Average Medicaid Office Visit Payments in Caribou, ME: $22.49
Avg. Paid
$22.49
Range
$1.71 – $347.67
Total Claims
109,960
Providers
30
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 Caribou, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pines Health Services
74 Access Hwy |
$18.17 | 29,562 | 26,570 |
|
Pines Health Services
163 Van Buren Rd Ste 4 |
$19.25 | 28,798 | 21,158 |
|
Shelly A Murphy
7 Hatch Dr |
$4.81 | 20,925 | 3,796 |
|
David Lee Conner
22 Birdseye Ave Ste A |
$54.98 | 10,243 | 8,403 |
|
Lori Eckerstorfer
163 Van Buren Rd |
$41.64 | 3,516 | 3,370 |
|
City Of Caribou
163 Van Buren Rd |
$1.71 | 1,688 | 1,130 |
|
Osama Ea El Silimy
73 Sweden Street |
$25.94 | 1,508 | 1,006 |
|
Adais Johan Viruet-Torres
118 Bennett Dr Ste 130 |
$53.43 | 1,444 | 1,392 |
|
Lindsay Paradis
74 Access Hwy |
$26.79 | 1,390 | 1,318 |
|
Robert Bassett
163 Van Buren Rd |
$45.18 | 1,273 | 1,201 |
|
Rashmi Bawa
163 Van Buren Rd Ste 1 |
$26.09 | 1,141 | 1,031 |
|
Carlos Eugenio Chavez De Paz Villanueva
163 Van Buren Rd |
$38.70 | 995 | 929 |
|
Jean Pierre Michaud
163 Van Buren Rd |
$23.22 | 925 | 858 |
|
Samantha Phyllis Paradis
118 Bennett Dr |
$32.32 | 876 | 825 |
|
John W Karod
74 Access Hwy |
$24.67 | 836 | 791 |
|
Josee D Romann
163 Van Buren Rd |
$30.79 | 798 | 697 |
|
Craig K Small
37 Herschel St |
$23.79 | 662 | 561 |
|
Kathryn Rutledge
163 Van Buren Rd |
$40.25 | 609 | 590 |
|
Albert Sidney Whiting
647 Main St |
$17.29 | 463 | 429 |
|
Paige Small
37 Herschel St |
$23.06 | 422 | 323 |
|
Uchendu Orizu Uchendu
163 Van Buren Rd |
$7.78 | 421 | 410 |
|
Elena Vagia
163 Van Buren Rd |
$41.24 | 341 | 284 |
|
Kimberly A Cousins
74 Access Hwy |
$35.60 | 272 | 255 |
|
Yonas Gebremeskel Ateshim
74 Access Hwy |
$129.45 | 245 | 232 |
|
Michelle Marie Deprey
163 Van Buren Rd Ste 2 |
$39.11 | 205 | 192 |
|
Ayodele T Isaacs
163 Van Buren Rd |
$347.67 | 184 | 156 |
|
Bernard Hade
7 Hatch Drive |
$29.29 | 86 | 52 |
|
Dimas Yusuf
163 Van Buren Rd |
$10.71 | 61 | 51 |
|
Natania Piper
74 Access Hwy |
$25.97 | 45 | 40 |
|
Diyanah Bani Hani
74 Access Hwy |
$63.11 | 26 | 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 Caribou, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Caribou, ME is $22.49 per claim, based on 109,960 claims from 30 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 Caribou, ME?
There are 30 Medicaid providers offering Office Visit related services in Caribou, ME according to public payment data.
What is the price range for Office Visit in Caribou, ME?
Medicaid reimbursement for Office Visit in Caribou, ME ranges from $1.71 to $347.67 per claim, with an average of $22.49. 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 Caribou, ME
Blood Work & Lab Tests
Avg $0.30
162,351 claims
Home Health Visit
Avg $82.22
154,117 claims
Emergency Room Visit
Avg $34.03
58,488 claims
Substance Abuse Treatment
Avg $72.53
49,359 claims
Physical Therapy
Avg $16.59
38,737 claims
Durable Medical Equipment (DME)
Avg $27.94
21,901 claims
Urinalysis & Urine Tests
Avg $0.08
21,796 claims
X-Ray
Avg $4.63
19,734 claims