Average Medicaid Office Visit Payments in Kennebunk, ME: $40.53
Avg. Paid
$40.53
Range
$4.99 – $68.66
Total Claims
65,867
Providers
58
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 Kennebunk, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Merideth C. Norris
58 Portland Rd |
$36.78 | 8,738 | 7,242 |
|
Calvin P. Fuhrmann
24 Portland Rd |
$56.62 | 8,651 | 5,973 |
|
Donald R Burgess
3 Shape Dr |
$41.94 | 7,151 | 6,875 |
|
Can Ilyas
2 Independence Dr |
$41.93 | 3,783 | 2,960 |
|
Deirdre Burns Mondor
3 Shape Dr |
$4.99 | 3,701 | 2,605 |
|
Carley E Mejia
4 Shape Dr |
$34.33 | 3,610 | 3,404 |
|
Pam L Guilbeault
2 Livewell Dr |
$45.12 | 2,545 | 2,465 |
|
Charles A Parent
24 Portland Rd |
$50.34 | 2,413 | 2,006 |
|
Mark Ouellette
2 Livewell Drive - North Tower |
$33.59 | 2,400 | 2,321 |
|
Kristen Waitt Morrisroe
2 Livewell Dr |
$28.78 | 1,794 | 1,754 |
|
Christopher Rogers
3 Shape Dr |
$37.63 | 1,566 | 1,486 |
|
Howard Stephen Reinheimer
2 Livewell Dr |
$60.42 | 1,476 | 1,246 |
|
Ann Marie M Pender
45 Portland Road Suite 7, No. 295 |
$58.41 | 1,472 | 1,248 |
|
Jonathan P Shill
26 Barnard Ln |
$68.66 | 1,395 | 1,192 |
|
Kurt S Ebrahim
2 Independence Dr |
$29.67 | 1,371 | 1,019 |
|
Kelly Hayden Hayday
2 Livewell Dr |
$46.69 | 1,048 | 1,009 |
|
Meredith A Myers
3 Shape Dr |
$41.43 | 958 | 898 |
|
Laurie L Han
72 Main St |
$51.78 | 955 | 935 |
|
Elisabeth M. Delprete
4 Shape Drive |
$27.78 | 851 | 797 |
|
Philip Washburn Browne
69 York St Ste 4 |
$44.10 | 658 | 629 |
|
Gregory Scott O'Neill
2 Livewell Dr |
$26.39 | 650 | 637 |
|
David Michael Stein
2 Livewell Drive |
$20.71 | 630 | 579 |
|
Merrill R Farrand
26 Barnard Ln |
$59.96 | 562 | 525 |
|
Helen F. Ryan
2 Independence Dr |
$32.36 | 546 | 495 |
|
Audrey Okun-Langlais
26 Barnard Ln |
$42.70 | 534 | 467 |
|
Lise M Cloutier
2 Livewell Dr |
$19.18 | 529 | 491 |
|
Kyle Anders Holmquist
12 Depot St |
$31.40 | 510 | 437 |
|
Katherine P Sharp
72 Main St |
$27.76 | 499 | 469 |
|
Harriet Sanclemente
3 Shape Dr |
$36.53 | 462 | 420 |
|
Kristy M Laroche
2 Livewell Dr |
$38.69 | 443 | 411 |
|
Michelle Lauren Zickel Blew
183 Port Rd Ste B |
$64.35 | 433 | 406 |
|
Christopher Duncan
2 Livewell Dr |
$34.50 | 378 | 366 |
|
Kenneth D Warren
2 Berry Ct |
$23.16 | 320 | 290 |
|
Cecily Cannon
103 Summer Street |
$42.11 | 309 | 270 |
|
Lisa Gouldsbrough
3 Shape Drive |
$41.13 | 278 | 263 |
|
Gloria I. Oppen
69 York St Ste 4 |
$44.58 | 266 | 238 |
|
Deborah Pitchforth
69 York St Ste 4 |
$25.72 | 246 | 220 |
|
Heather N Schwemm
72 Main St |
$26.14 | 215 | 199 |
|
Paul E Segal
2 Livewell Dr |
$27.02 | 209 | 206 |
|
Kristin M Farrand
2 Independence Dr |
$48.40 | 160 | 146 |
|
William Galen Dunagin
2 Livewell Dr |
$21.59 | 136 | 136 |
|
Emily T O'Connell
2 Livewell Dr |
$34.14 | 114 | 110 |
|
Kimberly Proos Parrillo
2 Livewell Dr |
$42.95 | 112 | 97 |
|
Michael R Ireland
72 Main St |
$43.99 | 88 | 82 |
|
Patrick Joseph Mulcahy
5 Vineyard Way |
$32.67 | 88 | 79 |
|
Cassandra June Hotaling-Hahn
2 Livewell Dr |
$43.10 | 85 | 85 |
|
Harpswell Engman Coffin
2 Livewell Dr |
$31.57 | 76 | 75 |
|
Katherine A Hanify
72 Main St |
$37.14 | 68 | 67 |
|
Megan O Bridgeo
2 Livewell Dr |
$27.71 | 65 | 63 |
|
Julie L Hazelton
2 Independence Dr |
$39.77 | 61 | 56 |
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 Kennebunk, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kennebunk, ME is $40.53 per claim, based on 65,867 claims from 58 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 Kennebunk, ME?
There are 58 Medicaid providers offering Office Visit related services in Kennebunk, ME according to public payment data.
What is the price range for Office Visit in Kennebunk, ME?
Medicaid reimbursement for Office Visit in Kennebunk, ME ranges from $4.99 to $68.66 per claim, with an average of $40.53. 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 Kennebunk, ME
Blood Work & Lab Tests
Avg $3.09
23,961 claims
X-Ray
Avg $5.45
16,163 claims
Substance Abuse Treatment
Avg $73.35
12,986 claims
Dental Cleaning & Exam
Avg $34.67
12,041 claims
Case Management Services
Avg $89.79
10,687 claims
Physical Therapy
Avg $20.98
8,589 claims
Speech Therapy
Avg $16.35
6,266 claims
Eye Exam
Avg $55.82
4,905 claims