Average Medicaid Office Visit Payments in Farmington, ME: $44.68
Avg. Paid
$44.68
Range
$2.46 – $456.90
Total Claims
124,104
Providers
61
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 Farmington, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mainehealth
181 Franklin Health Commons |
$19.38 | 64,943 | 58,434 |
|
Mainehealth
131 Franklin Health Cmns |
$22.61 | 7,492 | 6,802 |
|
Abiodun Fatima Balogun
181 Franklin Health Cmns |
$456.90 | 4,865 | 3,582 |
|
Stephen Bien
672 Wilton Rd |
$62.56 | 3,807 | 3,532 |
|
Erika Cajsa Schumacher
116 Narrow Gauge Sq Ste 101 |
$62.18 | 3,663 | 3,247 |
|
Suzanne Alexis
144 High St Ste B6 |
$63.66 | 3,387 | 3,049 |
|
Ranjiv Advani
111 Franklin Health Cmns |
$21.88 | 2,427 | 2,271 |
|
Griffith R Batstone
126 Middle St |
$13.86 | 2,411 | 2,218 |
|
Joseph J Caldwell
167 Livermore Falls Rd |
$34.59 | 1,936 | 1,529 |
|
Arthur Raymond Dingley
131 Franklin Health Cmns |
$26.77 | 1,839 | 1,559 |
|
Sara Jean Hayes
193 Front St |
$62.52 | 1,434 | 1,380 |
|
Tanya Lever
181 Franklin Health Commons |
$38.04 | 1,433 | 1,336 |
|
Isaac S Ball
126 Middle St |
$27.90 | 1,423 | 1,359 |
|
Scott Weiner
111 Franklin Health Cmns |
$118.47 | 1,282 | 1,264 |
|
Ryan Joseph Whitt
181 Franklin Health Commons |
$34.42 | 1,183 | 1,063 |
|
Rebecca Chandler
131 Franklin Health Cmns |
$34.08 | 1,104 | 1,029 |
|
Virginia Ann Lanoce
672 Wilton Rd |
$40.77 | 1,102 | 978 |
|
Callie A Meader
181 Franklin Health Cmns |
$29.03 | 1,094 | 1,008 |
|
Gabriel Civiello
181 Franklin Health Commons |
$37.30 | 1,025 | 979 |
|
Elizabeth L Abbas
181 Franklin Health Cmns |
$43.52 | 972 | 893 |
|
Linda J Seabold
181 Franklin Health Commons |
$28.93 | 962 | 888 |
|
Mainehealth
111 Franklin Health Cmns |
$18.01 | 949 | 894 |
|
Allie N Evans
181 Franklin Health Cmns |
$24.70 | 923 | 733 |
|
Jean Marie Antonucci
115 Mt Blue Cir |
$59.56 | 794 | 689 |
|
Robert M O'Reilly
131 Franklin Health Cmns |
$25.03 | 789 | 746 |
|
Vanessa B Smith
181 Franklin Health Commons |
$24.25 | 760 | 714 |
|
Kristine Sanden
181 Franklin Health Commons |
$26.21 | 688 | 637 |
|
Deborah Lynn Burchfield
131 Franklin Health Cmns |
$26.86 | 645 | 546 |
|
Kathryn Dingley Gurney
130 Main St |
$34.63 | 640 | 521 |
|
John K Franson
131 Franklin Health Cmns |
$2.46 | 635 | 600 |
|
Steven R Coates
181 Franklin Health Cmns |
$19.18 | 620 | 593 |
|
Stacy L Hershfeld
131 Franklin Health Cmns |
$23.19 | 524 | 499 |
|
Jennifer Couture
181 Franklin Health Cmns |
$35.64 | 505 | 486 |
|
Thomas M Roesch
181 Franklin Health Cmns |
$52.04 | 435 | 383 |
|
Stephen J Goss
131 Franklin Health Cmns |
$25.01 | 421 | 407 |
|
Beth Hartsock
131 Franklin Health Cmns |
$25.68 | 397 | 393 |
|
Constance A Adler
181 Franklin Health Cmns |
$29.95 | 379 | 282 |
|
Zachary Blakeman
181 Franklin Health Commons |
$11.04 | 355 | 309 |
|
Julie D Grosvenor
181 Franklin Health Cmns |
$21.59 | 335 | 322 |
|
Lillian Taylor
181 Franklin Health Cmns |
$35.26 | 332 | 321 |
|
Paul Blake Wooden
115 Mt Blue Cir |
$20.73 | 311 | 302 |
|
Robert F Zimmerman
111 Franklin Health Cmns |
$35.44 | 286 | 276 |
|
Heustis Whiteside
107 Box Shop Hl |
$65.07 | 281 | 235 |
|
Malin A. Sadler
181 Franklin Health Commons |
$41.76 | 279 | 260 |
|
Sharmila Das-Wattley
115 Mt Blue Cir |
$8.58 | 267 | 222 |
|
Kristy L Hilton
131 Franklin Health Cmns |
$24.98 | 229 | 207 |
|
Andrew Crapser
181 Franklin Health Cmns |
$56.48 | 225 | 194 |
|
Dennifer D Hardy
193 Front St |
$46.98 | 222 | 210 |
|
Mainehealth
111 Franklin Health Cmns |
$6.27 | 218 | 182 |
|
Gerald Peter Tinguely
111 Franklin Health Cmns |
$7.74 | 204 | 76 |
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 Farmington, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Farmington, ME is $44.68 per claim, based on 124,104 claims from 61 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 Farmington, ME?
There are 61 Medicaid providers offering Office Visit related services in Farmington, ME according to public payment data.
What is the price range for Office Visit in Farmington, ME?
Medicaid reimbursement for Office Visit in Farmington, ME ranges from $2.46 to $456.90 per claim, with an average of $44.68. 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 Farmington, ME
Blood Work & Lab Tests
Avg $3.05
217,045 claims
Emergency Room Visit
Avg $126.23
75,794 claims
Physical Therapy
Avg $25.47
54,647 claims
Vaccines & Immunizations
Avg $4.26
44,199 claims
Ambulance Transport
Avg $123.97
39,493 claims
Urinalysis & Urine Tests
Avg $1.53
35,188 claims
X-Ray
Avg $24.82
26,251 claims
Behavioral & Mental Health Therapy
Avg $152.22
25,400 claims