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
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 Lewiston, ME
Blood Work & Lab Tests
Avg $2.66
850,215 claims
Home Health Visit
Avg $111.00
479,513 claims
Case Management Services
Avg $65.87
466,341 claims
Emergency Room Visit
Avg $131.85
328,314 claims
Substance Abuse Treatment
Avg $84.20
222,982 claims
Vaccines & Immunizations
Avg $11.66
202,084 claims
Physical Therapy
Avg $30.05
179,370 claims
X-Ray
Avg $15.24
148,988 claims