Average Medicaid Office Visit Payments in Brunswick, ME: $40.93
Avg. Paid
$40.93
Range
$1.94 – $184.62
Total Claims
154,510
Providers
187
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 Brunswick, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mitchell Pulver
153 Park Row |
$53.42 | 9,040 | 8,548 |
|
George Richard Polkinghorn
81 Medical Center Dr |
$27.09 | 6,765 | 5,197 |
|
Ellen Lyman Lee
22 Station Ave |
$25.29 | 5,948 | 4,136 |
|
Allan Jay Kaplan
22 Station Ave |
$29.00 | 4,645 | 4,035 |
|
Jared T Wilkinson
81 Medical Center Dr |
$16.20 | 4,179 | 3,872 |
|
Maureen E Perdue
121 Medical Center Dr Ste 2700 |
$31.70 | 3,447 | 2,666 |
|
Robyn Bird
193 Bath Rd |
$58.66 | 3,292 | 2,765 |
|
Lon Cameron
114 Bath Rd |
$40.63 | 3,163 | 3,112 |
|
Karen Joan Ludwig
22 Station Ave |
$29.66 | 2,857 | 2,632 |
|
Michael Carl Saraydarian
81 Medical Center Dr |
$29.38 | 2,844 | 2,286 |
|
Benjamin C. Tyau
193 Bath Rd |
$64.33 | 2,604 | 2,521 |
|
Amina B Hanna
121 Medical Center Dr |
$41.42 | 2,514 | 2,364 |
|
Brian David Macdonald
81 Medical Center Dr |
$27.73 | 2,497 | 1,933 |
|
Lawrence J Losey
81 Medical Center Dr Ste 2200 |
$40.60 | 2,479 | 2,286 |
|
Amanda Beth Behnke
123 Medical Center Dr |
$47.83 | 2,432 | 2,279 |
|
Nubia Alexandra Calabi
114 Bath Rd |
$65.06 | 2,226 | 2,087 |
|
Katharine Potter
3600 College Sta |
$82.19 | 2,161 | 2,066 |
|
Sarah Katrina Sedney
114 Bath Rd |
$71.90 | 2,071 | 1,949 |
|
Kathryn D Seasholtz
81 Medical Center Dr |
$21.65 | 2,041 | 1,903 |
|
David L Enright
121 Medical Center Dr |
$37.93 | 1,970 | 1,794 |
|
Katelyn A Bolduc
81 Medical Center Dr Ste 2200 |
$43.74 | 1,927 | 1,820 |
|
Jeffrey P Maher
329 Maine St |
$38.72 | 1,836 | 1,655 |
|
Renee M Powers
329 Maine St Ste A200 |
$50.13 | 1,793 | 1,632 |
|
Edgardo Rafael Ortiz Flores
329 Maine St # E101 |
$16.84 | 1,782 | 1,740 |
|
Callie Orae Mcmahon
123 Medical Center Tr. |
$49.20 | 1,687 | 1,629 |
|
Jessica L Buckner
81 Medical Center Dr |
$27.10 | 1,604 | 1,320 |
|
Kathleen Ruh Trapp
114 Bath Rd |
$77.54 | 1,590 | 1,504 |
|
Amber Shepherd
114 Bath Rd |
$55.93 | 1,565 | 1,391 |
|
Lindsey Ackley-Pozzessere
22 Station Ave Ste 101 |
$29.31 | 1,531 | 1,428 |
|
Sarah Kopke
14 Maine St |
$43.26 | 1,515 | 1,475 |
|
Elizabeth Anne Phillips
121 Medical Center Dr Ste 2550 |
$28.90 | 1,486 | 971 |
|
Gregory L. Penner
331 Maine St Ste 4 |
$29.05 | 1,483 | 1,410 |
|
Sarah Marie Davis
329 Maine St Ste A200 |
$72.06 | 1,469 | 1,359 |
|
Sheila M Hospidales
193 Bath Rd |
$42.59 | 1,463 | 1,123 |
|
Robin Baier
114 Bath Rd |
$53.05 | 1,341 | 1,266 |
|
Amanda Bubar
22 Station Ave |
$58.08 | 1,336 | 1,294 |
|
Stephanie A Phelps
121 Medical Center Dr |
$34.09 | 1,333 | 1,267 |
|
Paulle Jeanne Richard
81 Medical Center Dr |
$55.55 | 1,331 | 1,258 |
|
Anne Kenyon Smith
22 Station Ave # 101 |
$45.81 | 1,318 | 1,183 |
|
John Sommer
114 Bath Rd |
$85.11 | 1,316 | 1,259 |
|
Kristen Jane Schroeder-Cyr
81 Medical Center Dr |
$26.50 | 1,277 | 1,197 |
|
Andrew Paul Susen
331 Maine St |
$51.87 | 1,243 | 1,179 |
|
Gillian Breslin Grijalva
74 Baribeau Dr |
$79.44 | 1,235 | 1,196 |
|
Nicole Elizabeth Higgins
22 Station Ave |
$43.25 | 1,203 | 1,168 |
|
Patrick J Keaney
121 Medical Center Drive |
$20.50 | 1,130 | 1,087 |
|
David B Nagler
169 Park Row |
$42.03 | 1,110 | 738 |
|
Jayne E Britton
329 Bath Rd |
$22.41 | 1,030 | 875 |
|
Michael Macdonald
22 Station Avenue |
$22.92 | 1,007 | 790 |
|
Madelaine Miranda Sgroi
329 Maine St Ste 101 |
$52.77 | 1,007 | 713 |
|
Wayne D Westland
121 Medical Center Dr |
$28.39 | 984 | 948 |
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 Brunswick, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Brunswick, ME is $40.93 per claim, based on 154,510 claims from 187 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 Brunswick, ME?
There are 187 Medicaid providers offering Office Visit related services in Brunswick, ME according to public payment data.
What is the price range for Office Visit in Brunswick, ME?
Medicaid reimbursement for Office Visit in Brunswick, ME ranges from $1.94 to $184.62 per claim, with an average of $40.93. 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 Brunswick, ME
Blood Work & Lab Tests
Avg $2.92
239,114 claims
Case Management Services
Avg $78.77
124,906 claims
Emergency Room Visit
Avg $197.14
67,426 claims
Physical Therapy
Avg $20.28
55,403 claims
Vaccines & Immunizations
Avg $12.33
54,399 claims
Substance Abuse Treatment
Avg $75.70
46,977 claims
Home Health Visit
Avg $315.25
45,478 claims
Behavioral & Mental Health Therapy
Avg $214.25
41,898 claims