Average Medicaid Office Visit Payments in Presque Isle, ME: $32.81
Avg. Paid
$32.81
Range
$0.00 – $267.66
Total Claims
122,681
Providers
81
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 Presque Isle, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pines Health Services
66 Spruce St Ste B |
$14.12 | 23,299 | 20,163 |
|
Peter E Morningstar
23 North St |
$36.49 | 14,032 | 12,687 |
|
Silvia C Merida-Copeland
180 Academy St Ste 2 |
$46.56 | 7,961 | 7,150 |
|
Rebeca Ayala
140 Academy St |
$39.05 | 4,043 | 3,850 |
|
Walter James Wofford
140 Academy St |
$31.67 | 3,837 | 3,388 |
|
Maria Eugenia Gonzalez Rutmann
23 North St Ste 1 |
$42.94 | 3,823 | 3,524 |
|
Heather Montgomery
23 North St Ste 2 |
$41.73 | 3,683 | 3,584 |
|
Melissa Renee White
140 Academy St |
$37.60 | 3,612 | 3,398 |
|
Cathy A Bradley
521 Main Street |
$30.46 | 3,568 | 3,269 |
|
Alisha J Reid
23 North St |
$41.25 | 3,108 | 2,931 |
|
Renee Rolande Fournier
140 Academy St |
$39.46 | 2,462 | 2,351 |
|
Kelsey Elizabeth Nadeau
146 Academy St Ste 1B |
$23.41 | 2,362 | 2,211 |
|
Judith Marie Pimental
167 Academy St |
$47.25 | 2,259 | 2,141 |
|
Amanda Tracy
140 Academy St |
$20.99 | 2,092 | 1,967 |
|
Eleanor V Grover
181 Academy St |
$27.43 | 2,054 | 1,614 |
|
Lindsay Ireland
140 Academy St |
$24.55 | 2,011 | 1,829 |
|
Sheila R Dickerman
23 North St Ste 2 |
$43.25 | 1,987 | 1,924 |
|
Jared Yadon Kohlbacher
140 Academy St Ste 10 |
$17.29 | 1,833 | 1,673 |
|
Jorge Pineiro-Vergne
11 North St |
$37.52 | 1,785 | 1,726 |
|
Heather Jean Curran
23 North St |
$52.18 | 1,590 | 1,513 |
|
Tiernan Patrick Murphy
23 North St Ste 4 |
$38.06 | 1,567 | 1,519 |
|
Neil Baggesen
140 Academy St |
$39.30 | 1,497 | 1,448 |
|
Robert Mcfadgen
23 North St |
$25.86 | 1,399 | 1,352 |
|
George Montee
140 Academy St |
$25.73 | 1,340 | 1,295 |
|
Louis Wesley
140 Academy St |
$53.31 | 1,296 | 1,191 |
|
Jaymie F St. Peter
66 Spruce St Ste 4 |
$20.93 | 1,295 | 1,272 |
|
Jessica Rossignol
140 Academy St |
$25.99 | 1,239 | 1,164 |
|
Kristin Marie Guerrette
23 North St Ste 4 |
$18.52 | 1,157 | 1,044 |
|
Bradley N Trask
173 Academy St |
$33.07 | 1,147 | 975 |
|
Nancy Marbel Cosgrove
23 North St Ste 2 |
$46.66 | 1,143 | 1,118 |
|
Kayla Lynn Caron
23 North St |
$28.29 | 1,117 | 1,063 |
|
Juliet Coffey Freeman
140 Academy St |
$22.37 | 1,042 | 998 |
|
Garbis D Keusseyan
23 North St Ste 4 |
$41.19 | 991 | 929 |
|
Olivia Beaulieu
23 North St |
$31.98 | 909 | 878 |
|
Georgina Aguirre
140 Academy St |
$26.12 | 895 | 870 |
|
Meghan Leigh Dinneen
24 North St # 4 |
$25.81 | 782 | 733 |
|
Dale J Gordon
140 Academy St |
$267.66 | 769 | 693 |
|
Thomas Chege Macharia
23 North St |
$26.91 | 768 | 742 |
|
Robert A. Sylvester
140 Academy St |
$21.99 | 730 | 694 |
|
Jessica R. Gagnon
140 Academy St |
$21.22 | 671 | 620 |
|
Kathryn Raymond
23 North St |
$38.71 | 667 | 634 |
|
Amratash Malodiya
140 Academy St |
$21.93 | 658 | 625 |
|
Corinne Cannon Fisher
23 North St |
$44.18 | 594 | 569 |
|
Joel T Whitaker
140 Academy St |
$32.95 | 575 | 555 |
|
Sue Porter
146 Academy St |
$21.55 | 567 | 557 |
|
Mary B Coffin
140 Academy St |
$20.69 | 553 | 542 |
|
Margaret Grace Fitt
23 North St |
$47.50 | 517 | 503 |
|
Lukas Emery
140 Academy St |
$37.57 | 495 | 434 |
|
Katherine Olivia Cone Cassidy
23 North St Ste 4 |
$42.02 | 463 | 446 |
|
Paul Barry Krivitsky
140 Academy St |
$26.27 | 458 | 433 |
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 Presque Isle, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Presque Isle, ME is $32.81 per claim, based on 122,681 claims from 81 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 Presque Isle, ME?
There are 81 Medicaid providers offering Office Visit related services in Presque Isle, ME according to public payment data.
What is the price range for Office Visit in Presque Isle, ME?
Medicaid reimbursement for Office Visit in Presque Isle, ME ranges from $0.00 to $267.66 per claim, with an average of $32.81. 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
8,578,324 claims · 3512 providers
Other Procedures in Presque Isle, ME
Blood Work & Lab Tests
Avg $2.02
182,034 claims
Physical Therapy
Avg $30.96
65,094 claims
Home Health Visit
Avg $181.00
61,058 claims
Vaccines & Immunizations
Avg $10.34
54,949 claims
Substance Abuse Treatment
Avg $151.93
53,217 claims
Emergency Room Visit
Avg $144.67
48,032 claims
Case Management Services
Avg $224.03
42,999 claims
EKG / ECG (Electrocardiogram)
Avg $2.86
30,964 claims