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 |
|---|---|---|---|
|
Jean M Dowling
9 Healthcare Dr |
$43.40 | 12 | 12 |
|
Cheryl Lee Pawloski
2 Springbrook Dr |
$8.45 | 14 | 12 |
|
Woodrow Davis Lee
57 Barra Rd |
$49.88 | 14 | 13 |
|
Zoe M Mckenzie
46 Barra Rd |
$22.44 | 14 | 12 |
|
Kirk E Benson
1 Medical Center Dr |
$39.62 | 15 | 15 |
|
Beth Jane Hart
26 W Cole Rd Ste 102 |
$29.53 | 16 | 13 |
|
Mohamad Nidal Al-Otaibi
9 Healthcare Dr Ste 105 |
$10.88 | 19 | 19 |
|
Susanna Parelman
46 Barra Rd |
$40.34 | 24 | 24 |
|
Katherine Parrott
9 Healthcare Dr |
$42.36 | 25 | 25 |
|
Katrina S Good
1 Medical Center Dr |
$32.96 | 25 | 25 |
|
Kevin Henry Mullarky
22 W Cole Rd |
$72.32 | 28 | 27 |
|
Lisa Arsenault
9 Healthcare Dr |
$19.23 | 28 | 28 |
|
Brandon John Rivard
9 Healthcare Dr Ste 105 |
$37.90 | 37 | 34 |
|
Jamie Osgood Wendt
9 Healthcare Dr |
$32.91 | 41 | 41 |
|
Heidi W. Harmon
24 W Cole Rd Ste 104 |
$43.41 | 45 | 41 |
|
Atit Sharad Patel
46 Barra Rd Ste 201202 |
$93.71 | 47 | 45 |
|
Sarah Marie Visinski
9 Healthcare Dr |
$30.34 | 51 | 50 |
|
Douglas George Nilson
1 Medical Center Dr |
$47.47 | 51 | 48 |
|
Leslie S. Dixon
2 Springbrook Dr |
$27.06 | 51 | 49 |
|
David Geoffrey Doiron
322 Elm St |
$22.36 | 57 | 45 |
|
Robert J Doiron
9 Healthcare Dr |
$44.97 | 58 | 55 |
|
Troy Richard Cloutier
9 Healthcare Dr Ste 105 |
$46.94 | 61 | 53 |
|
Peter A Bridgman
26A West Cole Road |
$25.12 | 61 | 61 |
|
Lauren Alofs
46 Barra Rd |
$34.40 | 65 | 61 |
|
Thomas Cote
46 Barra Rd |
$36.89 | 65 | 63 |
|
Anna M Schmid
1 Medical Center Dr |
$43.68 | 65 | 55 |
|
Brendan Stephen Allison
1 Medical Center Dr |
$41.16 | 66 | 59 |
|
Noam Fine
20 W Cole Rd Ste 101 |
$50.48 | 68 | 64 |
|
Margaret Shannon Griffin
24 West Cole Rd Ste 104 |
$39.23 | 75 | 73 |
|
John P Griffin
1 Medical Center Dr |
$20.34 | 80 | 62 |
|
Lindsey Lucas
46 Barra Rd |
$40.44 | 80 | 73 |
|
Kellen Gary Hipp
9 Healthcare Dr Ste 202 |
$51.43 | 80 | 75 |
|
Merle H Westbrook
30 W Cole Rd |
$36.04 | 85 | 85 |
|
Kristen Baum
46 Barra Rd |
$26.67 | 87 | 87 |
|
Eric N Smith
46 Barra Rd Ste 103 |
$30.72 | 92 | 82 |
|
Karen Ann Sullivan
9 Healthcare Dr Ste 101 |
$76.18 | 94 | 89 |
|
Alison B Davis
1 Medical Center Dr |
$25.70 | 95 | 89 |
|
Erica S Burkhart
11 Hills Beach Rd |
$29.89 | 97 | 90 |
|
Michael N Albaum
30 W Cole Rd |
$14.46 | 104 | 96 |
|
Arthur C Winter
24 W Cole Rd |
$39.00 | 106 | 92 |
|
Dylan James Clemens
9 Healthcare Dr Ste 202 |
$36.03 | 120 | 113 |
|
Carrie E Alford
46 Barra Rd Ste 201202 |
$32.28 | 124 | 113 |
|
Colin Sorber
9 Healthcare Dr |
$35.21 | 135 | 122 |
|
Nathaniel Johnson
20 W Cole Rd Ste 101 |
$38.81 | 138 | 129 |
|
Kenneth James Duge
9 Healthcare Dr Ste 105 |
$52.21 | 139 | 132 |
|
Gretchen Nicoll Gimbel
26 W Cole Rd Ste 102 |
$23.56 | 147 | 87 |
|
Peter Kennel
9 Healthcare Dr Ste 105 |
$25.67 | 147 | 142 |
|
Mark K Hirschhorn
24 W Cole Rd |
$36.11 | 177 | 160 |
|
Cortney Lyford
2 Springbrook Dr |
$36.82 | 201 | 173 |
|
Morgan Rodway Stephansky
9 Healthcare Dr Ste 204 |
$42.05 | 210 | 207 |
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