 |
|
Christopher Patrick Blomberg
9 Healthcare Dr Ste 105 |
$23.00 | 2,332 | 2,198 |
|
Nicholas G Handanos
46 Barra Rd Ste 201202 |
$30.33 | 2,239 | 2,152 |
|
Mark Delon B Lim
235 Main St |
$20.16 | 2,211 | 1,609 |
|
Gary Scott Winn
28 W Cole Rd # C |
$39.30 | 2,039 | 1,305 |
|
Thomas J Nero
9 Healthcare Dr Ste 105 |
$41.39 | 2,027 | 1,798 |
|
Christopher A Toth
46 Barra Rd Ste 101 |
$33.85 | 1,899 | 1,839 |
|
David A.L. Johnson
10 Wellspring Rd |
$19.31 | 1,823 | 1,736 |
|
Scott A Morin
9 Healthcare Drive |
$19.35 | 1,664 | 1,615 |
|
Mahesh Bandara
9 Healthcare Dr |
$21.95 | 1,626 | 1,585 |
|
Beverly J Wood
61 Barra Road |
$66.43 | 1,583 | 1,494 |
|
Bryan Douglas Maxwell
9 Healthcare Dr |
$44.12 | 1,534 | 1,290 |
|
Andrew G. Hinkens
2 Springbrook Dr |
$51.06 | 1,525 | 1,269 |
|
Alejandro Mejia
1 Medical Center Dr |
$32.56 | 1,518 | 1,410 |
|
Tamsen Howes
1 Medical Center Dr |
$35.57 | 1,451 | 1,370 |
|
Jeffrey L Bush
46 Barra Rd Ste 103 |
$23.25 | 1,433 | 1,347 |
|
Christine Handanos
30 W Cole Rd |
$30.71 | 1,433 | 1,347 |
|
George E Abboud
481 Alfred Road |
$34.48 | 1,415 | 1,328 |
|
Meredith Brown
9 Healthcare Dr |
$46.96 | 1,293 | 1,239 |
|
James C Conley
1 Medical Center Dr |
$45.75 | 1,290 | 1,248 |
|
Wayne White
9 Healthcare Dr |
$34.61 | 1,270 | 1,132 |
|
Zorica Bajic
9 Healthcare Dr |
$10.29 | 1,210 | 894 |
|
David Strassler
61 Barra Road |
$65.44 | 1,140 | 1,027 |
|
Shannon N Moreau
61 Barra Rd |
$41.62 | 1,134 | 1,083 |
|
Stavro Nashi
9 Healthcare Dr |
$34.62 | 1,098 | 1,040 |
|
James J Richard
11 Hills Beach Rd |
$29.10 | 1,097 | 1,030 |
|
Vassily Mihailoff
28 W Cole Rd |
$34.41 | 1,082 | 1,035 |
|
Tarek Eid
9 Healthcare Dr Ste 209 |
$25.40 | 1,035 | 1,006 |
|
Erica Irene Martinez
9 Healthcare Dr Ste 101 |
$0.00 | 1,017 | 549 |
|
Russell Irving Carl Erickson
46 Barra Rd |
$35.37 | 998 | 963 |
|
Amanda Duca
46 Barra Rd |
$26.91 | 972 | 963 |
|
Yasmin Mahal
9 Healthcare Dr Ste 209 |
$27.55 | 964 | 938 |
|
Peter Rubin
1 Medical Center Dr |
$32.55 | 918 | 812 |
|
York County Community Action Corp
357 Elm St |
$3.14 | 908 | 832 |
|
Brandei K Wingard
9 Healthcare Drive |
$25.70 | 891 | 849 |
|
Nathan E Wilson
30 W Cole Rd |
$47.37 | 853 | 801 |
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 Biddeford, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Biddeford, ME is $34.38 per claim, based on 136,297 claims from 152 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 Biddeford, ME?
There are 152 Medicaid providers offering Office Visit related services in Biddeford, ME according to public payment data.
What is the price range for Office Visit in Biddeford, ME?
Medicaid reimbursement for Office Visit in Biddeford, ME ranges from $0.00 to $93.71 per claim, with an average of $34.38. 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 Biddeford, ME
Blood Work & Lab Tests
Avg $2.86
412,189 claims
Emergency Room Visit
Avg $127.05
170,953 claims
Substance Abuse Treatment
Avg $98.78
154,685 claims
Vaccines & Immunizations
Avg $9.47
105,299 claims
Physical Therapy
Avg $21.28
99,781 claims
EKG / ECG (Electrocardiogram)
Avg $3.52
65,692 claims
X-Ray
Avg $17.37
64,771 claims
Urinalysis & Urine Tests
Avg $0.51
58,558 claims