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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Lewiston, ME: $35.50

Avg. Paid

$35.50

Range

$0.00 – $165.04

Total Claims

444,176

Providers

274

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 Lewiston, ME

Provider Avg. Paid Claims Patients
Community Clinical Services, Inc.

100 Campus Ave Ste 208

$4.05 63,053 56,990
Community Clinical Services, Inc.

57 Birch St Ste 102

$0.89 46,870 38,326
St. Mary'S Regional Medical Center

93 Campus Ave

$33.73 19,110 16,354
Community Clinical Services, Inc.

330 Sabattus St

$0.50 11,743 10,820
Robert A Hulefeld

300 Main St

$51.49 8,592 8,351
Linda J Glass

33 Mollison Way

$71.00 8,079 7,496
Daniel M Dorsky

33 Mollison Way

$104.95 7,951 7,647
Karen L Palmer

33 Mollison Way

$109.29 7,903 7,610
Stephen Gallagher

93 Campus Ave

$17.47 7,698 5,273
Nathan Z Hines

33 Mollison Way

$93.78 7,349 7,066
Addie Mckenzie

33 Mollison Way

$85.48 6,868 6,545
Jennifer Kaserman Archibald

33 Mollison Way

$91.43 6,536 6,202
Angela Castonguay

33 Mollison Way

$90.63 6,422 6,178
Katelyn Ryan

33 Mollison Way

$91.34 6,265 5,957
Community Clinical Services, Inc

100 Campus Ave Ste 104

$0.78 6,233 5,599
Antonio B. Landry

33 Mollison Way

$91.31 5,757 5,456
George H Glass

33 Mollison Way

$67.24 5,538 5,263
Lane M Kaplan

93 Campus Ave

$15.38 5,474 3,416
David M Burke

99 Campus Ave

$33.93 5,031 4,665
Logan Andrew Phelps

33 Mollison Way

$90.82 4,812 4,616
Erica Miller

33 Mollison Way

$83.00 4,790 4,589
Emault Louis

33 Mollison Way

$26.01 4,319 4,193
Matthew David Harnden

15 Mollison Way

$34.74 3,971 3,509
Jeffrey S. Michaud

15 Mollison Way

$30.91 3,717 3,391
Caitlin R Sloan

330 Sabattus St

$26.57 3,593 2,388
Adam R. Messier

91 Campus Ave

$44.36 3,276 3,154
Michael Parker

93 Campus Ave

$17.14 3,211 2,793
Sean D Stanhope

10 High St

$27.67 3,110 3,023
David Baker

12 High St

$37.69 3,059 2,955
Candice Hammerton

99 Campus Ave

$39.59 3,001 2,819
Jared J Morin

12 High St

$43.43 2,979 2,892
Jason Barschdorf

300 Main St

$37.21 2,949 2,893
Rebecca Schweikert Greenleaf

76 High St Fl 1

$36.48 2,932 2,731
Peter H Bouman

70 Lincoln St

$22.75 2,887 2,399
Robert D Mcardle

93 Campus Ave Ste G025

$19.34 2,835 2,559
Chris I Gillis

330 Sabattus Street

$30.33 2,793 2,114
Renee S Fagone

12 High St

$25.28 2,756 2,606
Claire Alexandra Watson

12 High St Ste 302

$48.06 2,711 2,555
Danielle R Tourigny

91 Campus Ave

$47.64 2,674 2,528
Dashiell Jordan

99 Campus Ave Ste 201

$23.17 2,667 2,376
Nicole Marie Barry

91 Campus Ave

$39.05 2,523 2,465
Nan M Boucher

99 Campus Ave

$28.36 2,433 2,218
Jean R Kahn

330 Sabattus St

$30.92 2,206 1,554
Kelly Erin Mccosh

76 High St

$16.58 2,184 2,115
Melanie C Rand

15 Mollison Way

$34.62 2,128 2,007
Genesis E Juat

76 High St

$38.93 2,060 1,927
Tracy Tippie

300 Main St

$19.06 2,042 1,899
Paula Claire Kirby-Long

76 High St Ste 300

$18.80 1,922 1,813
Virginia Shaw Coleman

93 Campus Ave

$25.83 1,913 1,413
Albert Frederick Hartman

33 Roger St

$45.54 1,871 1,618

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 Lewiston, ME?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lewiston, ME is $35.50 per claim, based on 444,176 claims from 274 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 Lewiston, ME?

There are 274 Medicaid providers offering Office Visit related services in Lewiston, ME according to public payment data.

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

Medicaid reimbursement for Office Visit in Lewiston, ME ranges from $0.00 to $165.04 per claim, with an average of $35.50. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Lewiston, ME