Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Portland, ME: $36.14

Avg. Paid

$36.14

Range

$0.00 – $138.35

Total Claims

593,977

Providers

640

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 Portland, ME

Provider	Avg. Paid	Claims	Patients
Kate Forssell Kennedy 161 Marginal Way	$19.95	12	12
Marianne Decain Tarraza 165 Lancaster St	$4.38	12	12
Robert S Anderson 66 Bramhall St	$24.14	12	12
Brittany Nicole Allen 191 Marginal Way	$58.62	12	12
Kelly Irene Daly 51 Sewall St Ste 1	$86.42	12	12
Emily L Wesolowski 84 Marginal Way	$78.70	12	12
Abby Faye Fleisch 887 Congress St	$42.78	12	12
Sara Elizabeth Happel 22 Bramhall St	$50.74	12	12
Thomas B Brady 10 Andover Rd	$33.16	12	12
Eileen Grillo 527 Ocean Ave	$61.05	12	12
Ronald E Bailyn 121 Middle St	$17.33	13	13
Stephen John Cihocki 1600B Congress St	$22.56	13	13
Elizabeth Whitney 1600B Congress St	$45.82	13	13
Matthew Willis Parsons 22 Bramhall St	$52.08	13	12
Emily Clemetson 175 Fore River Pkwy	$32.49	13	12
Anne Skelton 272 Congress St	$27.87	13	13
Timothy Louis Fitzgerald 887 Congress St Suite 400	$12.48	13	12
Bernard J. Gordon 145 Newbury St	$15.00	13	12
Kelsey Nicole Moulton 716 Stevens Ave	$0.00	13	13
Tamzid Rahman 22 Bramhall St	$87.99	13	13
Jeffrey Hutchins 331 Veranda St	$43.35	13	13
Richard Eldon Royal 887 Congress St	$25.74	13	12
Jessica Nevins Morse 335 Brighton Ave	$22.01	13	12
Benjamin Potter 161 Marginal Way	$44.24	13	12
David Ghiorse 331 Veranda St	$29.35	13	13
Samuel Jacob Michel 84 Marginal Way Ste 900	$52.82	13	13
Carmen J Rinaldi 50 Sewall St	$26.89	13	13
Shawn M Higgins 94 Auburn St	$26.86	13	12
John R O'Meara 331 Veranda St	$45.35	13	13
Anna Marie Boniakowski 887 Congress St Ste 400	$38.62	14	13
Nicolas Flannery Arredondo 195 Fore River Pkwy Ste 440	$60.58	14	14
Marc Lafrance Demers 887 Congress St Ste 400	$45.47	14	14
Paula Gentile 901 Washington Ave Ste 100	$63.77	14	13
Cynthia A. Atkinson 84 Marginal Way	$73.35	14	13
Rachel Melissa Mutchie 22 Bramhall St	$70.61	14	14
Ginger Layton 195 Fore River Pkwy Ste 210	$24.26	14	12
Stepfany Fuentes 1600 Congress St	$59.27	15	12
Andreas Stefan 161 Marginal Way	$39.11	15	14
Erin Rebecca Greenlaw 22 Bramhall St	$25.14	15	13
Noemi Baffy 161 Marginal Way	$28.70	15	15
Louis Jacobs 138 Saint John St	$26.63	15	13
Elizabeth Mulcahy 66 Bramhall St Ste G1	$41.11	15	13
Paul H Bloch 887 Congress St	$13.34	16	14
Allison Caldwell 22 Bramhall St	$55.80	16	14
William R Wadland 331 Veranda St	$34.69	17	14
Amy E Hinshaw 272 Congress St	$0.00	17	14
Madeline A Goodman 63 Vannah Ave	$16.70	17	14
Adam Christopher Winters 48 Gilman St	$106.97	17	14
Christopher John Krupa-Schayer 818 Congress St	$37.10	17	17
Roy A Cobean 10 Andover Rd	$59.26	18	16

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 Portland, ME?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Portland, ME is $36.14 per claim, based on 593,977 claims from 640 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 Portland, ME?

There are 640 Medicaid providers offering Office Visit related services in Portland, ME according to public payment data.

What is the price range for Office Visit in Portland, ME?

Medicaid reimbursement for Office Visit in Portland, ME ranges from $0.00 to $138.35 per claim, with an average of $36.14. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Portland, ME: $36.14

Providers Offering Office Visit in Portland, ME

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Portland, ME

Blood Work & Lab Tests

Home Health Visit

Case Management Services

Substance Abuse Treatment

Emergency Room Visit

X-Ray

Behavioral & Mental Health Therapy

Ultrasound