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
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
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Las Vegas, NV
Avg $54.47
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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