Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Ellsworth, ME: $42.72

Avg. Paid

$42.72

Range

$2.28 – $402.95

Total Claims

53,263

Providers

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 Ellsworth, ME

Provider	Avg. Paid	Claims	Patients
Douglas Neal Macgregor 32 Resort Way	$42.39	4,634	4,379
Lisa M Allen 32 Resort Way	$36.01	4,418	4,200
Christie E Emigh 198 Main St	$16.40	3,882	1,438
Tiffany F Rudloe 32 Resort Way	$37.01	3,078	2,868
Bethany L. Jarvis 248 State St	$49.10	2,942	2,681
Bucksport Regional Health Center 37 Commerce Park	$2.28	2,496	2,161
Lori Ann Knowles 32 Resort Way	$32.71	2,480	2,356
Alyssa Joy Diver 235 High St	$61.28	2,213	1,708
Sheena E Whittaker 32 Resort Way	$45.88	2,176	2,108
Nicholas Scott Vachon 318 Main St	$23.96	2,082	1,936
Jane Reinoso 235 High St	$67.49	2,080	2,003
Kimberly Ann Marshall 102 Main St Ste D	$76.84	1,787	1,466
Starie Lynn Seay 32 Resort Way	$31.51	1,599	1,509
Barbara Mercado-Stallard 50 Union St Ste 3200	$30.48	1,318	1,147
Ja'Nette Lee Marie Bowden 32 Resort Way	$41.92	1,248	1,212
Davor Graham Sklizovic 50 Union St	$27.49	1,185	1,092
Peter Copithorne 50 Union St Ste 2100	$22.20	1,096	997
Rachel Hartley 50 Union St	$74.30	1,093	1,073
Julie Ann Graham 35 Dollard Farm Way	$37.92	1,048	1,000
Kathryn Rensenbrink 32 Resort Way	$26.10	1,040	987
Diane Fehrenbach 306 Main Street	$47.46	751	661
Christopher J Ward 235 High St	$88.20	698	683
Christine Lee Sullivan 50 Union St.	$29.83	687	641
Susan Ann Parlin 235 High St	$70.09	641	609
Renata Moise 306 Main Street	$52.14	564	501
Anita D Kolisch 32 Resort Way	$19.71	530	508
Laura M Marlowe-Flanagan 32 Resort Way	$33.45	520	415
Alexandria Paige Boley 50 Union St	$402.95	483	392
Ruth Jean Hope 50 Union St Ste 3200	$43.47	429	370
Tyler Ernest Patrick 50 Union Street	$61.07	404	395
Samuel P Hunkler 32 Resort Way	$22.55	329	301
Isaac J Rudloe 128 Bucksport Rd	$37.59	328	312
Donald Lawrence Bigwood 16 Kidspeace Way	$105.62	308	291
Deidra Heier 32 Resort Way	$43.90	290	281
Gopinatha Albert Joseph 32 Resort Way	$32.52	265	233
Martin Gerald Higgins 32 Resort Way	$34.65	259	248
Helen Catherine Yturregui 32 Resort Way	$20.97	220	219
Shannon L Curtis 37 Commerce Park	$26.25	196	188
Miranda Chadbourne 50 Union St	$23.34	182	149
Jane E Gerlach 50 Union Street	$35.14	171	154
Breanne Elizabeth Bisset 32 Resort Way	$64.08	162	157
Bartlett H Hayes 35 Eastward Ln Ste 4	$14.85	137	103
Kristen Hayward 102 Main St Ste A	$75.01	122	118
Adam W Grasso 50 Union St	$13.83	97	94
Daniel B Kairys 50 Union St Ste 2300	$24.66	89	87
Robert L Pinsky 32 Resort Way	$26.48	82	82
Thomas Hayden Oliver 50 Union St	$10.71	72	68
Dylan Patrick Jacobus 50 Union St Ste 2200	$23.45	71	67
David Coffman 50 Union St	$15.97	63	61
Eugenia Kolkas 50 Union St	$35.00	57	54

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 Ellsworth, ME?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ellsworth, ME is $42.72 per claim, based on 53,263 claims from 56 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 Ellsworth, ME?

There are 56 Medicaid providers offering Office Visit related services in Ellsworth, ME according to public payment data.

What is the price range for Office Visit in Ellsworth, ME?

Medicaid reimbursement for Office Visit in Ellsworth, ME ranges from $2.28 to $402.95 per claim, with an average of $42.72. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Ellsworth, ME: $42.72

Providers Offering Office Visit in Ellsworth, ME

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Ellsworth, ME

Blood Work & Lab Tests

Substance Abuse Treatment

Emergency Room Visit

Physical Therapy

Urinalysis & Urine Tests

Behavioral & Mental Health Therapy

Prescription Medications

Vaccines & Immunizations