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 |
|---|---|---|---|
|
Veronica Lema
140 Academy St |
$86.07 | 12 | 12 |
|
The Aroostook Medical Center
140 Academy St |
$0.00 | 14 | 12 |
|
Jose Rivera Tungol
181 Academy St |
$72.88 | 14 | 13 |
|
Janna Sirois
140 Academy St |
$28.21 | 14 | 14 |
|
Momen M Elnesr
64 Barton St |
$34.24 | 15 | 15 |
|
Mark Adam Billington
140 Academy St |
$13.33 | 16 | 14 |
|
Melissa Diane Cowley Perry
140 Academy St |
$1.17 | 20 | 12 |
|
James R Lambert
171 Academy St |
$65.37 | 25 | 25 |
|
Naghmeh Isfahanian
140 Academy St |
$41.28 | 26 | 26 |
|
Stephen Porter
140 Academy St |
$18.72 | 27 | 25 |
|
Rebecca Dias
23 North St |
$52.13 | 30 | 29 |
|
Peter C Goth
140 Academy St |
$17.34 | 33 | 33 |
|
Rachel Mary Swartz
140 Academy St Ste 4 |
$25.74 | 52 | 50 |
|
Danielle Desjardins
140 Academy St |
$21.46 | 69 | 66 |
|
Nicole Carole Willette
19 North St |
$14.27 | 71 | 67 |
|
Randall Crockett Himes
146 Academy St |
$28.24 | 76 | 73 |
|
Kristin Cayla Robinson
23 North St Ste 1 |
$44.67 | 82 | 82 |
|
Heather Leanne Bresett
23 North St |
$22.90 | 115 | 111 |
|
Elizabeth A Cote Estrada
8 Northern Rd |
$94.23 | 123 | 110 |
|
Mridula Sood
140 Academy St |
$15.21 | 126 | 118 |
|
Thomas Buckingham
140 Academy St |
$28.90 | 126 | 123 |
|
Shannon Marie Flewelling
18 Green Hill Rd |
$17.35 | 172 | 172 |
|
Mark E Morin
146 Academy St Ste D |
$28.00 | 178 | 143 |
|
Osama Aziz
146 Academy St, Suite 1B |
$18.66 | 181 | 173 |
|
Alireza Naderipour
140 Academy St |
$21.85 | 215 | 199 |
|
Danielle Elizabeth Agrella
140 Academy St Ste 6 |
$43.95 | 235 | 222 |
|
Hilary Rae Boucher
23 North St Ste 4 |
$44.16 | 329 | 322 |
|
John L Thyng
140 Academy St |
$32.41 | 357 | 351 |
|
Daniel Fowler
140 Academy St |
$23.69 | 378 | 363 |
|
Joshua Wood
140 Academy St |
$44.31 | 412 | 398 |
|
Danielle Langley
140 Academy St |
$24.57 | 436 | 420 |
|
Paul Barry Krivitsky
140 Academy St |
$26.27 | 458 | 433 |
|
Katherine Olivia Cone Cassidy
23 North St Ste 4 |
$42.02 | 463 | 446 |
|
Lukas Emery
140 Academy St |
$37.57 | 495 | 434 |
|
Margaret Grace Fitt
23 North St |
$47.50 | 517 | 503 |
|
Mary B Coffin
140 Academy St |
$20.69 | 553 | 542 |
|
Sue Porter
146 Academy St |
$21.55 | 567 | 557 |
|
Joel T Whitaker
140 Academy St |
$32.95 | 575 | 555 |
|
Corinne Cannon Fisher
23 North St |
$44.18 | 594 | 569 |
|
Amratash Malodiya
140 Academy St |
$21.93 | 658 | 625 |
|
Kathryn Raymond
23 North St |
$38.71 | 667 | 634 |
|
Jessica R. Gagnon
140 Academy St |
$21.22 | 671 | 620 |
|
Robert A. Sylvester
140 Academy St |
$21.99 | 730 | 694 |
|
Thomas Chege Macharia
23 North St |
$26.91 | 768 | 742 |
|
Dale J Gordon
140 Academy St |
$267.66 | 769 | 693 |
|
Meghan Leigh Dinneen
24 North St # 4 |
$25.81 | 782 | 733 |
|
Georgina Aguirre
140 Academy St |
$26.12 | 895 | 870 |
|
Olivia Beaulieu
23 North St |
$31.98 | 909 | 878 |
|
Garbis D Keusseyan
23 North St Ste 4 |
$41.19 | 991 | 929 |
|
Juliet Coffey Freeman
140 Academy St |
$22.37 | 1,042 | 998 |
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