Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Falmouth, ME: $38.88

Avg. Paid

$38.88

Range

$13.47 – $68.33

Total Claims

34,195

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 Falmouth, ME

Provider	Avg. Paid	Claims	Patients
Jillian W Liner 5 Bucknam Rd Ste 2A	$68.33	2,902	2,791
Mark P. Bouchard 5 Bucknam Rd	$35.69	2,701	2,525
Adam Normandin 5 Bucknam Rd	$38.75	2,669	2,390
Elizabeth B Eisenhardt 5 Bucknam Rd	$28.26	2,445	2,316
Hanna Campbell 75 Gray Rd	$41.69	2,167	2,067
Gillian M Croteau 74 Lunt Rd Ste 204	$40.31	1,709	1,659
Craig D Schneider 5 Bucknam Rd	$29.30	1,659	1,551
Jonathan T Fanburg 5 Bucknam Road	$57.52	1,635	1,491
Brianna Boutin 19 Northbrook Dr	$35.19	1,535	1,491
Adam Michael Kazimierczak 75 Gray Rd	$27.83	1,494	1,394
Allison L Goddard 66 Leighton Rd # 2	$53.46	1,308	1,247
Megan E Lane 66 Leighton Rd	$26.36	1,277	1,220
Jiana Menendez 5 Bucknam Rd Ste 2C	$13.47	1,215	1,122
Erin Evans Oakley 170 Us Route 1 Ste 290	$65.73	964	909
Anne Susan Boyd 74 Lunt Rd Ste 206	$15.74	939	906
Philip Strohm Anson 20 Northbrook Dr	$27.07	821	801
Regina Y Kim 75 Gray Rd	$32.25	803	733
Dayle R Dewey 5 Bucknam Rd	$42.19	787	740
Lindsay C Corse 5 Bucknam Rd Ste 2C	$24.10	711	670
Robert Andrew Fulton 5 Bucknam Rd	$35.27	698	585
Thomas P Gearan 5 Bucknam Rd	$30.73	660	621
Alison M Samitt 5 Bucknam Rd	$33.49	559	543
Michele Marchildon 5 Bucknam Rd Ste 2	$67.31	527	490
Erin Cater 5 Bucknam Rd Ste 1D	$30.57	438	372
Amanda Milliard 75 Gray Rd	$45.84	356	336
Leigh Baker 74 Lunt Road Suite 204	$28.24	227	168
Marie Dardeno 98 Clearwater Dr	$24.39	222	148
Elizabeth Campos Pearce 74 Lunt Rd Ste 206	$36.51	214	200
Jared Cassin 5 Bucknam Rd Ste 2C	$31.05	124	116
Arianna T Cortesi 5 Bucknam Rd	$40.69	121	111
Ryan Close 5 Bucknam Rd	$23.14	50	50
Joseph Benjamin Rote 5 Bucknam Rd Ste 2B	$29.87	44	39
Kathleen Mcgarr 5 Bucknam Rd	$27.51	43	40
Sergey Terrio 251 Us-1	$45.78	35	24
Emily Carle 19 Northbrook Dr	$41.37	32	30
Justin Paul Kuether 5 Bucknam Rd Ste 1D	$26.18	32	28
Joseph Young 20 Northbrook Dr	$53.45	30	30
Ralph W Thieme 66 Leighton Rd	$61.31	16	12
Susan O'Neil Coyne 5 Bucknam Rd Ste 1D	$37.50	14	14
Ashley Elizabeth Leamon 5 Bucknam Rd Ste 2B	$31.46	12	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 Falmouth, ME?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Falmouth, ME is $38.88 per claim, based on 34,195 claims from 40 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 Falmouth, ME?

There are 40 Medicaid providers offering Office Visit related services in Falmouth, ME according to public payment data.

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

Medicaid reimbursement for Office Visit in Falmouth, ME ranges from $13.47 to $68.33 per claim, with an average of $38.88. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Falmouth, ME: $38.88

Providers Offering Office Visit in Falmouth, ME

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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