Average Medicaid Office Visit Payments in Harrington, ME: $4.36
Avg. Paid
$4.36
Range
$0.00 – $800.42
Total Claims
29,244
Providers
4
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 Harrington, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jonnye-Lea Thibodeau
50 E Main St |
$0.00 | 17 | 13 |
|
Kimberly Sonderland
50 E Main St |
$800.42 | 45 | 40 |
|
Collin F Zelinsky
50 E Main St |
$55.53 | 411 | 328 |
|
Harrington Family Health Center
50 E Main St |
$2.39 | 28,771 | 23,907 |
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 Harrington, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Harrington, ME is $4.36 per claim, based on 29,244 claims from 4 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 Harrington, ME?
There are 4 Medicaid providers offering Office Visit related services in Harrington, ME according to public payment data.
What is the price range for Office Visit in Harrington, ME?
Medicaid reimbursement for Office Visit in Harrington, ME ranges from $0.00 to $800.42 per claim, with an average of $4.36. 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
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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 Harrington, ME
Blood Work & Lab Tests
Avg $1.72
7,934 claims
Dental Cleaning & Exam
Avg $47.24
7,580 claims
Substance Abuse Treatment
Avg $78.82
6,003 claims
Speech Therapy
Avg $11.66
3,485 claims
Psychiatric Evaluation
Avg $1.37
3,221 claims
Dental Filling
Avg $103.09
1,102 claims
Emergency Room Visit
Avg $25.39
975 claims
Physical Therapy
Avg $20.25
809 claims