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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
Steven George Yerid

91 Campus Ave

$80.70 12 12
Tasha Duval

300 Main St

$43.19 12 12
Catherine Harty Mccrann

77 Bates St

$30.76 12 12
James Joseph

12 High St

$30.07 12 12
Tari Advani

300 Main St

$22.78 13 12
Tina Lin-Mott

93 Campus Ave

$31.52 13 13
Richard James King

12 High St

$43.23 13 13
Jade Mangiafico

300 Main St

$41.74 13 13
Mark T Branda

77 Bates St

$56.43 14 13
Jason Davis

16 Highland Spring Rd

$47.89 15 14
Valerie Denison Porcello

93 Campus Ave

$7.06 15 14
Danielle Lynn Jamison

99 Campus Ave Ste 301

$45.14 15 14
Robert S Warner

12 High St

$31.30 16 15
Jamie Paul Loggins

10 High St

$112.18 17 12
Douglas J. Henry

168 East Ave

$10.64 23 12
Community Clinical Services, Inc.

156 East Ave

$0.00 23 14
Blair C Baldwin

12 High St Ste 401

$43.30 24 24
Daniel Soroff

60 High St

$56.68 25 25
Jennifer Lee Gillies

300 Main St

$77.69 26 26
Danielle Meader

12 High St Ste 401

$35.25 26 26
Bryce Nolan Einhorn

60 High St

$37.23 26 26
Triste Marie Coulombe

93 Campus Ave

$63.59 27 25
Michael Scott Berlowitz

60 High St

$56.57 27 25
Gemini Yesodharan

300 Main St

$10.86 28 27
Sarah Lee Tessier-Roy

1155 Lisbon St

$16.20 28 27
Veronica L Diamond

93 Campus Ave

$53.10 28 24
Joan M. Flint

93 Campus Ave

$15.40 29 24
Charles Benjamin Drucker

60 High St # Y1

$31.74 29 28
Leah J. Hebert

93 Campus Ave

$26.68 30 26
Kelsey Averill

99 Campus Ave Ste 301

$46.87 33 32
Jennifer Weiner-Smith

12 High St

$46.80 34 31
James Poulin

76 High St

$33.74 35 29
Anna Royer

12 High St

$21.55 39 24
Beata Anna Bajgierowicz

60 High St

$41.11 40 40
Charles E Foley

287 Main St

$63.07 40 39
Courtney Ann Jensen

300 Main St

$33.08 40 39
Maria G Ikossi

99 Campus Ave Ste 401

$20.87 40 38
Jennifer L Mogul

93 Campus Ave

$32.19 41 36
Lisa M Decesare

12 High St

$16.01 44 43
Susan A. Thomas

12 High St

$24.76 45 45
Arun Thukkani

60 High St

$94.21 46 42
Andrea Lynn Gallant

33 Roger St

$39.55 47 42
Lindsay Ryan

12 High St Ste 400

$29.11 50 46
Michael Johns

76 High St

$56.89 53 52
Shilo L Mathieu

300 Main St

$41.71 64 64
Peter J Higgins

60 High St

$31.57 66 65
Christopher Charles Foote

10 High St

$25.62 70 67
Matthew Rausch

76 High St

$28.99 74 64
Shawn W Stepp

300 Main St

$39.46 77 77
Suzanne F Stevenson

12 High St Ste 302

$38.38 84 83

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