Average Medicaid Office Visit Payments in Oakland, ME: $37.53
Avg. Paid
$37.53
Range
$11.32 – $79.23
Total Claims
15,033
Providers
20
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 Oakland, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Meegan Ann Mccullagh
9 Pleasant St. |
$40.16 | 3,049 | 2,865 |
|
Yusuf Abdi
9 Pleasant St |
$36.42 | 2,965 | 2,850 |
|
Joseph Flannery Lopes
9 Pleasant Street |
$22.81 | 1,580 | 1,540 |
|
Teresa Jean Farrington
25 First Park Dr Ste B |
$39.57 | 1,149 | 1,127 |
|
Richard T. E. Samson
25 First Park Dr |
$15.92 | 793 | 743 |
|
Katharine Mcnutt
3 Evergreen Dr |
$38.91 | 787 | 711 |
|
Meghan Mcnally
107 First Park Dr |
$54.54 | 661 | 651 |
|
Jocelin N Reatiraza
25 First Park Dr |
$79.23 | 526 | 499 |
|
Hope Blais
9 Pleasant St |
$54.92 | 509 | 499 |
|
Joseph Mccue
74 Water St |
$33.80 | 456 | 399 |
|
Catherine Eisner Nielsen
9 Pleasant St |
$60.81 | 440 | 413 |
|
Vinh Cam Dam
9 Pleasant St |
$43.33 | 402 | 387 |
|
Marc S Golden
107 First Park Drive |
$16.25 | 364 | 355 |
|
Gary M Chaloult
35 S Gage Rd |
$13.81 | 335 | 312 |
|
Lorie Ann Parks
25 First Park Dr Ste A |
$22.86 | 279 | 256 |
|
Jose Antonio Ramirez
107 First Park Drive |
$11.32 | 259 | 254 |
|
Brian Gillis
8 Water St |
$49.47 | 173 | 163 |
|
Jazmine Levesque
9 Pleasant St |
$61.96 | 120 | 117 |
|
Kayla Marie Flaherty
25 First Park Dr |
$58.52 | 104 | 98 |
|
Rocio Veronica Carbona
9 Pleasant St |
$22.77 | 82 | 80 |
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 Oakland, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Oakland, ME is $37.53 per claim, based on 15,033 claims from 20 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 Oakland, ME?
There are 20 Medicaid providers offering Office Visit related services in Oakland, ME according to public payment data.
What is the price range for Office Visit in Oakland, ME?
Medicaid reimbursement for Office Visit in Oakland, ME ranges from $11.32 to $79.23 per claim, with an average of $37.53. 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 Oakland, ME
Physical Therapy
Avg $65.94
20,365 claims
Durable Medical Equipment (DME)
Avg $39.34
14,622 claims
Dental Cleaning & Exam
Avg $41.00
13,858 claims
Home Health Visit
Avg $319.14
12,449 claims
Eye Exam
Avg $32.45
10,252 claims
Substance Abuse Treatment
Avg $75.28
9,265 claims
Speech Therapy
Avg $32.06
8,943 claims
Behavioral & Mental Health Therapy
Avg $102.19
4,062 claims