Average Medicaid Office Visit Payments in Norway, ME: $26.28
Avg. Paid
$26.28
Range
$3.25 – $106.62
Total Claims
117,434
Providers
28
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 Norway, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mainehealth
8 Pikes Hl |
$20.98 | 52,634 | 45,724 |
|
Mainehealth
193 Main St |
$9.60 | 20,669 | 18,104 |
|
Mainehealth
181 Main St |
$3.25 | 18,374 | 15,820 |
|
Samuel D Adler
9 Marston St #6 |
$106.62 | 10,194 | 8,769 |
|
Anthony Russell Simpson
193 Main St |
$35.95 | 3,417 | 2,997 |
|
Martin D Whitaker
193 Main St |
$30.58 | 1,968 | 1,531 |
|
Katelyn Marie Rock Dufault
159 Main St |
$40.90 | 1,488 | 1,454 |
|
Larry M Marcus
193 Main St |
$29.41 | 1,368 | 1,041 |
|
Gregory Bates
193 Main St |
$37.26 | 1,260 | 1,169 |
|
Jean Choo
8 Pikes Hl |
$48.19 | 1,181 | 1,035 |
|
Steven Alexandre Greenberg
193 Main St |
$76.23 | 649 | 518 |
|
Zachary Aaron Priest
159 Main St |
$46.80 | 615 | 566 |
|
Jacob Anthony Brown
193 Main St |
$55.64 | 574 | 510 |
|
Halina K Harding
8 Pikes Hl |
$55.29 | 562 | 508 |
|
Mary E Fleming
193 Main St |
$30.50 | 501 | 393 |
|
Rachel M Sugal
193 Main St |
$29.81 | 440 | 414 |
|
Anne Mcmath
193 Main St Ste 9 |
$60.25 | 417 | 345 |
|
Dawn Mariecallahan Mcelwain
180 Main St |
$31.42 | 294 | 261 |
|
Jocelyn M Langevin
193 Main St Ste 9 |
$49.94 | 201 | 174 |
|
Kristin Kanchana Jhamb
8 Pikes Hl |
$42.44 | 130 | 124 |
|
Elizabeth Kern
193 Main St |
$89.34 | 121 | 109 |
|
James P Lepich
8 Pikes Hl |
$40.09 | 105 | 88 |
|
Ellen M Mcmahon
8 Pikes Hl |
$47.17 | 93 | 84 |
|
Danica Leigh Best
8 Pikes Hl |
$86.22 | 61 | 58 |
|
Kathleen Herlihy
193 Main St |
$52.70 | 45 | 39 |
|
Mark A Klemperer
193 Main St |
$23.37 | 39 | 26 |
|
Hana Joyce Pelletier
193 Main Street |
$25.11 | 19 | 16 |
|
Gillian Eastman
8 Pikes Hl |
$88.82 | 15 | 12 |
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 Norway, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Norway, ME is $26.28 per claim, based on 117,434 claims from 28 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 Norway, ME?
There are 28 Medicaid providers offering Office Visit related services in Norway, ME according to public payment data.
What is the price range for Office Visit in Norway, ME?
Medicaid reimbursement for Office Visit in Norway, ME ranges from $3.25 to $106.62 per claim, with an average of $26.28. 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 Norway, ME
Case Management Services
Avg $72.02
251,497 claims
Blood Work & Lab Tests
Avg $1.35
194,671 claims
Emergency Room Visit
Avg $14.21
98,648 claims
Substance Abuse Treatment
Avg $77.17
62,699 claims
Physical Therapy
Avg $19.45
59,647 claims
Urinalysis & Urine Tests
Avg $0.49
28,129 claims
EKG / ECG (Electrocardiogram)
Avg $6.40
26,910 claims
X-Ray
Avg $13.45
25,062 claims