Average Medicaid Office Visit Payments in Damariscotta, ME: $15.74
Avg. Paid
$15.74
Range
$2.22 – $135.62
Total Claims
96,475
Providers
26
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 Damariscotta, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mainehealth
35 Miles St |
$2.22 | 44,510 | 36,871 |
|
Mainehealth
24 Miles Center Way |
$16.81 | 29,008 | 26,853 |
|
Jennifer Jean Maki
68 Chapman St |
$34.81 | 3,174 | 2,773 |
|
Patrick M. O'Brien
24 Miles Center Way |
$74.30 | 3,069 | 2,457 |
|
Jesse Michael Cheney
24 Miles Center Way |
$42.85 | 3,057 | 2,451 |
|
Jason Cienega
24 Miles Center Way |
$17.52 | 2,194 | 1,845 |
|
Preston D Ringo
66 Chapman St |
$25.31 | 1,811 | 1,412 |
|
Jennifer Griffiths Riddle
35 Miles St |
$31.18 | 1,631 | 1,566 |
|
Julie Delory
26 Schooner St |
$6.79 | 1,444 | 737 |
|
Allan Sturgus Teel
68 Chapman St |
$44.93 | 1,297 | 1,006 |
|
Aimee E Lash
24 Miles Center Way |
$43.37 | 1,132 | 1,016 |
|
Michael D. Romac
79 Schooner Street |
$35.17 | 1,090 | 1,021 |
|
Daniel S Gibbons
35 Miles St |
$60.34 | 979 | 711 |
|
Michael Scott Baldwin
24 Miles Center Way |
$135.62 | 427 | 426 |
|
Rebecca Ann Gayhardt
35 Miles St |
$31.40 | 370 | 368 |
|
Yinlee Yoong
24 Miles Center Way |
$30.67 | 287 | 240 |
|
Brenna Rasmussen
24 Miles Center Way |
$37.70 | 284 | 233 |
|
Anne Kornkven
24 Miles Center Way |
$44.92 | 193 | 185 |
|
Jacqueline C Brown
24 Miles Center Way |
$22.68 | 189 | 182 |
|
Sarah R Patten
24 Miles Center Way |
$33.53 | 92 | 88 |
|
Lindsay Fox
35 Miles St |
$12.34 | 71 | 24 |
|
Craig J. Urwin
24 Miles Center Way |
$43.64 | 54 | 54 |
|
Jarrod Tembreull
24 Miles Center Way |
$25.47 | 45 | 38 |
|
Janet C. Yost
24 Miles Center Way |
$62.13 | 38 | 38 |
|
Robert T. Howard
24 Miles Center Way |
$19.37 | 16 | 14 |
|
Randy Wobser
24 Miles Center Way |
$38.94 | 13 | 12 |
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 Damariscotta, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Damariscotta, ME is $15.74 per claim, based on 96,475 claims from 26 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 Damariscotta, ME?
There are 26 Medicaid providers offering Office Visit related services in Damariscotta, ME according to public payment data.
What is the price range for Office Visit in Damariscotta, ME?
Medicaid reimbursement for Office Visit in Damariscotta, ME ranges from $2.22 to $135.62 per claim, with an average of $15.74. 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 Damariscotta, ME
Blood Work & Lab Tests
Avg $0.92
117,390 claims
Emergency Room Visit
Avg $15.42
54,127 claims
Physical Therapy
Avg $5.88
31,120 claims
Case Management Services
Avg $66.60
26,694 claims
X-Ray
Avg $10.19
21,071 claims
EKG / ECG (Electrocardiogram)
Avg $6.50
17,452 claims
Vaccines & Immunizations
Avg $2.59
15,282 claims
Urinalysis & Urine Tests
Avg $0.57
13,793 claims