Average Medicaid Office Visit Payments in Freeport, ME: $46.92
Avg. Paid
$46.92
Range
$19.13 – $60.22
Total Claims
15,477
Providers
10
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 Freeport, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert Aranson
20 Lookout Dr |
$40.50 | 12 | 12 |
|
Romeo Augusto Lucas
174 S Freeport Rd Ste 1A |
$26.06 | 170 | 163 |
|
Lisa W Lucas
42 Mallett Dr Ste 3 |
$19.13 | 207 | 195 |
|
Lisa Renee Swanberg
5 Campus Dr |
$39.82 | 438 | 415 |
|
Katlyn Breton
7 Campus Drive |
$38.21 | 873 | 829 |
|
Brian Keith Knighton
42 Mallett Dr |
$60.22 | 1,020 | 735 |
|
Joanna Rulf
174 S Freeport Rd Ste 1A |
$30.30 | 1,100 | 1,006 |
|
Elena Bell Wagner
23 Durham Rd |
$47.09 | 1,128 | 1,058 |
|
Gregory Bianconi
50 Marquis Rd |
$31.28 | 3,156 | 3,039 |
|
Kevin R Kenerson
174 S Freeport Rd |
$56.95 | 7,373 | 6,080 |
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 Freeport, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Freeport, ME is $46.92 per claim, based on 15,477 claims from 10 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 Freeport, ME?
There are 10 Medicaid providers offering Office Visit related services in Freeport, ME according to public payment data.
What is the price range for Office Visit in Freeport, ME?
Medicaid reimbursement for Office Visit in Freeport, ME ranges from $19.13 to $60.22 per claim, with an average of $46.92. 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
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Chicago, IL
Avg $30.31
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Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Freeport, ME
Nursing Facility Care
Avg $21.09
19,243 claims
Ambulance Transport
Avg $95.05
4,112 claims
Physical Therapy
Avg $16.89
1,623 claims
Substance Abuse Treatment
Avg $76.62
1,426 claims
Vaccines & Immunizations
Avg $14.04
675 claims
Eye Exam
Avg $37.43
665 claims
Dental Cleaning & Exam
Avg $25.90
437 claims
Psychiatric Evaluation
Avg $35.88
84 claims